Abstract
Social health insurance from government program are expected to be able to reduce inequalities access to health services in the middle of rising of health care cost, while private health insurance is still limited for up and middle class population. This study aimed to analyze the equity level of health insurance ownership including social and private health insurance in Indonesia. This study examined the condition of Indonesia in the middle of entering National Health Insurance (NHI) era. This study used data of Indonesian Socio-Economic Survey 2012. Data were analyzed by using econometric approach through multinomial logit analysis. The results showed that the concentration index of social health insurance ownership was 0.615, which is smaller than private health insurance ownership (0.972). It means that Indonesia social health insurace ownership will be able to increase equity access to the health services especially for poor people (pro poor). Social health insurance ownership increases the use of the health services by people.
References
1. Council of Economic Advisers. Trends in health care cost growth and the role of the affordable care act. United Stated America: Executive Office of the President of the United Stated; 2013. Available from: https://obamawhitehouse.archives.gov/sites/default/files/docs/healthcostreport_final_noembargo_v2.pdf
2. Hewitt A. 2016 global medical trend rates [Internet]. US: Aaon Hewit Survey Report; 2016. Available from: http://www.aon.com/attachments/human-capital-consulting/2016_Med_Report_US_WEB.pdf
3. Collins SR, Schoen C, Davis K, Gauthier AK, Schoenbaum SC. A roadmap to health insurance for all: principle reform prepared for the commonwealth fund commission on a high performance health system october 2007. Journal Commonwealth [Internet]. 2007; (1066). Available from: http://www.commonwealthfund.org/~/media/ files/publications/fund-report/2007/oct/a-roadmap-to-health-insurance-for-all—principles-for-reform/collins_roadmaphltinsforall_1066- pdf.pdf
4. Thabrany H. Pain poverty and milenium development goals (MDGs). Jakarta: Kompas; 2009.
5. World Health Organization. Arguing for universal health coverage. Geneva: World Health Organization; 2013. 39 p.
6. Thabrany H. Indonesia national health insurance. Jakarta: Rajawali Pers; 2014.
7. Coe G, Beyer D. The imperative for health promotion in universal. Journal Global Health Science and Practice [Internet]. 2014; 2(1): 10–22. Available from: https://www.ncbi.nlm.nih.gov/pmc/ articles/PMC4168610/
8. Republik Indonesia. Undang-Undang nomor 40 tahun 2004 tentang sistem jaminan sosial nasional. Jakarta: Republik Indonesia; 2004.
9. Wherry LR, Kenney GM, Sommers BD. The role of public health insurance in reducing child poverty. Academic Pediatrics [Internet]. 2016; 16(3): S98–104. Available from: http://dx.doi.org/10.1016/ j.acap.2015. 12.011
10. Republik Indonesia. Undang-undang nomor 24 tahun 2011 tentang badan penyelenggara jaminan sosial (BPJS Kesehatan). Jakarta: Republik Indonesia; 2012.
11. Kirigia JM, Sambo LG, Nganda B, Mwabu GM, Chatora R, Mwase T. Determinants health insurance ownership among south african women. BMC Health Service Research [Internet]. 2005; 10: 1–10. Available from: https://bmchealthservres.biomedcentral.com/articles/10.1186/1472-6963-5-17
12. Jin Y, Hou Z, Zhang D. Determinants health insurance coverage among people aged 45 and over in China?: who buys public , private and multiple insurance. PLoS One [Internet]. 2016; 1–15. Available from: http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0161 774
13. Hidayat B, Thabrany H, Dong H, Sauerborn R. The effects of mandatory health insurance on equity in access to outpatient care in Indonesia. National Center for Biotechnology Information [Internet]. 2004; 19(5): 322–35. Available from: https://www.ncbi.nlm.nih.gov/pubmed/ 15310667
14. Badan Pusat Statistik. Jumlah penduduk miskin Indonesia 2013 [Internet]. Jakarta: Badan Pusat Statistik; 2013. Available from: https://www.bps.go.id/linkTabelStatis/view/id/1494
15. Liu H, Gao S, Rizzo JA. China economic review the expansion of public health insurance and the demand for private health insurance in rural China. China Economic Review [Internet]. 2011; 22 (1): 25-41. Available from: http://dx.doi.org/10.1016/j.chieco.2010.08.006.
16. Indonesia Life Insurance Association. Report of indonesia life insurance industry performance in the first quarter of 2015 [Internet]. 2015 [cited 2015 Nov 5]. Available from: http://www.aaji.or.id/NewsEvent/aajilaporkan-kinerja-industri-asuransi-jiwa-pada-kuartal-pertama-di-tahun2015
17. Wagstaf, Adam, Bilger M, Sajaia Z, Lokshin M. Health equity and financial protection [Internet]. Washington DC: The Wolrd Bank; 2011. Available from: http://www.worldbank.org/en/topic/health/publication/health-equity-and-financial-protection-datasheets
18. Dewan Jaminan Sosial Nasional Republik Indonesia. Peta jalan menuju jaminan kesehatan nasional 2012-2019. Jakarta: Dewan Jaminan Sosial Nasional Republik Indonesia; 2012.
19. O’Donnell O, van Doorslaer E, Wagstaff A, Lindelow M. Analyzing health equity using household survey data: a guide to techniques and their implementation [Internet]. Washington DC: World Bank; 2008. Available from: http://openknowledge.worldbank.org/handle/10986/6896
20. Feldstein P. Health care economics. USA: Cengage Learning; 2012.
21. Abdelsattar ZM, Hendren S, Wong SL. The impact health insurance on cancer care in disadvantaged communities. American Cancer Society [Internet]. 2016; 123:1219–27. doi:10.1002/cncr.30431. Available from: http://www.ncbi.nlm.nih.gov/pubmed/27859019.
22. Thabrany H. Social health insurance in indonesia: current status and the proposed national health insurance. Present Social Health Insurance Work WHO SEARO, New Delhi, March 13-15, 2003 Revised, August 2003. 2003; (August).
23. Turner B. Unwinding the state subsidisation of private health insurance in Ireland. Health Policy Journal [Internet]. 2015; 119, Issue. Available from: https://doi.org/10.1016/j.healthpol.2015.08.008
24. Jakovljevic M. Commentary: Implementing pro-poor universal health coverage. Journal Frontiers in Public Health [Internet]. 2016; 4(August): 186. Doi: 10.3389/fpubh.2016.00186. Available from: http://journal.frontiersin.org/article/10.3389/fpubh.2016.00186/full
25. Bayu. Tantangan kepesertaan BPJS kesehatan. Jakarta: BPJS Kesehatan; 2016.
26. Fronstin BP, Ph D, Benefit E. Private health insurance exchanges and defined contribution health plans: is it déjà vu all over again? National Center for Biotechnology Information [Internet]. 2012; (373). Available from: https://www.ncbi.nlm.nih.gov/pubmed/22905434
27. Phiri J, Ataguba JE. Inequalities in public health care delivery in Zambia. BioMed Central [Internet]. 2014; 1–9. Available from: https://doi.org/10.1186/1475-9276-13-24
28. BPJS Kesehatan. Daftar perusahaan asuransi swasta yang bekerja sama dengan BPJS Kesehatan melalui skema Coordination of Benefit (COB) [Internet]. 2016 [cited 2016 Oct 14]. Available from: http://bpjs-kesehatan.go.id/bpjs/index.php/post/read/2015/321/Daftar-51- Perusahaan-Asuransi-Swasta-yang-Bekerjasama-dengan-BPJSKesehatan-melalui-Skema-Coordination-of-Benefit
29. BPJS Kesehatan. Peraturan badan penyelenggaran jaminan sosial kesehatan nomor 4 tahun 2016 tentang petunjuk teknis penyelenggaraan koordinasi manfaat dalam program jaminan kesehatan nasional. Jakarta: BPJS Kesehatan; 2016.
Recommended Citation
Hartono RK .
Equity Level of Health Insurance Ownership in Indonesia.
Kesmas.
2017;
12(2):
93-100
DOI: 10.21109/kesmas.v0i0.1408
Available at:
https://scholarhub.ui.ac.id/kesmas/vol12/iss2/8
Included in
Biostatistics Commons, Environmental Public Health Commons, Epidemiology Commons, Health Policy Commons, Health Services Research Commons, Nutrition Commons, Occupational Health and Industrial Hygiene Commons, Public Health Education and Promotion Commons, Women's Health Commons