dEjournals Nyitóoldal
International Journal of Engineering and Management Sciences
Regisztráció Aktuális szám Megjelenés előtti cikkek Archívum Indexáltság Beküldés Kapcsolat Keresés
Regisztráció Bejelentkezés
IJEMS

Megjelenés előtti cikkek
Menedzsmenttudományok

The Role of Indonesia’s National Health Insurance Cadre: A Case Study in Bali

Megjelent:
2024-10-11
DOI Linkhttps://doi.org/10.21791/IJEMS.2024.027
Szerzők
Indrayathi Putu Ayu,
Prameswari Agung Ratih Surya Prameswari,
Kolozsvari Laszlo Robert
Megtekintés
PDF (Angol)
Kulcsszavak
Cadre Health Insurance Universal Coverage BPJS Kesehatan
Licenc

Copyright (c) 2024 Putu Ayu Indrayathi, Agung Ratih Surya Prameswari Prameswari, Laszlo Robert Kolozsvari

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

How To Cite
Kiválasztott formátum: APA
Indrayathi, P. A., Prameswari, A. R. S. P., & Kolozsvari, L. R. (2024). The Role of Indonesia’s National Health Insurance Cadre: A Case Study in Bali. International Journal of Engineering and Management Sciences, 1-16. https://doi.org/10.21791/IJEMS.2024.027
Absztrakt

The management of informal sector participants poses the most significant difficulty to universal coverage attempts throughout Indonesia's National Health Insurance era. As a result, in April 2017, BPJS Kesehatan established the JKN Cadre Program. This program intends to expand the number of participants while also improving the collectability of contributions from the informal sector. This study aims to investigate the role of the cadre and explore the supporting, and inhibiting factors of such a program. This study is a qualitative descriptive case study, with data gathered through in-depth interviews. Informants were chosen purposefully. Thematic Analysis was utilized to examine the data, which Source Triangulation subsequently confirmed. The study found that the JKN KIS cadre has five functions, the most important of which is to remind people and collect contributions. Cadre activities included education and outreach, as well as collecting payment arrears receipts. The study also identified three inhibiting and supportive elements for the role of cadre namely individual, environmental, and organisational factors. To reduce unfavourable perceptions of JKN-KIS, it is vital to increase cadre self-actualization, self-esteem, information dissemination, synergy, and quality.

Hivatkozások
  1. [1] World Health Organization, What is universal coverage?, WHO. World Health Organization, (2018).Available at: https://www.who.int/health_financing/universal_coverage_definition/en (Accessed March 12,2020)
  2. [2] Kementerian Kesehatan Republik Indonesia ‘Buku Pegangan Sosialisasi Jaminan Kesehatan Nasional (JKN) dalam Sistem Jaminan Sosial Nasional’, 2013,Departemen Kesehatan RI, pp. 1–75. doi: 10.1017/CBO9781107415324.004.
  3. [3] Badan Penyelenggara Jaminan Sosial Kesehatan ,Info BPJS Kesehatan Pentingnya Peran Kader untuk Sukseskan Program JKN-KIS. 53rd edn. Jakarta: Badan Penyelenggara Jaminan Sosial Kesehatan, 2017, Available at: https://bpjs-kesehatan.go.id/bpjs/dmdocuments/bcd9d7bfb5e5ecdb9bf958b33ab5c1ae.pdf .
  4. [4] T.O. Abolade and A.E Durosinmi, The benefits and challenges of E-health applications in developing nations: a review, 2018. Proceedings of the 14th iSTEAMS multidisciplinary conference AlHikmah University; Ilorin, Nigeria
  5. [5] E.K. Achampong, The state of information and communication technology and health informatics in Ghana. Online J Public Health Inform. 4(2):1–13, 2012. doi: 10. 5210/ojphi.v4i2.4191
  6. [6] J. Antwi and D. Opoku-Mensah, Prospects and challenges of telemedicine at the primary health care level: a basis for certification of providers in Ghana. Curr J Appl Sci Technol. 40(2):46–65, 2021 doi: 10.9734/cjast/2021/ v40i231257
  7. [7] S, Asare, D. Otoo-Arthur,and K.O. Frimpong, Assessing the readiness of the digitization of health records: a case of a municipal hospital in Ghana. Int J Comput Sci Inf Technol Res ISSN 2348-120X. 5(4):76–90,2017.
  8. [8] O. Okuzu, R. Malaga, K. Okereafor, U. Amos, A. Dosunmu, A. Oyeneyin, V. Adeoye, M.N. Sambo and B. Ebenso, Role of digital health insurance management systems in scaling health insurance coverage in low- and Middle- Income Countries: A case study from Nigeria. Front. Digit. Health 4:1008458, 2022. doi: 10.3389/fdgth.2022.1008458
  9. [9] A. Omotosho, P. Ayegba, J. Emuoyibofarhe, and C. Meinel, Current state of ICT in healthcare delivery in developing countries. Int. J. Online Eng(IJOE). 15 (8):91–107, 2019. doi: 10.3991/joe.v15i08.10294
  10. [10] A. Rundqvist and A.V. Schinkel , Digital transformation of healthcare services in developing countries: an exploratory research of healthtech opportunities in Bottom of the Pyramid (BOP) markets [Master of science thesis]. Stockholm: KTH Industrial Engineering and Management (TRITA-ITM-EX 2020:211), 2020.
  11. [11] M. Saleh and M.S. Konduga, Impact of Information Communication and Technology (ICT) in hospital management system of yobe state hospital management board in Nigeria. J ICT Res Appl.:1–23, 2015. doi: 10.4107/ 13590091091432750
  12. [12] F. Shiferaw and M. Zolfo, The role of information communication technology (ICT) towards universal health coverage: the first steps of a telemedicine project in Ethiopia. Glob Health Action. 5:15638,2012. doi: 10.3402/gha.v5i0. 15638
  13. [13] M.S. Thaiya, K. Julia, M. Joram, and M. Benard , Adoption of ICT to enhance access to healthcare in Kenya. IOSR J Comput Eng(IOSR-JCE). 23(2):45–50, 2021. doi: 10.9790/0661-2302024550
  14. [14] L. Uadj , Health professionals’ challenge in using ICTs to manage their patients: the case of hospitals in Addis Ababa, Ethiopia. Online J. Nurs. Inform (OJNI). 20(2):1–15,2016,. http://www.himss.org/ojni.
  15. [15] M.M. Willie and P. Nkomo, Digital transformation in healthcare – South Africa context. Global J Immunol Allergic Dis. 7:1–5, 2019.doi: 10.31907/2310-6980. 2019.07.01
  16. [16] L. M. Sitanggang, ‘Ini Kiat BPJS Kesehatan Dorong Kolektabilitas Iuran’, Kontan.co.id, 20 September 2018. Available at: https://keuangan. kontan.co.id/news/ini-kiat-bpjs-kesehatan-dorong-kolektabilitas-iuran (Accessed: 20 February 2021).
  17. [17] Badan Penyelenggara Jaminan Sosial Kesehatan, 2017 Kader JKN-KIS BPJS Kesehatan: Testimoni Manis. Available at: https://testimonimanis. wordpress.com/2017/08/04/kader-jkn-kis-bpjs-kesehatan/.
  18. [18] S. Sastroasmoro, 2014 Dasar-Dasar Metodologi Penelitian Klinis. 5th edn. Jakarta: Sagung Seto.
  19. [19] J Kirchherr and K Charles. Enhancing the sample diversity of snowball samples: Recommendations from a research project on anti-dam movements in Southeast Asia. PLoS One. 2018 Aug 22;13(8):e0201710. doi: 10.1371/journal.pone.0201710. PMID: 30133457; PMCID: PMC6104950.
  20. [20] A.L. Conneeley, Methodological Issues in Qualitative Research for the Researcher/Practitioner’, British Journal of Occupational Therapy, 65(4):185–190, 2002.doi:10.1177/030802260206500406.
  21. [21] S. Hesse-Biber, Qualitative approaches to mixed methods practice’, Qualitative Inquiry, 16(6):455–468, 2010, doi:10.1177/1077800410364611.
  22. [22] V. Braun and V. Clarke , ‘Using thematic analysis in psychology’, Qualitative Research in Psychology, 3(2):77–101, 2006 .doi:10.1191/1478088706qp063oa.
  23. [23] N. Carter, D. Bryant-Lukosius, A. Dicenso, J. Blythe and A.J. Neville, ‘The use of triangulation in qualitative research’, Oncology Nursing Forum, 41(5):545–547, 2014 doi:10.1188/14.ONF.545-547.
  24. [24] L.A. Curry, H.M. Krumholz, A. O’Cathain, VLP. Clark, E. Cherlin and E.H Bradley, ‘Mixed methods in biomedical and health services research’, Circulation: Cardiovascular Quality and Outcomes, 6(1):119–123, 2013.doi:10.1161/CIRCOUTCOMES.112.967885.
  25. [25] I. Vedel, N. Kaur, Q.N Hong, R. El Sherif, V. Khanassov, C. Godard-Sebillotte, N. Sourial, X.Q. Yang and P. Pluye , ‘Why and how to use mixed methods in primary health care research’, Family Practice, 36(3):365–368, 2018. doi:10.1093/fampra/cmy127.
  26. [26] P.A. Indrayathi, M.D. Kusumadewi, I.M.D. Fridayanti, Informal Workers and its role in Jaminan Kesehatan Nasional. Proceeding 1st & 2nd Indonesian Health Economics Association (InaHEA) Conggres 2014 & 2015. ISBN : 978-979-9967 4-0-4, 2015
  27. [27] R. Sibarani and Y. Perbawaningsih, ‘Persuasi, Perilaku Merokok, dan Preferensi Anak Muda terhadap Pesan Kampanye Berhenti Merokok’, Jurnal ASPIKOM, 3(5), p. 986, 2018. doi: 10.24329/aspikom.v3i5.336.
  28. [28] L. Einav and A. Finkelstein, Moral Hazard in Health Insurance: What We Know and How We Know It?. Journal Euro Economic Association. 2018 Aug;16(4):957-982. doi: 10.1093/jeea/jvy017. Epub 2018 May 3. PMID: 30220888; PMCID: PMC6128379
  29. [29] K. Kirana, Tantangan BPJS Kesehatan: “Moral Hazard” atau ……, Kompasiana. Available at: https://www.kompasiana.com/kriskirana/55b5c7af397b617f05db111f/tantangan-bpjs-kesehatan-moral-hazard-atau?page=all, 2015.
  30. [30] P. B. Sulistyo, (2016) Modul Perkuliahan: Pengantar Ilmu Komunikasi - Persepsi. Jakarta. Available at: https://doc player.info/48898201-Pengantar-ilmu-komunikasi.html
  31. [31] Humas Badan Penyelenggara Jaminan Sosial Kesehatan (2019) Mulianah: Kader JKN merupakan Tugas Mulia, Badan Penyelenggara Jaminan Sosial Kesehatan. Available at: https://www.bpjs-kesehatan.go.id/ bpjs/post/read/2019/1312/Mulianah-Kader-JKN-Merupakan-Tugas-Mulia.
  32. [32] S. Sonnentag and M. Frese, Performance Concepts and Performance Theory’, in Psychological Management of Individual Performance. Chichester, UK: John Wiley & Sons, Ltd, pp. 1–25, 2005 ‘. doi: 10.1002/04700 13419.ch1.
  33. [33] U. Lehmann and D. Sanders, Community Health Workers: What do We Know About Them? Geneva. Available at: https://www.who.int/ hrh/documents/community_health_workers.pdf, 2007.
  34. [34] T. Andjarwati, ‘Motivasi dari Sudut Pandang Teori Hirarki KebutuhaMaslow,Teori Dua Faktor Herzberg, Teori X Y Mc Gregor dan Teori Motivasi Prestasi Mc Clelland.’, Jurnal Ilmu Ekonomi dan Manajemen, 1(1), pp. 45–54, 2015. Available at: https://media.neliti.com/media/publications/243527-motivasi-dari-sudut-pandang-teori-hirark-435de4b7.pdf.
  35. [35] R. P. Irianto, ‘DJSN Minta Kader JKN Jangan Dianggap Debt Collector’, Media Indonesia. Available at: https://mediaindonesia.com/read/detail/265809-djsn-minta-kader-jkn-jangan-dianggap-debt-collector, 2019.
  36. [36] M. M. Braungart and R. G. Braungart, ‘Applying Learning Theories to Healthcare Practice’, in Health Professional as Educator - Principal of Teaching and Learning. 2nd edn. Burlington, M.A: Jones & Bartlett Learning, p. 51. 2019 Available at: https://samples.jblearning.com/0763751375/chapter2.pdf.
  37. [37] S. E. Pribadi, Bagaimana Bisa Mengobati Masyarakat, Kalau BPJS Saja Sedang ‘Sakit’?, Kompasiana, 2019, Available at: https://www.kompasiana.com/ sigit19781986/5d6f4a300d823067b71d6fa2/bagaimana-bisa-mengobati-masyarakat-kalau-bpjs-saja-sedang-sakit%0D.
  38. [38] B. Meessen, The role of digital strategies in financing health care for universal health coverage. Global Health Science Practice.;6(suppl 1):S29-S40, 2018. https://doi.org/10.9745/GHSP-D-18-00271
  39. [39] P.C Lee, Introduction to the National Health Insurance of Taiwan. In: Lee, PC., Wang, J.TH., Chen, TY., Peng, Ch. (eds) Digital Health Care in Taiwan. Springer, Cham, 2022. https://doi.org/10.1007/978-3-031-05160-9_1, available at https://link.springer.com/chapter/10.1007/978-3-031-05160-9_1
Adatbázis logók
DOAJ MTMT SHERPA EIRHPLUS EBSCO CROSSREF