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All Journal Jurnal Ilmu-Ilmu Kesehatan Sekolah Tinggi Ilmu Kesehatan Garuda Putih
Rizki Aqsyari
Panti Kosala Health College
Education Health Professions Medicine & Pharmacology Nursing Public Health

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The Effect of Ability To Pay and Willingness To Pay on BPJS Premium Payment Compliance Among The Community in Mojosongo Surrounding, Surakarta assilla pratiwi; Rizki Aqsyari; Ditya Yankusuma Setiani; Hendra Dwi Kurniawan
Jurnal Ilmu-Ilmu Kesehatan Vol 12 No 1 (2026): JURNAL ILMU-ILMU KESEHATAN
Publisher : Sekolah Tinggi Ilmu Kesehatan Garuda Putih

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52741/jiikes.v12i1.167

Abstract

The National Health Insurance (JKN) program managed by BPJS Kesehatan is an effort by the Indonesian government to achieve Universal Health Coverage (UHC). Since its implementation in 2014, BPJS Kesehatan has been facing financial deficits due to low participant compliance in paying premiums. Low Ability to pay and Willingness to pay, especially among low-income communities, as well as negative perceptions of service quality, are the main factors causing arrears. This condition has the potential to threaten the sustainability of the JKN program, so it is necessary to study the influence of ATP and WTP on participant compliance as a basis for formulating more targeted and data-based policies. Research Objectives. To determine the influence of Ability to pay and Willingness to pay on BPJS premium payment compliance in the community in Mojosongo Village, Surakarta. Research Design. This research is a quantitative study with a cross-sectional study design. Research Subjects. The subjects in the study were the community of Mojosongo Village, Surakarta with a population of 3,507 people. The number of samples in this study was 107 respondents using purposive sampling technique. Research Results. The results of this study indicate that the influence of Ability to pay increases compliance in paying BPJS premiums by (OR =3,156; CI 95%; 1.224 – 8.137, p = 0.017) was proven to be statistically significant and the influence of willingness to pay increased compliance in paying BPJS premiums by (OR = 6.902, CI 95% = 2.649 – 17.980, p = 0.001) was proven to be statistically significant. The most dominant influencing variable was willingness to pay (OR = 6.902, CI 95% = 2.649 – 17.980, p = 0.001).Conclusion: The results of this study indicate a relationship between ability to pay and willingness to pay on BPJS premium payment compliance, with willingness to pay being the most dominant variable influencing compliance. Keywords: Ability to pay, BPJS Health, JKN, Willingness to pay
Analysis of Factors Influencing the BPJS Outpatient Registration System at Jati Husada General Hospital, Karanganyar yasmin mumtaz; Rizki Aqsyari; Lilik Sriwiyati; I Putu Juni Andika
Jurnal Ilmu-Ilmu Kesehatan Vol 12 No 1 (2026): JURNAL ILMU-ILMU KESEHATAN
Publisher : Sekolah Tinggi Ilmu Kesehatan Garuda Putih

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52741/jiikes.v12i1.168

Abstract

Digital transformation in the healthcare sector has driven the adoption of online outpatient registration systems to improve service efficiency and reduce patient queues. However, at Jati Husada General Hospital in Karanganyar, offline registration remains dominant for BPJS patients. This situation suggests factors influencing the choice of registration system. This study aims to analyze factors such as age, education, income, patient satisfaction, and service quality in the BPJS outpatient registration system. The study used a quantitative descriptive-analytical design with a cross-sectional approach. The population was 2,021 BPJS outpatient visits in March 2025, with a sample of 105 respondents selected using simple random sampling. Data were collected through questionnaires and analyzed using the Chi-Square test with a 95% significance level (α=0.05). The results showed that age (p=1.000), education (p=0.339), income (p=0.414), and service quality (p=0.109) did not significantly influence the outpatient registration system. Conversely, patient satisfaction had a significant effect (p=0.007). It is concluded that patient satisfaction is a factor that influences the outpatient registration system, so improving patient experience and comfort needs to be a priority in developing the service system. Keywords : Patient Satisfaction, Service Quality, Education, Income, Outpatient Registration System
Co-Authors assilla pratiwi Ditya Yankusuma Setiani Hendra Dwi Kurniawan I Putu Juni Andika Lilik Sriwiyati yasmin mumtaz