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Come as You Are: Socialization and Inclusive Access to Sustainable National Health Insurance Program M. Ikhwan Maulana Haeruddin; Chalid Imran Musa; Burhanuddin; Nur Fauziah Musfira; Hikmah Hiromi
Economics and Business Journal (ECBIS) Vol. 4 No. 6 (2026): September
Publisher : PT. Maju Malaqbi Makkarana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47353/ecbis.v4i6.642

Abstract

The National Health Insurance (JKN) program, administered by BPJS Kesehatan, represents a strategic policy of the Indonesian government aimed at achieving inclusive and sustainable access to healthcare services. Although enrolment rates continue to rise, the utilization of BPJS Kesehatan services still exhibits significant regional variation. Most prior research has focused on aspects such as participant satisfaction, service quality, and program implementation evaluation, whereas studies specifically examining the public's decision-making process regarding the use of BPJS Kesehatan services remain relatively limited. Furthermore, few studies have integrated socialization as a determinant of healthcare utilization behaviour within the framework of the Theory of Planned Behaviour (TPB). Therefore, this study aims to analyse the influence of BPJS Kesehatan socialization—both direct and indirect—on the public's decision to use BPJS Kesehatan services in Makassar, while interpreting the findings through the TPB perspective, which encompasses attitude, subjective norms, and perceived behavioural control. This study employs a quantitative approach utilizing an explanatory research design and path analysis. The study population consists of Makassar residents registered as active BPJS Kesehatan participants. The sample comprises 100 respondents selected via purposive sampling. Data were collected using a structured questionnaire based on a five-point Likert scale and analysed using descriptive statistics, validity and reliability tests, classical assumption tests, and path analysis. Test results indicate that all research instruments are valid and reliable, with Cronbach’s Alpha values ​​exceeding 0.70, making them suitable for testing the empirical model. The results demonstrate that direct socialization has a positive and significant influence on the public's decision to use BPJS Kesehatan, with a path coefficient of β = 0.521 (p < 0.001), while indirect socialization also exerts a positive and significant influence, with a path coefficient of β = 0.317 (p < 0.001). These findings indicate that face-to-face communication, outreach sessions, consultations with staff, and direct interactions are more effective than information dissemination via mass media or digital channels. The coefficient of determination (R² = 0.612) reveals that both forms of socialization explain 61.2% of the variation in the public's decision to use BPJS Kesehatan. From the perspective of the Theory of Planned Behaviour (TPB), socialization plays a role in shaping positive attitudes toward the benefits of BPJS Kesehatan, reinforcing social norms that support service usage, and enhancing public perceptions regarding ease of access and the ability to utilize available health services. These three aspects simultaneously drive the formation of the decision to use BPJS Kesehatan. This study contributes theoretically by extending the application of TPB to the context of health policy and public services in Indonesia. Practically, the findings yield an empirical model that can serve as a basis for formulating sustainability strategies for the JKN program—specifically through strengthening community-based socialization, improving public health literacy, and developing more participatory public communication. Furthermore, this study developed the BPJS Utilization Decision Scale (BUDS) as an instrument to measure the determinants of public decisions regarding the use of BPJS Kesehatan in a more comprehensive manner.
I STILL HAVEN'T FOUND WHAT I'M LOOKING FOR: THE GAP BETWEEN CORPORATE SUSTAINABILITY CLAIMS AND ENVIRONMENTAL ACTION M. Ikhwan Maulana Haeruddin; Hikmah Hiromi; Rahmawati Rahmawati; Chalid Imran Musa; Muhammad Akhsan Tenrisau; A.M. Fadli Mappisabbi
Jurnal Manajemen Vol 6, No 2 (2026): Agustus
Publisher : Universitas Negeri Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26858/jm.v6i2.89899

Abstract

Abstract: Greenwashing has emerged as a critical challenge in contemporary sustainability communication, particularly as organizations face increasing pressure to demonstrate environmental responsibility. Although sustainability encompasses interconnected environmental, social, and economic dimensions, corporate communication frequently emphasizes environmental narratives without being supported by substantive organizational action. This discrepancy creates a communication–action gap in which sustainability claims may be exaggerated, selective, misleading, or inconsistent with actual corporate practices. This conceptual study examines greenwashing as a form of sustainability communication that can distort stakeholder perceptions and undermine the principles of transparency, accountability, and corporate responsibility. Greenwashing may occur through advertising, marketing campaigns, sustainability reports, symbolic environmental imagery, and selective disclosure of sustainability-related information, whereby organizations highlight limited environmental initiatives while obscuring practices that generate substantially greater environmental impacts. Such communication not only risks misleading consumers and other stakeholders but may also weaken trust in corporate sustainability claims and impede broader efforts to address climate change and environmental degradation. By positioning greenwashing within the broader sustainability communication discourse, this study highlights the importance of consistency between corporate rhetoric, disclosed information, and substantive organizational action. This conceptual study adopts a narrative literature review and critical conceptual analysis. Scholarly literature addressing greenwashing, sustainability communication, corporate sustainability, environmental claims, and stakeholder accountability is examined and synthesized to identify recurring conceptual patterns, clarify the communication–action gap, and develop an integrated framework for understanding greenwashing as a form of sustainability communication. The study further emphasizes that credible sustainability communication requires transparency, balanced disclosure, verifiable evidence, and alignment between communicated commitments and measurable outcomes. Understanding this communication–action gap is therefore essential for strengthening corporate accountability and ensuring that sustainability communication contributes meaningfully to sustainable development rather than functioning primarily as an instrument of corporate image management.Keywords: Greenwashing, Sustainability Communication, Corporate Sustainability, Environmental Claims, Corporate Accountability, Communication–Action Gap