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The Role of Health Insurance in Facilitating Access to Healthcare Utilization: A Case Study of BPJS Kesehatan Users in Banten Province Hadi Kurniawanto; Muhammad Angga Anggriawan; Billy Tejaarief; Kenedi
Jurnal Penelitian Pendidikan IPA Vol 11 No 2 (2025): February
Publisher : Postgraduate, University of Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jppipa.v11i2.9319

Abstract

Access to healthcare remains a major challenge, especially in developing countries, due to limited infrastructure, medical personnel, and funding. In 2017, the World Bank and WHO reported that nearly half of the world's population struggled to access healthcare due to high costs, including in Indonesia. This study examines the factors influencing BPJS Kesehatan participation and its impact on healthcare utilization. Using probit models and regression techniques, the analysis highlights key determinants, including residence, age, marital status, healthcare utilization, sanitation, household size, income, agricultural participation, health conditions, and employment status. The study also evaluates the effect of insurance coverage on healthcare visits using Negative Binomial Regression and IV Poisson GMM methods. Results indicate that while insurance increases healthcare utilization, factors such as geographic location and out-of-pocket expenses influence access. Findings suggest the need for targeted policies to improve insurance accessibility, particularly in rural areas, and address economic barriers. Limitations include the cross-sectional nature of the data and potential biases in self-reported information. Future research should explore longitudinal data and additional variables to better understand health insurance dynamics.
Dynamics of Health Capital Formation and its Implications for Community Health Outcomes: An Analysis at the Individual Level of the Poor in Banten Province Muhammad Angga Anggriawan; Tata Rustandi; Billy Tejaarief
Jurnal Penelitian Pendidikan IPA Vol 11 No 2 (2025): February
Publisher : Postgraduate, University of Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jppipa.v11i2.9234

Abstract

This study examines the factors influencing health capital formation and its impact on public health outcomes among the poor in Banten Province using the SEM-PLS method. Health capital is shaped by various aspects, including health education and knowledge, access to healthcare services, environmental conditions, genetic and hereditary factors, lifestyle, as well as physical and mental health. The findings indicate that higher education levels enhance individuals' understanding of health, while easier access to healthcare services contributes to improved community health conditions. Additionally, environmental factors and lifestyle play a crucial role in determining an individual's overall health quality. The objective of this study is to identify the key determinants of individual health capital and analyze their implications for public health. These findings highlight the need for policy interventions focused on improving health education and knowledge, as well as expanding equitable access to healthcare services. Continuous education programs and better healthcare facilities, especially for low-income communities, are recommended. However, this study has limitations, including cross-sectional data and potential self-report biases. Therefore, future research should employ longitudinal data and consider additional variables to gain a deeper understanding of the dynamics of health capital and its impact on public health outcomes.