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Journal : Journal of Language and Health

Legal Protection of Participants of the Regional Contribution Assistance Social Security Agency in Choosing A First-Level Health Facility Hidayah, Nurul; Huda, Mokhamad Khoirul; Pramono, Agung
Journal of Language and Health Vol 5 No 3 (2024): Journal of Language and Health
Publisher : CV. Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jlh.v5i3.5374

Abstract

In order to guarantee that all citizens, notably individuals who have enrolled in national health insurance, are capable of getting medical care without any barriers, national health insurance is necessary. This research indicates to analyze the legal safeguards provided for individuals that are part of the national health insurance program whenever choosing first level health facilities. This study combines a normative and empirical approach for examining the laws and regulations controlling the legal entitlements of national health insurance participants, as well as their implementation in practice. Legal materials for this study were collected from books, magazines, articles, papers, journals, newspapers, and works by legal experts to obtain relevant secondary legal data. The findings are presented systematically, linking the materials to address the research problem comprehensively. In the analysis phase, which is crucial for the study, the collected data is processed and interpreted to uncover truths that answer the research questions. The legal material was analyzed qualitatively using descriptive-analytical methods. This approach relates the identified issues to literature, expert opinions, and applicable legal regulations. The outcomes of the research reveal that, despite legal regulations granting national health insurance participants the opportunity to choose first-level health care facilities, this right is still violated. The key hurdles include the limited number of first-level health facilities that partner with national health insurance, unequal distribution of health facilities, and a lack of socialization from national health insurance. The research presented here suggests raising socialization about national health insurance participants' rights since deciding on first level healthcare facilities, raising the number of joining forces primary level with health facilities, and more rigorous oversight of participant rights implementation. With these efforts, it is envisaged that the rights of national health insurance participants to choose first level health facilities may be properly preserved and enable expanded access and quality of health services in Indonesia.
State Responsibility in the Fulfillment of Public Health Rights through JKN: A Comparative Study with the Republic of China Fitriyah, Dyah Kusumaning; Huda, Mokhamad Khoirul; Pramono, Budi
Journal of Language and Health Vol 5 No 3 (2024): Journal of Language and Health
Publisher : CV. Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jlh.v5i3.5474

Abstract

The right to live with an adequate standard for the health and well-being of oneself and one's family is a human right recognized by all countries worldwide. Therefore, the state has a responsibility to provide proper healthcare to improve public health and the well-being of its citizens, where the implementation of social security is a prerequisite for a welfare state. Based on these circumstances, the following issues are formulated: 1) The regulation of the national health insurance system in Indonesia and the Republic of China; 2) The responsibilities of both countries in providing health protection through national health insurance. Objective to analyze the regulation of each national health insurance system in the Republic of China and Indonesia and analyze the legal efforts made by each country to protect its citizens to obtain welfare in terms of health insurance. This study is normative juridical research with a legislative approach, a conceptual approach, and a comparative approach. We employ a documentary study as a data collection method, involving primary, secondary, and tertiary sources related to the topic. Legal material analysis is conducted using a qualitative approach to address the research problems. This method produces descriptive-analytical data in the form of written, verbal, or actual behavior. The secondary data obtained through the documentary study will be analyzed concerning the applicable laws in both countries and compared accordingly. The findings of this thesis indicate that there are similarities and differences in the regulation of national health insurance in the two countries, particularly in terms of history, insurance providers, participation, covered services, and financing. Indonesia has fulfilled its constitutional obligation as stipulated in the 1945 Constitution and Law No. 40 of 2004 on the National Social Security System, which mandates the implementation of the Indonesian National Health Insurance to provide healthcare services for every citizen. Meanwhile, in the Republic of China (Taiwan), the National Health Insurance fulfills the constitutional obligations set forth in the Constitution of the Republic of China. The national health insurance systems in Taiwan and Indonesia have different approaches. Taiwan implements a centralized National Health Insurance, managed by the NHIA, with funding from individual contributions, employers, and government subsidies. In Indonesia, the National Health Insurance is managed by the Health Social Security Agency (Badan Penyelenggara Jaminan Sosial Kesehatan) under the Social Security Agency Act, despite facing accessibility and efficiency challenges. Both countries protect the health rights of their citizens through their respective legal bases. Taiwan relies on the Constitution of the Republic of China and National Health Insurance regulations, while Indonesia uses the 1945 Constitution and related regulations. To improve transparency, funding, and service quality, Indonesia can study Taiwan's National Health Insurance system and strengthen policy evaluation and public education.
Co-Authors Abdullah Khamdi Adilia Bi Maya Antari Adriano Adriano, Adriano Agung Pramono, Agung Agus Yudha Hernoko Ahmad Fadhli Busthomi Al-Hasni, Fariz Andika Persada Putera Andika Persada Putra Angdiarto, Ricardo Stanislaus Anton Cahyono Artanty, Dian Askan Asmuni Brilian TitaPutri BUDI PRAMONO Cempaka Dewi Chandranita Manuaba Cinderella A.N Rieuwpassa Deny Sulistyorini Desy Martha Panjaitan Dian Anggraini Wikamorys Dian Sari Pratiwi Dwikky Ananda Rinaldi Dyas Witri Murtiningsih Edwin Triwidianto Ernawaty Ernawaty Etik Nunuk Setyorini Fitriyah, Dyah Kusumaning Fitrotinisak, Istna Kamelina Gede Angga Dharmadiputra Gede Sanjaya Ghansham Anand Gregory Agung Himawan Heni Pujiastuti Henry Ricardo Handoyo Herliyani Nor Hidayat I Nyoman Sudastra Intan Sudarmadi Irma Indra Wahyuni Khusnul Huda Made Maylisca Theresia Mulya Diprasta Makhfudli Makhfudli Mohammad Zamroni Mohammad Zamroni Mohammad Zamroni Muhammad Firdan Resaldi Muhammad Joni Ardi Ninis Nugraheni Nisa AmaliyaVariansyah Noviana Indarti NURUL HIDAYAH Onge Margareth Hendro Putri, Ruri Eka Putu Bagus Redika Janasuta R. HardadiAirlangga Retno Ariani Rinaldi, Dwikky Ananda Rizka Dianita Sadjijono Sari, Betty Yunita Setiawan, I Putu Gde Budhi SherlyIntan Shi, Ng Phi Sri Ariani Sri Mugirahayu Subagiyo, Rinka Laila Sugianto Prajitno Sulaksono Sulaksono Sutarno Sutarno Suwondo Ariyanto Swabawa Wicaksana Sylvia Meylinda Tagor Sibarani Vinandita Nabila Karina Wahyudi Wahyuni, Irma Indra Waty Anton Widyana Beta Arthanti Widyasih Pritasari Yoan Nursari Simanjuntak Yuna Ariawan