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Pengaruh Mandatory Spending Terhadap Jasa Pelayanan Kesehatan: Literature Review Khairunnisa, Nyayu Maharani; Andarini, Desheila; Idris, Haerawati; Anggraini, Rini
Jurnal Kebijakan Kesehatan Indonesia Vol 14, No 2 (2025): June
Publisher : Center for Health Policy and Management

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkki.91049

Abstract

Kesehatan merupakan hak dasar bagi semua warga yang harus dijamin oleh negara, sebagaimana diamanatkan oleh Konstitusi, khususnya UUD RI 1945 Pasal 28H ayat (1). Pasal ini dengan tegas menyatakan bahwa setiap individu berhak untuk hidup sejahtera secara fisik dan mental, memiliki tempat tinggal, lingkungan hidup yang sehat, serta menerima layanan kesehatan yang memadai. Oleh karena itu terdapat Undang-undang Dasar yang Menyusun dan membahas tentang pembelanjaan wajib untuk Kesehatan. Metode yang digunakan dalam literatura review ini adalah menelaah beberapa jurnal yang telah terindeks nasional maupun internasional yang terpublish secara luas di Google Scholar, PubMed dan Science Direct dengan jangka umur jurnal dari 2016-2022. Hasil yang telah didapat dari literatur review ini ialah pembelanjaan anggaran kesehatan yang diatur pemerintah sangatlah berpengaruh dalam jasa pelayanan kesehatan, dari pembelanjaan obat, logistik, pembayaran tenaga kesehatan serta aspek pembelanjaan yang lainnya. Dengan ini UU Kesehatan no 17 tentang penghapusan mandatory spending di Indonesia bisa berdampak yang tidak orang ketahui kedepannya.
PRIVATE HEALTH INSURANCE OWNERSHIP IN A SOCIAL HEALTH INSURANCE DOMINATED SYSTEM Putri, Dinda Bella; Idris, Haerawati; Alyousef, Mohammed
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 13 No. 2 (2025): December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v13i2.2025.219-231

Abstract

Background: Private health insurance coverage in Indonesia remains very limited, which may increase financial vulnerability despite the dominance of social health insurance.  Aims: This study examines factors associated with private health insurance ownership among the Indonesian population. Methods: A cross-sectional study was conducted using data from the 2023 National Socio-Economic Survey (SUSENAS), including 179,339 respondents aged 15–64 years. Multiple logistic regression was applied to estimate adjusted prevalence ratios (PRs) and 95% confidence intervals, controlling for demographic, socioeconomic, and health-related factors Results: The prevalence of private health insurance ownership was 0.5%. Higher education, married status, rich economic status, exposure to internet media, and absence of health complaints were significantly associated with a higher likelihood of ownership. In contrast, respondents aged 25–34 years, those living in households with fewer than five members, and employed individuals were significantly less likely to own private health insurance. Rich economic status was the strongest predictor of private health insurance ownership (adjusted PR = 3.353; 95% CI: 1.997–5.627).  Conclusion: Private health insurance ownership in Indonesia is strongly shaped by socioeconomic characteristics and information exposure. These findings provide empirical evidence to support further investigation into the role of private health insurance as a complementary mechanism within Indonesia’s social health insurance-dominated system. Keywords: Indonesia, ownership, private health insurance, socioeconomic factors
Waiting Time Experiences and Perceptions Among National Health Insurance Patients in Outpatient Care Alamsyah, Muhammad; Windusari, Yuanita; idris, Haerawati
Journal La Medihealtico Vol. 6 No. 5 (2025): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v6i5.2751

Abstract

Waiting time is a critical aspect of healthcare service quality that influences patient satisfaction and overall service evaluation. This study aims to explore patients’ perceptions of waiting time in healthcare services by examining experiential factors that shape how waiting is interpreted and tolerated. A qualitative research design was employed, using in-depth interviews with four patients who had direct experience with healthcare service delivery. Data were analyzed thematically to identify recurring patterns in participants’ accounts. The findings reveal that perceptions of waiting time were influenced not only by its duration but also by procedural clarity, staff responsiveness, communication and information transparency, service environment, and the presence of personalization and emotional support. Clear service procedures and timely, understandable information reduced uncertainty and moderated negative perceptions of waiting. Additionally, clean and comfortable environments, along with empathetic and attentive staff interactions, enhanced patients’ ability to tolerate waiting and contributed to more positive service experiences. The study concludes that waiting time should be understood as a multidimensional experience shaped by both operational and interpersonal factors. These findings highlight the importance of adopting patient-centered strategies that integrate effective communication, environmental comfort, and emotional support in managing waiting time within healthcare services.
Highest economic status increases risk of cesarean section in women of childbearing age Idris, Haerawati; Anggraini, Rini
Universa Medicina Vol. 41 No. 2 (2022)
Publisher : Faculty of Medicine, Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2022.v41.129-138

Abstract

BACKGROUNDCesarean section (CS) rates that are higher than the WHO recommendation may pose morbidity and mortality risks for both mother and child. In recent years, the number of CS deliveries has been increasing in developed and developing countries. The aim of the present study was to determine the rate of CS delivery and socioeconomic and demographic factors as risk factors of cesarean delivery in women of childbearing age. METHODSThis cross-sectional study used data from the 2017 Indonesian Health Demographic Survey (IDHS). The research subjects were 14,724 women of childbearing age aged 15-49 years who had given birth and met the inclusion criteria. The rate of CS was determined and the associations between independent and dependent variables were explored using logistic regression. RESULTSThe CS rate was 17.9%. Variables that had a significant relationship with cesarean delivery were geographic region, economic status, occupation, education, birth attendant, insurance ownership and antenatal care visits. The most dominant influencing variable was the highest economic status (OR 3.566; 95% CI: 2.857-4.452). Respondents with the highest economic status had a 3.5 times greater risk of having a cesarean delivery than subjects with the lowest economic status after controlling for the other variables. CONCLUSIONThis study demonstrated that the highest economic status increased the risk of CS delivery in women of childbearing age. The current epidemiological findings and evidence suggest adopting and implementing some strict guidelines in the health system to avoid unnecessary delivery by CS.
THE RELATIONSHIP BETWEEN FAMILY SUPPORT AND THE SUCCESS OF EXCLUSIVE BREASTFEEDING: LITERATURE REVIEW Pratama, Benny Putra; Fajar, Nur Alam; Idris, Haerawati; Fatmalina Febry; Rini Mutahar; Suci Destriatania
Cendekia Medika: Jurnal Stikes Al-Ma`arif Baturaja Vol. 11 No. 1 (2026): January - March
Publisher : LPPM STIKES Al-Ma'arif Baturaja

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/cendekiamedika.v11i1.644

Abstract

Exclusive breastfeeding is a key strategy for improving infant health and survival; however, its achievement remains suboptimal in many countries. Family support has been consistently identified as a major interpersonal determinant influencing exclusive breastfeeding success, highlighting the need for a comprehensive synthesis of recent empirical evidence. This study aims to examine and synthesize findings from empirical research on the role of family support in exclusive breastfeeding success through a narrative literature review. Literature searches were conducted using PubMed, ScienceDirect, and Google Scholar, covering publications from 2020 to 2025. Of the 864 articles initially identified, 15 studies were selected based on predefined inclusion criteria and substantive relevance to the review focus. The synthesis indicates that family support, particularly from husbands and extended family members, is consistently associated with higher exclusive breastfeeding success, with reported odds ranging from approximately two to more than threefold across studies. Family support contributes to enhanced breastfeeding self efficacy, reduced postpartum stress, decreased prelacteal feeding practices, and the establishment of a supportive home environment for breastfeeding. The mechanisms underlying these effects involve interacting psychological, hormonal, and social pathways. These findings underscore the importance of family centered approaches in exclusive breastfeeding promotion, suggesting that health interventions should not focus solely on mothers but actively engage husbands and family members as key partners in supporting breastfeeding practices
Co-Authors Achmad Fickry Faisya, Achmad Fickry Agustine, Farina Eka Alyousef, Mohammed Amrina Rosyada Andarini, Desheilla Anggreini, Rini Anggun Budiastuti Anita Rahmiwati Apriliani, Ferenadia Ardhan, Jery Asmaripa Ainy Astari, Dea Widya Azizah, Shinta Cynthia Cynthia Desheila Andarini, Desheila Dian Safriantini, Dian Dini Nabila Aryani Dinta, Nadya Ariba Ekananda, Detya Sella Elwin, Ghani El Mughni Muhammad Hidayatullah Fajar , Nur Alam Fajarini, Dessy Fatmalina Febry Fatya Rizki Fadillah Febriyanti, Henny Feranita Utama Fitri Fitri Fitriani, Novi Hamzah Hasyim Hanifah, Arindi Dinda Hardina, Siti Hartati Inaku Hayati, Thursina Vera Hidayatullah, Muhammad Dwi Indah Purnama Sari Indahsari, Siti Rahmi Inoy Trisnaini Iqlima, Erni Jangga, Jangga Juliyanda, Nugraha Khaeriyah, Muthia Khairunnisa, Nyayu Maharani Khoirunnisa, Salsabila Kurnia Sari, Wulan Lestari, Peggy Ayu Maretha, Rika Maryanto, Hendri Misnaniarti Misnaniarti Monika, Salsabila Mufarika, Rully Muhammad Alamsyah Najmah, Najmah Netarisa Nia Novita Sari Ningsih, Nining Ade Nirmalasari, Melisa Yuni Novrikasari Novrikasari, Novrikasari Nur Alam Fajar Nurmalia Ermi Permana Putra, Dicky Permatasari, Rahmalia Pradisa, Dea Pratama, Benny Putra Purnamasari, Septi Putri, Dinda Bella Putrisha, Shantya Adeline Rachmawati, Aisyah Restu Wulandari, Anggun Rifka, Niswatul Rini Anggraeni Rini Anggraini, Rini Rini Mutahar Rizma Adlia Syakurah Rosdiana Rosdiana Rostika Flora Rusdiana Rusdiana Safithri, Vani Saparuddin Latu Sari, Merry Afriliana Sari, Novrika Silvi Ariyanti Silvi Aulia Rahmah Sri Agustini Suci Destriatania Suhendra, Ahmad Adi SYADZA, EGA RAVA Tembo, Tannia Trisfayeti, Ica Hervita Utama Ningsih, R.E Solfitri Wati, Yeni Arsika Yuanita Windusari Yuliantari, Devy Zaleha, Siti