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All Journal Jurnal Keperawatan Respati Yogyakarta Indonesian Journal of Health Insurance and Medical Records (IJHIMR)
Herlinda Dwi Ningrum
Poltekkes Kemenkes Malang
Health Professions Nursing

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THE PREMIUM ASSISTANCE BENEFICIARIES OF NATIONAL HEALTH INSURANCE’S EXPERIENCE IN USING HEALTHCARE IN KEDIRI Anggi Ardhiasti; Deanti Rifa Mu’adzah; Herlinda Dwi Ningrum
Jurnal Keperawatan Respati Yogyakarta Vol 9 No 3 (2022): SEPTEMBER 2022
Publisher : Universitas Respati Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35842/jkry.v9i3.679

Abstract

National Health Insurance (Jaminan Kesehatan Nasional: JKN) demonstrates government’s commitment providing health insurance to all Indonesians. Hoped that JKN can improve the health levels of its citizens, including the poor and vulnerable; i.e Premium Assistance Beneficiaries Of National Health Insurance (PBI JKN), so that the productivity of family economies increase and intergenerational cycles of poverty can be broken. Despite wider coverage of JKN, however, the poor were still disadvantaged in the healthcare market. Our preliminary study in Kediri shows that PBI beneficiaries complain about the service of healthcare they have received. This study aims to explore the healthcare experience of PBI JKN in Kediri through a qualitative case study approach using in-depth interviews with 10 informants of PBI who had previously been selected purposively. The findings support an understanding of PBI experience from the PBI’s perspective of accessibility, service procedures, and service quality of healthcare in Kediri. According to the informants’ perspective of accessibility to healthcare, all of them stated that the healthcare is accessible. From the informants’ perspective of service procedures, most of the informants stated that the flow of health services provided is quite detailed and complete, although some informants are not satisfied with the way the health service is served. The results suggest that there are several issues that must be addressed in order to enhance the quality of care for example therapeutic communication, and the PBI experience in relation to increase the quality care. In addition, policy-makers, managers and all healthcare workers must ensure that patients especially PBI beneficiaries are satisfied of the services provided regardless of their membership status.
Analisis Faktor-Faktor yang Mempengaruhi Keputusan Peserta dalam Pengajuan Klaim Dini Jaminan Hari Tua di BPJS Ketenagakerjaan KCP Kepanjen Nanda Sekar Azhari Fajriah; Ayu Tyas Purnamasari; Herlinda Dwi Ningrum
Indonesian Journal of Health Insurance and Medical Records (IJHIMR) Vol. 2 No. 2 (2025): Indonesian Journal of Health Insurance and Medical Records (IJHIMR)
Publisher : Kementerian Kesehatan Poltekkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/ijhimr.v2i2.6045

Abstract

Banyak peserta Jaminan Hari Tua (JHT) yang melakukan klaim dini meskipun masih berusia produktif. Hal tersebut tidak sesuai dengan tujuan dibuatnya Program JHT yang dirancang untuk memberikan manfaat uang tunai saat memasuki usia pensiun. Sehingga penelitian ini bertujuan untuk menganalisis faktor-faktor yang mempengaruhi keputusan peserta dalam pengajuan klaim dini Jaminan Hari Tua di BPJS Ketenagakerjaan KCP Kepanjen. Penelitian ini menggunakan desain cross-sectional dengan pendekatan kuantitatif. Populasi penelitian adalah peserta JHT yang belum memasuki usia pensiun dan akan melakukan klaim JHT di kantor BPJS Ketenagakerjaan KCP Kepanjen. Sampel sebanyak 72 responden dipilih menggunakan teknik purposive sampling. Data dikumpulkan melalui kuesioner dan dianalisis secara deskriptif. Hasil penelitian menunjukkan bahwa responden memiliki Sikap Terhadap Perilaku yang tinggi (93%), Norma Subjektif tinggi (84,5%), Persepsi Kontrol Perilaku tinggi (91,5%), dan Toleransi Risiko Keuangan tinggi (91,5%) terhadap Keputusan Pengajuan Klaim Dini JHT. Kesimpulan dari penelitian ini adalah bahwa peserta yang memiliki Sikap Terhadap Perilaku, Norma Subjektif, Persepsi Kontrol Perilaku, dan Toleransi Risiko Keuangan yang positif terhadap Keputusan pengajuan klaim dini JHT mempunya kecenderungan untuk mengajukan klaim dini JHT. Oleh karena itu, BPJS Ketenagakerjaan perlu mengubah peraturan tentang klaim JHT membatasi klaim menjadi Sebagian dari total saldo JHT.
Co-Authors Anggi Ardhiasti Ayu Tyas Purnamasari Deanti Rifa Mu’adzah Nanda Sekar Azhari Fajriah