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All Journal Jurnal Ekonomi Kesehatan Indonesia JIEP: Jurnal Ilmu Ekonomi dan Pembangunan
Hasya, Novira
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Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Health Professions Medicine & Pharmacology Public Health

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Determinants of Catastrophic Health Expenditure of Households in Indonesia Afrizal, Rafa Fayza; Hasya, Novira; Harda, Faticha Putri; Alfathin, Wildan Avif; Latifah, Vanissa Nur; Nainggolan, Maxent Rael; Jaelani, Fadillah Rahmah; Sihaloho, Estro Dariatno
Jurnal Ekonomi Kesehatan Indonesia Vol. 10, No. 1
Publisher : UI Scholars Hub

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Abstract

The need for healthcare services due to illness is unpredictable, thus burdening patients economically and posing a risk of catastrophic events. The percentage of households with catastrophic health expenditures is defined as out-of-pocket payments exceeding 10% of the household’s capacity to pay for healthcare. Increasing catastrophic expenditure costs can further deteriorate the household’s financial condition. This study analyzes the determinants of catastrophic health expenditures in Indonesian households. A total of 12,892 household samples from the cross-sectional Indonesian Family Life Survey (IFLS) wave 5 (2014) were used in this study. Using a logistic regression model, this study aims to identify various socioeconomic factors and household members’ health histories that may influence the probability of a household experiencing catastrophic health expenditures. The study results show that socioeconomic factors, including household expenditures (p<0.01), the number of working household members (p<0.01), the number of insured household members (p<0.01), residential area (p<0.1), and the education level of the household head (p<0.01), have a significant influence on catastrophic expenditures. Catastrophic health expenditures are also significantly affected by the health history of household members, including chronic diseases (p<0.01), hospitalization history (p<0.01), and outpatient care (p<0.01). To reduce financial risks, policymakers can design a fair healthcare financing mechanism that addresses socioeconomic vulnerabilities and health risks. Expanding insurance coverage and strengthening financial protection for at-risk households can help alleviate the burden of catastrophic health expenditures.
Pengaruh Tingkat Upah Minimum dan Inflasi Terhadap Produktivitas Tenaga Kerja di Indonesia Tahun 2014 - 2024 Jaelani, Fadillah; Hasya, Novira
JIEP: Jurnal Ilmu Ekonomi dan Pembangunan Vol. 8 No. 2 (2025)
Publisher : PPJP ULM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/jiep.v8i2.2656

Abstract

This study aims to analyze the impact of inflation and minimum wage on labor productivity in Indonesia during the period 2014–2024. Productivity is measured by Gross Regional Domestic Product (GRDP) at current prices across provinces. The study employs panel data of 36 provinces with a total of 317 observations, analyzed using the Generalized Least Squares (GLS) method to address issues of autocorrelation and heteroskedasticity. The results show that both inflation and minimum wage have a positive and significant effect on labor productivity. Inflation is significant at the 1% level, while the minimum wage is significant at the 5% level. These findings highlight the importance of price stability and measured minimum wage policies in supporting regional labor productivity growth. The coefficient of determination (R²) is 0.3936, and the F-statistic test shows a probability value of 0.0000 (p < 0.05), indicating that all independent variables collectively have a significant effect on GDP.
Pensiun Dini, Gaya Hidup, dan Pengeluaran Kesehatan Katastropik: Implikasi Ekonomi terhadap Penderita CVD di Indonesia Hasya, Novira; Relaksana, Riki; Nur Huda Pranoto, Alexander; Y. M. Siregar, Adiatma
JIEP: Jurnal Ilmu Ekonomi dan Pembangunan Vol. 8 No. 2 (2025)
Publisher : PPJP ULM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/jiep.v8i2.2657

Abstract

This study examines the effect of retirement on the risk of Cardiovascular Disease (CVD), a major Non-Communicable Disease (NCD) responsible for 73% of total deaths in Indonesia, with CVD accounting for 35%. Older adults, especially retirees, are more vulnerable to CVD due to declining physical function and reduced activity. Unhealthy lifestyles after retirement further elevate this risk. As a catastrophic and chronic illness, CVD also incurs high healthcare costs, absorbing around 30% of total hospital expenditures. Using IFLS data from 2007 and 2014, this study applies Pooled OLS, Pooled Logit, Fixed Effect (FE), and Fixed Effect Instrumental Variable (FE IV) methods. Findings show that retirement increases CVD risk by 0.170 percentage points (p < 0.01), while walking habit reduces by 0.006 percentage points (p < 0.05). Results from FE IV using State Pension Age (SPA) confirm this finding. The study suggests selectively increasing SPA and enhancing public support for walking activities.
Co-Authors Afrizal, Rafa Fayza Alfathin, Wildan Avif Harda, Faticha Putri Jaelani, Fadillah Jaelani, Fadillah Rahmah Latifah, Vanissa Nur Nainggolan, Maxent Rael Nur Huda Pranoto, Alexander Riki Relaksana Sihaloho, Estro Dariatno Y. M. Siregar, Adiatma