Evaluation Of The Impact Of The National Health Insurance Program On The Quality Of Primary Services: A Literature Review

Dewi Agustina (State Islamic University of North Sumatra Medan, Indonesia)
Tiur Dini Hariani Simbolon (State Islamic University of North Sumatra Medan, Indonesia)
Meliani Putri Inayah (State Islamic University of North Sumatra Medan, Indonesia)
Sabila Yassarah (State Islamic University of North Sumatra Medan, Indonesia)
Siti Husnah (State Islamic University of North Sumatra Medan, Indonesia)
Ayu Diah Aftri (State Islamic University of North Sumatra Medan, Indonesia)
Aulia Farah Dina (State Islamic University of North Sumatra Medan, Indonesia)
Dita Chania Tri Irsan (State Islamic University of North Sumatra Medan, Indonesia)
Khairuna Pratiwi (State Islamic University of North Sumatra Medan, Indonesia)
Dinda Syahbania (State Islamic University of North Sumatra Medan, Indonesia)
Eni Karlina (State Islamic University of North Sumatra Medan, Indonesia)
Nabilah Risti Ameliya (State Islamic University of North Sumatra Medan, Indonesia)
Nasywa Azzahra Siregar (State Islamic University of North Sumatra Medan, Indonesia)

International Journal of Health, Economics, and Social Sciences (IJHESS)
(Special Issue) - International Journal of Health, Economics, and Social Sciences (IJHESS) April 202

The National Health Insurance Program (JKN) has improved access to and utilization of primary health care services; however, the quality of care at many primary health care facilities (FKTP) has not always improved, making it necessary to evaluate the impact of JKN on the quality of primary care. This study aims to evaluate the impact of JKN on the quality of primary care through a literature review. The study employs a literature review approach with a critical qualitative-descriptive design, utilizing national and international journals, theses, dissertations, reports, and JKN policy documents accessed via Google Scholar, Garuda, and SINTA, analyzed using content analysis and narrative synthesis techniques. The results indicate that JKN improves access to and utilization of primary care services and encourages the implementation of quality assurance standards and systems in Primary Health Care Facilities (FKTP); however, in some areas, service quality is hindered by delays, long waiting times, and limitations in personnel and facilities, resulting in suboptimal patient experiences and satisfaction. Thus, JKN has the potential to improve the quality of primary care if accompanied by capacity building at primary health care facilities (FKTP), consistent regulations, and resource allocation.