Factors Associated with National Health Insurance Coverage in Indonesia [version 1; peer review: 1 approved, 1 approved with reservations]

Background: The National Health Insurance (NHI) program is the Indonesian government's national health program. However, health insurance coverage has not been maximized. This study aims to analyze the factors associated with health insurance coverage in Indonesia.   Methods: Cross-sectional da...

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Veröffentlicht in:F1000 research 2021, Vol.10, p.563
Hauptverfasser: Sukartini, Tintin, Arifin, Hidayat, Kurniawati, Yulia, Pradipta, Rifky Octavia, Nursalam, Nursalam, Acob, Joel Rey Ugsang
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Arifin, Hidayat
Kurniawati, Yulia
Pradipta, Rifky Octavia
Nursalam, Nursalam
Acob, Joel Rey Ugsang
description Background: The National Health Insurance (NHI) program is the Indonesian government's national health program. However, health insurance coverage has not been maximized. This study aims to analyze the factors associated with health insurance coverage in Indonesia.   Methods: Cross-sectional data were obtained from the Indonesian Demographic and Health Survey 2017. A total of 39,580 respondents were selected using two-stage stratified cluster sampling. The data come from the DHS Questionnaire Phase 7. The variables include age, education level, wealth quintiles, residence, the number of children who are alive, marital status, current employment status, earnings, and health insurance status. The data were analyzed using chi-squared and binary logistic analyses.   Results: The prevalence of health insurance coverage in the Indonesian population is 62.3%. Respondent age [AOR=0.875; 95% CI=0.763-0.967], education level [AOR=0.437; 95% CI=0.410-0.466], wealth quintile [AOR=0.762; 95% CI=0.713-0.815], residence [AOR=0.762; 95% CI=0.713-0.815], marital status [AOR=0.718; 95% CI=0.625-0.825] and earnings [AOR=1.245; 95% CI=1.177-1.316] are related to health insurance coverage. However, the number of children who are alive and respondents who were currently working were not significantly related to health insurance coverage in Indonesia.  Conclusion: The government needs to pay attention to the characteristics and demographic conditions of the Indonesian population to be able to achieve maximum health insurance coverage. Maximum coverage through the provision of appropriate information should be promoted.
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However, health insurance coverage has not been maximized. This study aims to analyze the factors associated with health insurance coverage in Indonesia.   Methods: Cross-sectional data were obtained from the Indonesian Demographic and Health Survey 2017. A total of 39,580 respondents were selected using two-stage stratified cluster sampling. The data come from the DHS Questionnaire Phase 7. The variables include age, education level, wealth quintiles, residence, the number of children who are alive, marital status, current employment status, earnings, and health insurance status. The data were analyzed using chi-squared and binary logistic analyses.   Results: The prevalence of health insurance coverage in the Indonesian population is 62.3%. Respondent age [AOR=0.875; 95% CI=0.763-0.967], education level [AOR=0.437; 95% CI=0.410-0.466], wealth quintile [AOR=0.762; 95% CI=0.713-0.815], residence [AOR=0.762; 95% CI=0.713-0.815], marital status [AOR=0.718; 95% CI=0.625-0.825] and earnings [AOR=1.245; 95% CI=1.177-1.316] are related to health insurance coverage. However, the number of children who are alive and respondents who were currently working were not significantly related to health insurance coverage in Indonesia.  Conclusion: The government needs to pay attention to the characteristics and demographic conditions of the Indonesian population to be able to achieve maximum health insurance coverage. Maximum coverage through the provision of appropriate information should be promoted.</description><identifier>ISSN: 2046-1402</identifier><identifier>EISSN: 2046-1402</identifier><identifier>DOI: 10.12688/f1000research.53672.1</identifier><language>eng</language><ispartof>F1000 research, 2021, Vol.10, p.563</ispartof><rights>Copyright: © 2021 Sukartini T et al.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c2691-65edf32cc2872f9fccf1ada3e01a799177d16fa5ae74529c3e8613537b2724223</citedby><cites>FETCH-LOGICAL-c2691-65edf32cc2872f9fccf1ada3e01a799177d16fa5ae74529c3e8613537b2724223</cites><orcidid>0000-0001-8205-3568 ; 0000-0002-5647-5721 ; 0000-0002-3829-322X ; 0000-0002-9052-6983 ; 0000-0003-3869-7897</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,860,4010,27900,27901,27902</link.rule.ids></links><search><creatorcontrib>Sukartini, Tintin</creatorcontrib><creatorcontrib>Arifin, Hidayat</creatorcontrib><creatorcontrib>Kurniawati, Yulia</creatorcontrib><creatorcontrib>Pradipta, Rifky Octavia</creatorcontrib><creatorcontrib>Nursalam, Nursalam</creatorcontrib><creatorcontrib>Acob, Joel Rey Ugsang</creatorcontrib><title>Factors Associated with National Health Insurance Coverage in Indonesia [version 1; peer review: 1 approved, 1 approved with reservations]</title><title>F1000 research</title><description>Background: The National Health Insurance (NHI) program is the Indonesian government's national health program. 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Respondent age [AOR=0.875; 95% CI=0.763-0.967], education level [AOR=0.437; 95% CI=0.410-0.466], wealth quintile [AOR=0.762; 95% CI=0.713-0.815], residence [AOR=0.762; 95% CI=0.713-0.815], marital status [AOR=0.718; 95% CI=0.625-0.825] and earnings [AOR=1.245; 95% CI=1.177-1.316] are related to health insurance coverage. However, the number of children who are alive and respondents who were currently working were not significantly related to health insurance coverage in Indonesia.  Conclusion: The government needs to pay attention to the characteristics and demographic conditions of the Indonesian population to be able to achieve maximum health insurance coverage. 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title Factors Associated with National Health Insurance Coverage in Indonesia [version 1; peer review: 1 approved, 1 approved with reservations]
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