Indonesian National Health Insurance: Gaps in Communication with Health-Care Providers

Susy K. Sebayang, Ralalicia Limato, Desak Ketut Ernawati, Olivia Waworuntu, Grace Monica Halim, Edwin Widodo

2017

Abstract

The perspective of health-care provider on the implementation of the Indonesian national health insurance scheme managed by Badan Penyelenggara Jaminan Sosial (BPJS) in 2014 has not been reported much. This study aims to explore the gaps in communication between health-care providers and BPJS. Quantitative data was collected prior to an Indonesian health insurance workshop held in Jakarta in November 2015. Fifty health-care providers in Jakarta responded to a questionnaire. Two months later, a random sample of 20 providers who responded to the initial questionnaire agreed to a follow-up phone interview. Most of the respondents came to the workshop for more information on BPJS (69.6%) and 21.4% came to share their experience and to give feedback to BPJS. 72.7% of the respondents did not find the BPJS operational manual to be helpful for their need of information. 41.2% of respondents wanted more information on INA-CBG and tariff regulation, BPJS operational regulation (41.2%), and the verification system and reasoning (11.8%). The respondents did not have any feedback from BPJS nor did they see any changes in BPJS two months after the workshop. In conclusion: debates between health-care providers and BPJS have continued, indicating the need and willingness for both sides to communicate but the gaps of information persist. BPJS needs more innovation in relation to their communication system.

Paper Citation

in Harvard Style

Sebayang S., Limato R., Ernawati D., Waworuntu O., Halim G. and Widodo E. (2017). Indonesian National Health Insurance: Gaps in Communication with Health-Care Providers.In Proceedings of the 4th Annual Meeting of the Indonesian Health Economics Association - Volume 1: INAHEA, ISBN 978-989-758-335-3, pages 10-13. DOI: 10.5220/0007022600100013

in Bibtex Style

@conference{inahea17,
author={Susy K. Sebayang and Ralalicia Limato and Desak Ketut Ernawati and Olivia Waworuntu and Grace Monica Halim and Edwin Widodo},
title={Indonesian National Health Insurance: Gaps in Communication with Health-Care Providers},
booktitle={Proceedings of the 4th Annual Meeting of the Indonesian Health Economics Association - Volume 1: INAHEA,},
year={2017},
pages={10-13},
publisher={SciTePress},
organization={INSTICC},
doi={10.5220/0007022600100013},
isbn={978-989-758-335-3},
}

in EndNote Style

TY - CONF

JO - Proceedings of the 4th Annual Meeting of the Indonesian Health Economics Association - Volume 1: INAHEA,
TI - Indonesian National Health Insurance: Gaps in Communication with Health-Care Providers
SN - 978-989-758-335-3
AU - Sebayang S.
AU - Limato R.
AU - Ernawati D.
AU - Waworuntu O.
AU - Halim G.
AU - Widodo E.
PY - 2017
SP - 10
EP - 13
DO - 10.5220/0007022600100013