ArticleRisk management and healthcare policy2022
Factors Affecting Payment Compliance of the Indonesia National Health Insurance Participants.
Article in Risk management and healthcare policy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.
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Who cites it
4 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Health insurance purchase intentions in the past decade: a systematic review and future research directions.BMC health services research · 2025Pooled it
- Payment compliance of informal sector workers in Indonesia National Health Insurance: a study on ability and willingness to pay.Health economics review · 2025Article
- A cross-sectional study on the relationship between length of stay and patient satisfaction based on the SERVQUAL model.Scientific reports · 2025Article
- The influence of provider payment mechanisms on TB service provider behavior in Indonesia: insights from National Health Insurance data and provider perspectives.Frontiers in public health · 2025Article
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe study aims to explore factors that affect the compliance of Indonesia National Health Insurance (INHI) in paying the premiums.
methodsThe study design was qualitative with grounded theory research approach and constructivism paradigm. The study was conducted in 2018 and carried out for 3 months. We recruited 22 respondents from four different cities/districts. Triangulation was carried out through 26 informants from various stakeholders. Data were analyzed through coding, categorizing and pattern matching to obtain substantive theory.
resultsThe resulting substantive theory consists of 6 constructs and 14 categories. Compliance with paying insurance premium depends on the intention to pay for contribution. Meanwhile, the intention to pay is related to internal and external factors of INHI participants. To improve payment contribution of independent participants, INHI program has to pay attention for factors originating internally from the participants themselves (understanding of INHI program, financial ability and self-attitude) and also externally such as operational system and the quality of health care.
conclusionCompliance of paying insurance premium is related to internal and external factors of participants. Thus, interventions to improve compliance to pay premium should take these factors into account, and not merely on increasing the knowledge of participants.
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