What Factors that Influences the National Health Insurance Participants to Choose Out of Pocket Payment Method in Hospital?

Abstrak

The health financing system is generally divided into two systems, namely Fee for Service (Out of Pocket) and Health Insurance. Initial survey results show that the number of general outpatient visits at X Hospital is quite high. The aim of this research is to analyze the factors that influence Out of Pocket (OOP) payments in outpatients who have JKN at Semen Gresik Hospital. This research design is a correlational type with a cross sectional approach. The sampling method used was purposive sampling of 103 patients. Research data was taken using a review of medical record documents. Data were analyzed using the Man Whitney test and Kruskal Wallis test with sig values. < 0.05. The results of statistical testing showed that there was a relationship between age and type of health service and OOP (Out of Pocket) with a significance value obtained < 0.05. It is hoped that the research results can be used by policy makers to determine UHC achievements and the government can also consider certain types of services that require high coverage costs.