A Hubungan Antara Persepsi, Pendapatan, Dan Jarak Tempuh Menuju Tempat Pembayaran Dengan Kepatuhan Membayar Iuran Segmen Peserta Bukan Penerima Upah (PBPU) di RS X Kab Bogor Tahun 2021
The Relationship Between Perception, Income, and Mileage Towards the Place of Payment with Compliance in Paying Contributions for the Non-Wage Recipient Participant Segment (NWRP) at Hospital X Bogor Regency in 2021
Keywords:
payment compliance, distance, perception, revenue, national health insuranceAbstract
Introduction: Compliance with paying contributions for the National Health Insurance (NHI) is the behavior of a person who is willing to pay contributions in a timely manner based on a predetermined time. Data in 2019 in Indonesia about 13,000 people (40%) of all participants are independent, and irregular in paying monthly dues, while in West Java in 2020 due to non-compliance with participants in paying dues it is known that there are arrears of Rp. 9,692,376,120 or as many as 9,994 independent participants who have been in arrears for more than 6 months, for the Bogor Regency area in 2020 there are still 13.94% non-compliance in making dues payments.
Methods: This research used a quantitative research method with a cross-sectional design. The population in this study were all the Non-Wage Recipient Participant Segment (NWRP) registered at Hospital X Bogor Regency in 2021, totaling 2,621 participants and as many as 132 respondents as samples. The study was carried out from November 2021-January 2022. Data analysis was carried out univariate and bivariate using Chi-Square analysis.
Results: From the analysis results show that there was a relationship between perception (p-value = 0.002 and OR = 3,353), income (p-value = 0.006 and OR = 2,848), and the distance to the place of payment of contributions (p-value = 0.017 and OR = 2,532). with compliance with paying NHI contributions at Hospital X Bogor Regency in 2021.
Discussion: All independent and dependent variables were known to have a relationship, starting from public perception, health insurance participants who had a positive perception of health care places would increase their regularity in paying contributions. As well as insufficient income due to an increase in contributions, so that in order to continue to obtain health services and efforts to fulfill the obligation to pay contributions, many people change BPJS classes. The distance to the place of payment of NHI contributions, even though BPJS has collaborated online, there were participants who paid directly due to participants' ignorance of technology and the average age of participants is above 40 years.