Determinant Demand Community Became A PBPU Participant In The Morning Tax Aek Loba Pekan Aek Kuasan District Asahan Regency In 2021

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Determinant Demand Community became a PBPU participant in the morning tax Aek Loba Pekan Aek Kuasan District Asahan Regency in 2021

Introduction

The Government of the Republic of Indonesia has set an ambitious target to achieve Universal Health Coverage (UHC) by 2019, with the hope that around 95% or 257.5 million people in Indonesia will join the National Health Insurance Program (JKN). However, data from the National Social Security Council (DJSN) until May 2021 shows that JKN participation in Indonesia only reached 82.8%. The participation rate in North Sumatra Province is only 75.12%, while Asahan Regency recorded 65.7%. In the morning tax Aek Loba Week, the participation rate is even lower, which is 44.4%. Of the 117 traders, only 52 traders or 40.44% have registered as PBPU participants (non-wage recipients). This article aims to explore the determinant factors that influence the decision of the community to become PBPU participants.

Background

The Government of the Republic of Indonesia has been implementing the National Health Insurance Program (JKN) since 2014, with the aim of providing universal health coverage to all citizens. However, despite the government's efforts, the participation rate in JKN is still low, especially in regions such as North Sumatra Province and Asahan Regency. The low participation rate is a concern, as it may lead to a lack of access to healthcare services for those who need it most. Therefore, it is essential to identify the determinant factors that influence the decision of the community to become PBPU participants.

Methodology

This study uses a survey approach with cross-sectional cutting methods. The population of this study was all traders in the morning tax Aek Loba, which amounted to 117 people. Data were obtained through interviews using a questionnaire, then analyzed by binary logistics regression test. The study aims to identify the determinant factors that influence the decision of the community to become PBPU participants.

Results

The results of the statistical test show that the variables of sex, education, family income, number of family members, and personal assessment of health status have a significant effect on public demand to become PBPU participants in Aek Loba Pekan Morning Tax. However, the variable that has no effect is age. From the results of the analysis, the highest Exp (B) value was obtained from the personal assessment variables about health status, which was 15,780. This shows that personal assessment of health is the most dominant factor in influencing traders' demand to register as PBPU participants.

Discussion

The results of this study suggest that personal assessment of health is the most dominant factor in influencing traders' demand to register as PBPU participants. This is consistent with previous studies that have shown that personal health beliefs and attitudes play a significant role in determining health behavior. The study also found that sex, education, family income, and number of family members have a significant effect on public demand to become PBPU participants. However, the variable that has no effect is age.

Conclusion

The study concludes that personal assessment of health is the most dominant factor in influencing traders' demand to register as PBPU participants. This is an important finding, as it suggests that increasing awareness among traders about the importance of maintaining health, both in young and old conditions, may lead to an increase in the number of requests to become PBPU participants. This is also an important step in realizing the UHC target in Indonesia, especially in regions with low levels of participation.

Recommendations

Based on the findings of this study, the following recommendations are made:

  1. Increase awareness among traders about the importance of maintaining health: This can be achieved through health education programs, workshops, and campaigns that highlight the importance of maintaining good health.
  2. Improve access to healthcare services: This can be achieved by increasing the number of healthcare providers, improving the quality of healthcare services, and reducing the cost of healthcare services.
  3. Increase the number of PBPU participants: This can be achieved by increasing awareness among traders about the benefits of registering as PBPU participants, simplifying the registration process, and providing incentives for traders to register.

Limitations

This study has several limitations, including:

  1. Small sample size: The study was conducted with a small sample size of 117 traders, which may limit the generalizability of the findings.
  2. Cross-sectional design: The study used a cross-sectional design, which may not capture the dynamic nature of the phenomenon being studied.
  3. Self-reported data: The study relied on self-reported data, which may be subject to biases and errors.

Future Research Directions

Future research should aim to:

  1. Replicate the study with a larger sample size: This will help to increase the generalizability of the findings and provide a more accurate estimate of the determinant factors that influence the decision of the community to become PBPU participants.
  2. Use a longitudinal design: This will help to capture the dynamic nature of the phenomenon being studied and provide a more accurate estimate of the determinant factors that influence the decision of the community to become PBPU participants.
  3. Use objective measures of health status: This will help to reduce the bias and errors associated with self-reported data and provide a more accurate estimate of the determinant factors that influence the decision of the community to become PBPU participants.
    Frequently Asked Questions (FAQs) about Determinant Demand Community became a PBPU participant in the morning tax Aek Loba Pekan Aek Kuasan District Asahan Regency in 2021

Q: What is the National Health Insurance Program (JKN)?

A: The National Health Insurance Program (JKN) is a government-run health insurance program in Indonesia that aims to provide universal health coverage to all citizens.

Q: What is the target of the Government of the Republic of Indonesia to achieve Universal Health Coverage (UHC)?

A: The Government of the Republic of Indonesia aims to achieve Universal Health Coverage (UHC) by 2019, with the hope that around 95% or 257.5 million people in Indonesia will join the National Health Insurance Program (JKN).

Q: What is the participation rate of JKN in Indonesia?

A: According to data from the National Social Security Council (DJSN) until May 2021, the participation rate of JKN in Indonesia is only 82.8%.

Q: What is the participation rate of JKN in North Sumatra Province?

A: According to data from the National Social Security Council (DJSN) until May 2021, the participation rate of JKN in North Sumatra Province is only 75.12%.

Q: What is the participation rate of JKN in Asahan Regency?

A: According to data from the National Social Security Council (DJSN) until May 2021, the participation rate of JKN in Asahan Regency is 65.7%.

Q: What is the participation rate of JKN in the morning tax Aek Loba Week?

A: According to data from the National Social Security Council (DJSN) until May 2021, the participation rate of JKN in the morning tax Aek Loba Week is even lower, which is 44.4%.

Q: What are the reasons why people are reluctant to join JKN?

A: According to the initial survey, a number of reasons surfaced that made people reluctant to join JKN, including the assumption that they did not need health services and low income levels.

Q: What is the purpose of this study?

A: The purpose of this study is to explore the determinant factors that influence the decision of the community to become PBPU participants.

Q: What is the methodology used in this study?

A: This study uses a survey approach with cross-sectional cutting methods. The population of this study was all traders in the morning tax Aek Loba, which amounted to 117 people. Data were obtained through interviews using a questionnaire, then analyzed by binary logistics regression test.

Q: What are the results of the study?

A: The results of the study show that the variables of sex, education, family income, number of family members, and personal assessment of health status have a significant effect on public demand to become PBPU participants in Aek Loba Pekan Morning Tax. However, the variable that has no effect is age.

Q: What is the most dominant factor in influencing traders' demand to register as PBPU participants?

A: The most dominant factor in influencing traders' demand to register as PBPU participants is personal assessment of health, with an Exp (B) value of 15,780.

Q: What are the implications of the study?

A: The study implies that increasing awareness among traders about the importance of maintaining health, both in young and old conditions, may lead to an increase in the number of requests to become PBPU participants. This is also an important step in realizing the UHC target in Indonesia, especially in regions with low levels of participation.

Q: What are the recommendations of the study?

A: The study recommends increasing awareness among traders about the importance of maintaining health, improving access to healthcare services, and increasing the number of PBPU participants.

Q: What are the limitations of the study?

A: The study has several limitations, including a small sample size, cross-sectional design, and self-reported data.

Q: What are the future research directions?

A: Future research should aim to replicate the study with a larger sample size, use a longitudinal design, and use objective measures of health status.