Role of local government officers in the implementation of national health insurance for poor peoples

Abu Huraerah; Adi Fahrudin; Husmiati Yusuf

doi:10.31893/multirev.2024154

Keywords:

local government officers

policy model

health insurance covered

poor people

Abstract

This study explains the performance of the local government in implementing the Indonesian national health insurance policy model for the poor. This study used qualitative research methods. In addition, in-depth interviews, observations, and document studies were used for data collection. The data analysis consisted of data reduction, display, conclusion drawing, and verification. The study results revealed the performance patterns of local government officials, such as local government officials' capabilities, bureaucratic culture, political interests, principles of universality, and financing of health coverage. Implementing a national health insurance policy for the poor people in Bandung City, West Java, Indonesia, has implications for a broader dimension, such as political, legal, economic, social, and cultural research, which has implications for the development of health resources, improvement of the population administration system, financing and quality, and cost control.
References
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2. Barrientos, A. & Santibáez, C. (2009). New Forms of Social Assistance and the Evolution of Social Protection in Latin America.” Journal of Latin American Studies, 41(1), 1–26.
3. Bessant, J., Watts, R.., Dalton, T., & Smith, P. (2006). Talking Policy. Scientific American 262(6), 82–84.
4. Bourne, P. A. (2009). Health insurance coverage in Jamaica: Multivariate analyses using two cross-sectional survey data for 2002 and 2007. International Journal of Collaborative Research on Internal Medicine and Public Health, 1(8), 195-213
5. Bryman, A. (2008). Social research methods (4th ed). London: University Oxford Press
6. Charmaz, K. (2006). Constructing grounded theory: A Practical guide through qualitative analysis. London: Sage Publication Ltd
7. Creswell, J. W. (1998). Qualitative Inquiry and Research Design: Choosing among Five Traditions. Qualitative Health Research, 9(5), 403.
8. Dwiyanto, A, et al. (2002). Reformasi birokrasi publik di Indonesia. Yogyakarta: Pusat Studi Kependudukan dan Kebijakan UGM.
9. ESCAP, United Nations. “The Promise of Protection - Chapter 4.”
10. Garcia, A. B., & Gruat, J. V. (2003). Social protection: a life cycle continuum investment for social justice. poverty reduction and sustainable development. Geneva: ILO Office.
11. Gilbert, N., Specht, H., & Terrell, P. (1993). Dimensions of Social Welfare Policy. Journal of Education for Social Work, 12(2), 60–62.
12. Johannes, J. (2002). The impact of health insurance on the access to health care and financial protection in rural areas of developing countries: Case study Senegal. AAEA Conference 2002 - Long Beach, July 28-31.
13. Kananurak, P. (2014). Healthcare use and voluntary health insurance after retirement in Thailand. Applied Health Economics and Health Policy. https://doi.org/10.1007/s40258-014-0081-1
14. Liang, Y., & Lu, P. (2014). Medical insurance policy organized by the Chinese government and the health inequity of the elderly: Longitudinal comparison based on the effect of New Cooperative Medical Scheme on the health of rural elderly in 22 provinces and cities. International Journal for Equity in Health. https://doi.org/10.1186/1475-9276-13-37
15. Lindenthal, R. (2004). The Challenge of Social Protection for all: policy options for Indonesia, Jakarta: UNSFIR.
16. Midgley, J. (2009). The definition of social policy. In Midgley, J, & Livermore, M., The Handbook of social policy. Thousand Oaks, California: Sage Publications,
17. Midgley, J, & Livermore, M. (2009). The Handbook of Social Policy. Thousand Oaks, California. : Sage Publications.
18. Mukti, A. G. (2007). Reformasi sistem pembiayaan kesehatan di Indonesia dan prospek ke depan. Yogyakarta: Pusat Manajemen Kebijakan & Asuransi Kesehatan. Universitas Gajah Mada
19. Neo, B. S., & Chen, G. (2007). Dynamic governance: Embedding, capabilities, and change in Singapore. Singapore: World Scientific Publishing Co. Pte. Ltd.
20. Siporin. (1975). Introduction to social work practice. McMillan Publishing
21. Shetty N. K., & Veerashekharappa. (2009). Institutional innovations and access to micro-health insurance for the poor: Evidence from Karnataka. The ICFAI University Journal of Risk & Insurance, January, 6(1), 50–68.
22. Statistical Year Book of Indonesia, 2021. Published by Statistics Indonesia
23. Suteki & Putri, N. R. (2019). Poverty alleviation through the empowerment of the zakat profession and zakat management for poverty re-education in Banyumas Central Java. International Journal of Innovation, Creativity, and Change, 9(9), 347-360
24. Thabrany, H. (2014). Jaminan kesehatan nasional. Jakarta: PT Raja Grafindo Persada
25. The World Bank. (2004). Health Financing for Poor People. Health Financing for Poor People. https://doi.org/10.1596/0-8213-5525-2
26. Zhang, L., & Wang, H. (2008). The dynamic process of adverse selection: Evidence from subsidized community-based health insurance in rural China. Social Science and Medicine. https://doi.org/10.1016/j.socscimed.2008.06.024

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

How to cite

Huraerah, A., Fahrudin, A., & Yusuf, H. (2024). Role of local government officers in the implementation of national health insurance for poor peoples. Multidisciplinary Reviews, 7(7), 2024154. https://doi.org/10.31893/multirev.2024154

[1] Alesane, A., & Anang, B. T. (2018). Uptake of health insurance by the rural poor in Ghana: Determinants and implications for policy. Pan African Medical Journal, 31, 1-10. https://doi.org/10.11604/pamj.2018.31.124.16265

[2] Barrientos, A. & Santibáez, C. (2009). New Forms of Social Assistance and the Evolution of Social Protection in Latin America.” Journal of Latin American Studies, 41(1), 1–26.

[3] Bessant, J., Watts, R.., Dalton, T., & Smith, P. (2006). Talking Policy. Scientific American 262(6), 82–84.

[4] Bourne, P. A. (2009). Health insurance coverage in Jamaica: Multivariate analyses using two cross-sectional survey data for 2002 and 2007. International Journal of Collaborative Research on Internal Medicine and Public Health, 1(8), 195-213

[5] Bryman, A. (2008). Social research methods (4th ed). London: University Oxford Press

[6] Charmaz, K. (2006). Constructing grounded theory: A Practical guide through qualitative analysis. London: Sage Publication Ltd

[7] Creswell, J. W. (1998). Qualitative Inquiry and Research Design: Choosing among Five Traditions. Qualitative Health Research, 9(5), 403.

[8] Dwiyanto, A, et al. (2002). Reformasi birokrasi publik di Indonesia. Yogyakarta: Pusat Studi Kependudukan dan Kebijakan UGM.

[9] ESCAP, United Nations. “The Promise of Protection - Chapter 4.”

[10] Garcia, A. B., & Gruat, J. V. (2003). Social protection: a life cycle continuum investment for social justice. poverty reduction and sustainable development. Geneva: ILO Office.

[11] Gilbert, N., Specht, H., & Terrell, P. (1993). Dimensions of Social Welfare Policy. Journal of Education for Social Work, 12(2), 60–62.

[12] Johannes, J. (2002). The impact of health insurance on the access to health care and financial protection in rural areas of developing countries: Case study Senegal. AAEA Conference 2002 - Long Beach, July 28-31.

[13] Kananurak, P. (2014). Healthcare use and voluntary health insurance after retirement in Thailand. Applied Health Economics and Health Policy. https://doi.org/10.1007/s40258-014-0081-1

[14] Liang, Y., & Lu, P. (2014). Medical insurance policy organized by the Chinese government and the health inequity of the elderly: Longitudinal comparison based on the effect of New Cooperative Medical Scheme on the health of rural elderly in 22 provinces and cities. International Journal for Equity in Health. https://doi.org/10.1186/1475-9276-13-37

[15] Lindenthal, R. (2004). The Challenge of Social Protection for all: policy options for Indonesia, Jakarta: UNSFIR.

[16] Midgley, J. (2009). The definition of social policy. In Midgley, J, & Livermore, M., The Handbook of social policy. Thousand Oaks, California: Sage Publications,

[17] Midgley, J, & Livermore, M. (2009). The Handbook of Social Policy. Thousand Oaks, California. : Sage Publications.

[18] Mukti, A. G. (2007). Reformasi sistem pembiayaan kesehatan di Indonesia dan prospek ke depan. Yogyakarta: Pusat Manajemen Kebijakan & Asuransi Kesehatan. Universitas Gajah Mada

[19] Neo, B. S., & Chen, G. (2007). Dynamic governance: Embedding, capabilities, and change in Singapore. Singapore: World Scientific Publishing Co. Pte. Ltd.

[20] Siporin. (1975). Introduction to social work practice. McMillan Publishing

[21] Shetty N. K., & Veerashekharappa. (2009). Institutional innovations and access to micro-health insurance for the poor: Evidence from Karnataka. The ICFAI University Journal of Risk & Insurance, January, 6(1), 50–68.

[22] Statistical Year Book of Indonesia, 2021. Published by Statistics Indonesia

[23] Suteki & Putri, N. R. (2019). Poverty alleviation through the empowerment of the zakat profession and zakat management for poverty re-education in Banyumas Central Java. International Journal of Innovation, Creativity, and Change, 9(9), 347-360

[24] Thabrany, H. (2014). Jaminan kesehatan nasional. Jakarta: PT Raja Grafindo Persada

[25] The World Bank. (2004). Health Financing for Poor People. Health Financing for Poor People. https://doi.org/10.1596/0-8213-5525-2

[26] Zhang, L., & Wang, H. (2008). The dynamic process of adverse selection: Evidence from subsidized community-based health insurance in rural China. Social Science and Medicine. https://doi.org/10.1016/j.socscimed.2008.06.024

Abstract

References

How to cite