NATIONAL HEALTH INSURANCE AND CATASTROPHIC HEALTH EXPENDITURE: A COMPLEMENTARY LOG-LOG APPROACH ON YOGYAKARTA’S INCIDENCE 2022

  • Erdi Fakhriandi Statistics Study Program D-IV, Politeknik Statistika STIS, Indonesia
  • Wahyuni Andriana Sofa Statistics Study Program D-IV, Politeknik Statistika STIS, Indonesia https://orcid.org/0000-0002-9149-8259
Keywords: National health insurance, Catastrophic Health Expenditures, Complementary Log-log Regression, D.I.Yogyakarta

Abstract

National Health Insurance (JKN) aims to provide health care benefits to meet people's basic health needs. However, despite the high JKN coverage in D.I.Yogyakarta Province, catastrophic health expenditure events remain high. The study examines the implementation of National Health Insurance (JKN) in D.I.Yogyakarta Province and its effectiveness in reducing devastating health expenditures in 2022. Using the Complementary Log-log approach on the 2022 National Social and Economic Survey data, the research findings reveal that the implementation of JKN has been successful, and the ownership of JKN positively affects the reduction of catastrophic health expenditure. The study also shows that the education level of household members and household size have positive effects on reducing the incidence of catastrophic health expenditures. However, the presence of babies or the elderly, household economic status, and inpatient status could increase the risk of having catastrophic health expenditures. The study highlights the need for attention to be given to implementing JKN in D.I.Yogyakarta Province and other variables to achieve universal health coverage and reduce catastrophic health expenditure.

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References

LPEM FEB UI, “Dampak Program JKN-KIS pada Perekonomian Indonesia,” 2017.

Badan Pusat Statistik, “Profil Kesehatan Ibu dan Anak 2022,” 2022.

WHO, “Tracking Universal Health Coverage: 2017 Global Monitoring Report,” 2017.

C. Bredenkamp, M. Mendola, and M. Gragnolati, “Catastrophic and impoverishing effects of health expenditure: New evidence from the Western Balkans,” Health Policy Plan, vol. 26, no. 4, pp. 349–356, Jul. 2011, doi: 10.1093/heapol/czq070.

Badan Pusat Statistik, “Statistik Penduduk Lanjut Usia 2022,” 2022.

Badan Pusat Statistik, “Indeks Pembangunan Manusia 2022,” 2023.

R. Andersen and J. F. Newman, “Societal and individual determinants of medical care utilization in the United States,” Milbank Quarterly, vol. 83, no. 4, 1973, doi: 10.1111/j.1468-0009.2005.00428.x.

C. R. Amalia, D. Endarti, and A. W. Widayati, “Faktor yang Memengaruhi Biaya Out Of Pocket (OOP) Pelayanan Kesehatan Pasien Rawat Jalan: Analisa Data Sekunder Indonesia Family Life Survey Gelombang 4 (IFLS4),” Majalah Farmaseutik, vol. 18, no. 3, p. 307, Oct. 2022, doi: 10.22146/farmaseutik.v18i3.67648.

D. Kurniati, “Penerapan Regresi Complementary Log-Log dalam Analisis Status Kejadian Tuberkulosis Paru Penduduk Usia Produktif di Provinsi Banten Tahun 2018,” 2022.

K. Xu, “Distribution of Health Payments and Catastrophic Expenditures,” 2005.

L. E. Situmeang and B. Hidayat, “Pengaruh Kepemilikan Jaminan Kesehatan terhadap Belanja Kesehatan Katastopik Rumah Tangga di Indonesia Tahun 2012,” Indonesia : JKKI, vol. 07, no. 01, 2018.

Badan Pusat Statistik, “bps.go.id.”

G. King and L. Zeng, “Logistic Regression in Rare Events Data,” Political Analysis, vol. 9, no. 2, pp. 137–163, 2001, doi: 10.1093/oxfordjournals.pan.a004868.

A. E. Kitali, P. Alluri, T. Sando, H. Haule, E. Kidando, and R. Lentz, “Likelihood estimation of secondary crashes using Bayesian complementary log-log model,” Accid Anal Prev, vol. 119, pp. 58–67, Oct. 2018, doi: 10.1016/j.aap.2018.07.003.

P. D. Allison, “Logistic Regression Using The SAS System,” 2003.

F. Arofah and A. Sofro, “Penerapan Regresi Logistik Multinomial untuk Analisis Model Tingkat Depresi pada Lansia,” vol. 10, no. 1, 2022.

L. Hakim and A. Santoso, “Logistic regression modelling at insurance interest: Theory of planned behavior,” Desimal: Jurnal Matematika, vol. 6, pp. 295–304, 2023, doi: 10.24042/djm.

W. P. Nugraheni and R. K. Hartono, “Determinan Pengeluaran Kesehatan Katastropik Rumah Tangga Indonesia Pada Tahun Pertama Implementasi Program JKN,” Buletin Penelitian Kesehatan, vol. 45, no. 1, Mar. 2017, doi: 10.22435/bpk.v45i1.6069.27-36.

N. Ahmad and K. Aggarwal, “Health shock, catastrophic expenditure and its consequences on welfare of the household engaged in informal sector,” Journal of Public Health (Germany), vol. 25, no. 6, pp. 611–624, Dec. 2017, doi: 10.1007/s10389-017-0829-9.

R. A. Fattah et al., “Incidence of catastrophic health spending in Indonesia: insights from a Household Panel Study 2018–2019,” Int J Equity Health, vol. 22, no. 1, Dec. 2023, doi: 10.1186/s12939-023-01980-w.

P. Listiani, J. Hendrartini, and D. Pramono, “Perbandingan Hambatan Finansial pada Sebelum dan Setelah Jaminan Kesehatan di Indonesia,” 2019.

J. W. Choi, T. H. Kim, S. I. Jang, S. Y. Jang, W.-R. Kim, and E. C. Park, “Catastrophic health expenditure according to employment status in South Korea: a population-based panel study,” 2016, doi: 10.1136/bmjopen-2016.

S. Kishwar, S. Bashir, A. Hussain, and K. Alam, “Informal employment and catastrophic health expenditures: Evidence from Pakistan,” International Journal of Health Planning and Management, vol. 38, no. 4, pp. 999–1014, Jul. 2023, doi: 10.1002/hpm.3643.

D. Proaño Falconi and E. Bernabé, “Determinants of catastrophic healthcare expenditure in Peru,” Int J Health Econ Manag, vol. 18, no. 4, pp. 425–436, Dec. 2018, doi: 10.1007/s10754-018-9245-0.

R. Sinha, K. Chatterjee, N. Nair, and P. Tripathy, “Determinants of Out-of-Pocket and Catastrophic Health Expenditure: A Cross-sectional Study,” Br J Med Med Res, vol. 11, no. 8, pp. 1–11, Jan. 2016, doi: 10.9734/bjmmr/2016/21470.

A. Solida, D. Noerjoedianto, A. A. Mekarisce, and F. Widiastuti, “Pola Belanja Kesehatan Katastropik Peserta Jaminan Kesehatan Nasional di Kota Jambi,” Jurnal Kebijakan Kesehatan Indonesia, 2021.

D. N. Kimani, M. G. Mugo, and U. M. Kioko, “Catastrophic Health Expenditures And Impoverishment In Kenya,” European Scientific Journal, ESJ, vol. 12, no. 15, p. 434, May 2016, doi: 10.19044/esj.2016.v12n15p434.

Published
2024-05-25
How to Cite
[1]
E. Fakhriandi and W. Sofa, “NATIONAL HEALTH INSURANCE AND CATASTROPHIC HEALTH EXPENDITURE: A COMPLEMENTARY LOG-LOG APPROACH ON YOGYAKARTA’S INCIDENCE 2022”, BAREKENG: J. Math. & App., vol. 18, no. 2, pp. 0997-1008, May 2024.