Indiraswari Tika, Supriyanto Stefanus, Ernawaty Ernawaty, Putri Nuzulul Kusuma
Doctoral Program of Public Health, Universitas Airlangga, Surabaya.
Faculty of Public Health, Universitas Serambi Mekkah, Banda Aceh.
J Public Health Res. 2020 Jul 3;9(2):1844. doi: 10.4081/jphr.2020.1844.
Universal Health Coverage always persevered as a pro poor policy in many countries, characterized by a major impact on higher out-of-pocket healthcare costs, with low-cost alternative prescription drugs and capitation payments made to physicians, in order to reduce inequity. These concerns have been discussed widely on social media, including Facebook, but social media are consistently neglected as a source of scientific information. The purpose of this study, therefore, is to analyze the thought process or feelings of individuals about the policies, also focusing on the possible reactions. Hence, a systematic review in the form of discussion forums on the Facebook page of the National Health Insurance Agency, Indonesia was conducted from 2015 to 2016, with regards to the implementation of National Health Insurance, within a year and half after the policy was launched. In addition, the contents of 148 discussions were deductively analyzed, and the findings showed the pragmatic disposition of most Facebook users towards health care utilization, the costs of Insurance, and the possible benefits of payment. Furthermore, the debate conducted in social media related with the policy and its practice issues ought to be countered through appropriate modification.
全民健康覆盖在许多国家一直是一项有利于穷人的政策,其特点是对高额自付医疗费用产生重大影响,通过提供低成本替代处方药和向医生支付按人头计算的费用,以减少不平等。这些问题在包括脸书在内的社交媒体上得到了广泛讨论,但社交媒体一直被忽视作为科学信息的来源。因此,本研究的目的是分析个人对这些政策的思维过程或感受,同时也关注可能的反应。因此,在2015年至2016年期间,对印度尼西亚国家健康保险局脸书页面上关于国家健康保险实施情况的讨论论坛进行了系统回顾,这是在该政策推出后的一年半时间内进行的。此外,对148条讨论内容进行了演绎分析,结果显示大多数脸书用户在医疗保健利用、保险成本和支付可能带来的好处方面持务实态度。此外,社交媒体上与该政策及其实践问题相关的辩论应该通过适当的修改来应对。