National Research and Innovation Agency Republic of Indonesia, Jakarta, Indonesia.
Faculty of Public Health, Universitas Airlangga, Surabaya, Indonesia.
J Res Health Sci. 2024 Mar 18;24(1):e00608. doi: 10.34172/jrhs.2024.143.
National Health Insurance (NHI) is one of the Indonesian Government's policies to increase public access to health services. The study analyzed the role of socioeconomic status in NHI ownership in rural Indonesia. A cross-sectional study.
The study population included residents of rural Indonesia. The study examined secondary data from the survey entitled "Abilities and Willingness to Pay, Fee, and Participant Satisfaction in Implementing National Health Insurance in Indonesia in 2019", involving 33225 respondents representing Indonesia's rural areas. The study was conducted from March to December 2019. The variables analyzed included NHI, socioeconomic level, age group, gender, education level, employment status, and marital status. In the final step, the study employed binary logistic regression to explain the relationship between socioeconomic status and NHI ownership.
The results show that 63.8% of the population in rural Indonesia participated in the NHI. The poorer residents were 1.235 times more likely to have NHI than the most impoverished population (AOR 1.235; 95% CI 1.234-1.237). People with middle wealth status were 1.086 times more likely to have NHI than the poorest (AOR 1.086; 95% CI 1.085-1.087). The richer residents were 1.134 times more likely to have NHI than the poorest (AOR 1.134; 95% CI 1.133-1.136). The richest residents were 1.078 times more likely to have NHI than the poorest residents (AOR 1.078; 95% CI 1.077-1.079).
The study concluded that socioeconomic status is related to NHI ownership in rural Indonesia. The analysis indicated that all socioeconomic categories were more likely to become NHI participants than the poorest in Indonesia.
国家健康保险（NHI）是印度尼西亚政府增加公众获得医疗服务机会的政策之一。本研究分析了社会经济地位在印度尼西亚农村地区 NHI 拥有率中的作用。一项横断面研究。
研究人群包括印度尼西亚农村居民。本研究检查了题为“2019 年印度尼西亚实施国家健康保险的能力、意愿支付、费用和参保人满意度调查”的调查中的二次数据，该调查涉及代表印度尼西亚农村地区的 33225 名受访者。研究于 2019 年 3 月至 12 月进行。分析的变量包括 NHI、社会经济水平、年龄组、性别、教育程度、就业状况和婚姻状况。在最后一步，研究采用二元逻辑回归解释社会经济地位与 NHI 拥有率之间的关系。
结果显示，印度尼西亚农村地区 63.8%的人口参加了 NHI。较贫穷的居民拥有 NHI 的可能性比最贫困的居民高 1.235 倍（AOR 1.235；95%CI 1.234-1.237）。中等财富状况的人拥有 NHI 的可能性比最贫穷的人高 1.086 倍（AOR 1.086；95%CI 1.085-1.087）。较富裕的居民拥有 NHI 的可能性比最贫困的居民高 1.134 倍（AOR 1.134；95%CI 1.133-1.136）。最富有的居民拥有 NHI 的可能性比最贫穷的居民高 1.078 倍（AOR 1.078；95%CI 1.077-1.079）。
本研究得出结论，社会经济地位与印度尼西亚农村地区的 NHI 拥有率有关。分析表明，所有社会经济类别比印度尼西亚最贫困的人更有可能成为 NHI 的参与者。
