| Penulis/Author |
DIESTY ANITA N (1); Prof. Dr. Satibi, S.Si., M.Si. Apt. (2) ; Prof. Dr. Susi Ari Kristina, S.Farm., M.Kes., Apt. (3); Dr. Diah Ayu Puspandari, Apt., MBA., M.Kes. (4) |
| Abstrak/Abstract |
Background: National Health Insurance (NHI) in Indonesia requires an appropriate costsharing policy, particularly for diseases that require the largest financing. This study examined
factors that influence willingness to pay (WTP) for cost-sharing under the universal health coverage
scheme among patients with catastrophic illnesses in Yogyakarta, Indonesia. Methods: This was a
cross-sectional study using structured questionnaires through direct interviews. The factors related
to the WTP for cost-sharing under the NHI scheme in Indonesia were identified by a bivariable
logistic regression analysis. Results: Two out of every five (41.2%) participants had willingness
to pay for cost-sharing. Sex [AOR = 0.69 (0.51, 0.92)], education [AOR = 1.54 (0.67, 3.55)], family
size [AOR = 1.71 (1.07, 2.73)], occupation [AOR = 1.35 (0.88, 2.07)], individual income [AOR = 1.50
(0.87, 2.61)], household income [AOR = 1.47 (0.90, 2.39)], place of treatment [AOR = 2.54 (1.44, 4.45)],
a health insurance plan [AOR = 1.22 (0.87, 1.71)], and whether someone receives an inpatient or
outpatient service [AOR = 0.23 (0.10, 0.51)] were found to affect the WTP for a cost-sharing scheme
with p < 0.05. Conclusion: Healthcare (place of treatment, health insurance plan, and whether
someone receives an inpatient or outpatient service) and individual socioeconomic (sex, educational,
family size, occupational, income) factors were significantly related to the WTP for cost-sharing.
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