THE RELATIONSHIP BETWEEN HEALTH SERVICES AND BPJS HEALTH MEMBERSHIP IN THE PANDAN PUBLIC HEALTH CENTER WORK AREA, SINTANG REGENCY

Authors

  • Elvi Juliansyah STIKES Kapuas Raya Author
  • Ria Damayanti STIKES Kapuas Raya Author
  • Sunarti STIKES Kapuas Raya Author

Keywords:

Health BPJS, Membership, Health Services, Public Health Center, Work Area

Abstract

Background: The social health insurance system is based on the principle of solidarity between workers and employers, and guarantees access to healthcare services for the entire population. While coverage is high, the level of participant contribution activity still needs to be increased, with a target of at least 75% active participants. The aim: The purpose of this study is to explain the relationship between health services and BPJS Health membership in the Pandan Community Health Center Working Area, Sintang Regency, West Kalimantan. Method: The quantitative research method with a cross-sectional approach uses chi-square test analysis with a 95% confidence level and a 5% error rate, so the number of samples needed is around 100 respondents. The results: The results of the study showed that there was a relationship between health services (p value = 0.008 and OR = 5.179) and BPJS Health participation. Conclusion: there is a relationship between health services and BPJS health membership.

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References

1. Laugesen, K., Ludvigsson, J. F., Schmidt, M., Gissler, M., Valdimarsdottir, U. A., Lunde, A. & SH. Nordic health registry-based research: a review of health care systems and key registries. Clin Epidemiol. 2021;54:533.

2. Darrudi, A., Khoonsari, M. H. K., & Tajvar M. Challenges to achieving universal health coverage throughout the world: a systematic review. J Prev Med public Heal. 2022;55(2):125.

3. Hinrichs K. A social insurance state withers away. Welfare state reforms in Germany–or: attempts to turn around in a cul-de-sac. In A long goodbye to Bismarck? Routledge. 2025;45–72.

4. Bayliss K. Can england’s national health system reforms overcome the neoliberal legacy?. Int J Heal Serv. 2022;52(4):480–91.

5. Lee, H., Lee, J. R., Jung, H., & Lee JY. Power of universal health coverage in the era of COVID-19: a nationwide observational study. Lancet Reg Heal Pacific. 2021;7.

6. Shmueli A. Social solidarity in healthcare: The Israeli case. Soc Sci Med. 2021;291:114474.

7. Ricciardi, W., & Tarricone R. The evolution of the Italian national health service. Lancet. 2021;398(10317):2193–206.

8. Rachas, A., Gastaldi-Ménager, C., Denis, P., Barthélémy, P., Constantinou, P., Drouin, J., ... & Fagot-Campagna A. The economic burden of disease in France from the National Health Insurance Perspective: the healthcare expenditures and conditions mapping used to prepare the French social security funding act and the public health act. Med Care. 2022;60(9):655–64.

9. Li, Y., Choi, H., Leung, K., Jiang, F., Graham, D. Y., & Leung WK. Global prevalence of Helicobacter pylori infection between 1980 and 2022: a systematic review and meta-analysis. lancet Gastroenterol Hepatol. 2023;8(6):553–64.

10. Rahman, T., Gasbarro, D., & Alam K. Financial risk protection from out-of-pocket health spending in low-and middle-income countries: a scoping review of the literature. Heal Res Policy Syst. 2023;20(1):83.

11. Righi, P., Falorsi, P. D., Daddi, S., Fiorello, E., Massoli, P., & Terribili MD. Optimal sampling for the population coverage survey of the new italian register based census. J Off Stat. 2021;37(3):655–71.

12. Aben, T. A., van der Valk, W., Roehrich, J. K., & Selviaridis K. Managing information asymmetry in public–private relationships undergoing a digital transformation: the role of contractual and relational governance. Int J Oper Prod Manag. 2021;41(7):1145–91.

13. Pratiwi, A. B., Setiyaningsih, H., Kok, M. O., Hoekstra, T., Mukti, A. G., & Pisani E. Is Indonesia achieving universal health coverage? Secondary analysis of national data on insurance coverage, health spending and service availability. BMJ Open. 2021;11(10):e050565.

14. Susanti G, MIN I, AA Y, AR H. Assessing the national health insurance system: a study of the implementation of health insurance policy in Indonesia. Public Policy Adm. 2022;21(4).

15. MK D, Sumankuuro J, FD B. Revisiting the debate on health financing in low- and middle-income countries: an integrative review of selected models. Int J Heal Plann Manag. 2022;37(6):3061–74.

16. CD S, DJ W, LaFleur M, Martinez D, Thompson E, Callaghan T. Community health worker sustainability: funding, payment, and reimbursement laws in the United States. Public Heal Rep. 2022;137(3):597–603.

17. Atim C, Koduah A, Kwon S. How and why do countries make universal health care policies? Interplay of country and global factors. J Glob Heal. 2021;11.

18. Shaturaev J. 2045: Path to nation’s golden age (Indonesia policies and management of education). Sci Educ. 2021;2(12):866–75.

19. NWS S, IMO W, NK A. Optimizing national health insurance (JKN) policy to support sustainable health development in Gianyar Regency, Bali, Indonesia. 2025;

20. PH S, Pardosi J, RE G, AP S, IA S, Meliala A. Identifying physician public health competencies to address healthcare needs in underserved, border, and outer island areas of Indonesia: a rapid assessment. Teach Learn Med. 2025;37(3):363–74.

21. AL R. Exploring the non-communicable disease burden in Indonesia: findings from the 2023 health survey. Indones J Public Heal Nutr. 2025;5(2):6.

22. Jenar S. An analysis of Presidential Regulation 105/2021: the national strategy for accelerating the development of disadvantaged regions 2020–2024 and its implications for provincial government. Nurani Huk. 2023;6(1):92–116.

23. Arrohimi, I. N., Irianto, S., Mulyani, S., & Noor A. Enhancing public health through good governance: The strategic role of the social security program supervisory board. Perinat J. 2025;33(1):703–12.

24. Fitri DN. Population Pyramid of West Kalimantan: Structure and Implications for Development. Ekodestinasi. 2025;3(1):17–26.

25. Juliansyah E, Haryanti Y. Optimalisasi pemanfaatan komposter sebagai solusi berkelanjutan dalam pengolahan sampah organik menjadi pupuk organik ramah lingkungan 1. 2025;2025(1):104–10.

26. Oktaviana D. Peran istri dalam meningkatkan perekonomian keluarga. UNUSIA; 2023.

27. Ratnawati, A., Widodo, W., & Wahyono W. Improving partnership performance of BPJS Healthcare in Indonesia. J Islam Mark. 2023;14(12):3247–65.

28. Waibel S, Williams J, Tuff Y, Shum J, Scarr J, O’Donnell M. Development of the tiers of service framework to support system and operational planning for children’s healthcare services. BMC Heal Serv Res. 2021;21(1):693.

29. Varadarajan R. Inclusive innovations in services: leveraging digital technologies for inclusive innovations in healthcare services. Eur J Mark. 2024;58(13):107–29.

30. Streimikiene D, Svagzdiene B, Jasinskas E, Simanavicius A. Sustainable tourism development and competitiveness: the systematic literature review. Sustain Dev. 2021;29(1):259–71.

31. Guo L, Chen J, Li S, Li Y, Lu J. A blockchain and IoT-based lightweight framework for enabling information transparency in supply chain finance. Digit Commun Netw. 2022;8(4):576–87.

32. Praja, N. I., Ferianasari, I. W., & Jaqualina C. The Effectiveness of Health BPJS Claim Discrepancies Against Health Service Standards in Indonesia. FIRM J Manag Stud. 2024;9(1):164–77.

33. Sandhu S, Sharma A, Cholera R, JP B. Integrated health and social care in the United States: a decade of policy progress. Int J Integr Care. 2021;21(4):9.

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Published

2026-01-16