The Effects of National Health Insurance Perception and Information Access on the Utilization of Health Service in Pematang Siantar, North Sumatera

Zakia Husna Nasution, Zulfendri, Destanul Aulia


Masters Program in Public Health, Universitas Sumatera Utara



Background: Financial protection is at the core of the national health insurance (NHI). Financial protection is achieved when direct payments made to obtain health services needed do not expose people to financial hardship. This study aimed to examine the effects of NHI perception and information access on the utiliza­tion of health service in Pematang Siantar, North Sumatera.

Subjects and Method: This was a cross sectional study conducted at Pema­tang­­siantar, North Sumatera. A sample of 140 people was selected for this study. The dependent variable was ulilization of health service. The independent varia­bles were perception of NHI, and information access. The data were collec­ted by ques­­tionnaire. Associations between variables were tested by chi-square with OR as the measure of association.

Results: Utilization of health service increased with positive perception of NHI (OR= 2.34; p= 0.001) and good information access (OR= 1.73; p= 0.002).

Conclusion: Utilization of health service increases with positive perception of NHI and good information access.

Keywords: utilization of health service, national health insurance, perception, infor­mation access.

Correspondence: Zakia Husna Nasution. Masters Program in Public Health, Universitas Sumatera Utara, Medan, North Sumatera. Email: Mobile: 08126455415.


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