Perception of the Health Care Workers on the Fairness of the National Health Insurance Remuneration System at the Community Health Center, North Konawe, South East Sulawesi


Irnawati, Sri Rahayu, Iin Hariyati

 

Masters Program in Public Health, School of Health Sciences Mandala Waluya, Kendari

 

ABSTRACT

Background: National health insurance is a government program that aims at ful­fill­ing the basic needs of the citizens, particularly health. It aims at achieving uni­­­­versal coverage in Indonesia. In order to speed the attainment of the universal cover­­­age and to enhance the service capacity, the Implementation Board of Social Insurance (BPJS) was established. Studies have shown that fairness of remuneration system may have con­­siderable impact on health personnel motivation. The purpose of this study was to the determine perceptions of health workers about the fairness of the remuneration sys­tem under the BPJS scheme.

Subjects and Method: A descriptive qualitative study was conducted at community health  center Molawe, North Konawe district, South East Sulawesi. Informants for this study included 14 Molawe community health center personnels. The dependent varia­ble was fairness of the BPJS remuneration distribution. The independent variables we­re position, attendance, tenure, and civil servant/non civil servant status. The data were col­­­lected by indepth interview.

Results: The remuneration scoring system based on position and attendance was considered as unfair. The remuneration scoring system based on tenure (working peri­od) in accordance with the Permenkes No. 28 of 2014, was considered as fair enough. The remuneration scoring system based on civil servant/non civil servant status was con­sidered as unfair, since it did not value workload.

Conclusion: The remuneration scoring system based on position, attendance, and civil servant/non civil servant status, has yet to be improved as it is considered as un­fair.

Keywords: perception, remuneration scoring system, fairness, BPJS, puskesmas.

Correspondence: Irnawati, Sri Rahayu, Iin Hariyati. Masters Program in Public Health, School of Health Sciences Mandala Waluya. Jl. A.H.Nasution No. G 37, Kendari, South East Sulawesi. Email: irnawati1304@gmail.com. Mobile: 082187879575.

DOI: https://doi.org/10.26911/theicph.2019.04.63

 

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