The Effects of Knowledge, Attitude, Information, Family Support, and Family Income on National Health Insurance Participation


Prima Soultoni Akbar

 

School of Health Polytechnics Malang, East Java

 

ABSTRACT

Background: Health insurance is not the sole determinant of health but it plays a role in maintaining and improving health. The benefits of national health insurance include redu­cing finan­cial barriers associated with access to health care services and protection from financial catastrophe and impoverishment related to health care expenditures. How­ever, participation in national health insurance (NHI) in Indonesia is still low. This stu­dy aimed to examine the effects of knowledge, attitude, information, family support, and family income on NHI par­tici­pation.

Subjects and Method: A cross sectional study was conducted in Jember, East Java, from July to September 2018. A sample of 60 study subjects was selected by fixed di­sease sampling consisting of 30 NHI participants and non- NHI participants. The de­pen­dent variable was NHI participation. The independent variables were knowledge, atti­tude, information, family support, and family income. The data were collected by questionnaire and analyzed by path analysis.

Results: NHI participation was directly affected by better knowledge (b= 2.27; 95% CI= 0.03 to 0.40; p= 0.023), information exposure (b= 2.07; 95% CI= 0.01 to 0.39; p= 0.038), family support (b= 2.16; 95% CI= 0.02 to 0.41; p= 0.030), and high family in­come (b= 1.92; 95% CI= -0.01 to 0.36; p= 0.055). NHI participation was indirectly affec­ted by education, family support, and paternal attitude.

Conclusion: NHI participation is directly affected by better knowledge, information ex­posure, family support, and high family income. NHI participation is indirectly affec­ted by education, family support, and paternal attitude.

Keywords: National health insurance, knowledge, information exposure, family in­come, paternal attitude

CorrespondencePrima Soultoni Akbar. School of Health Polytechnics Malang, East Java. Jalan Besar Ijen 77C, Malang 65112, East  Java. Email: primasoultoniakbar@gmail.com. Mobile: +6285258777994.

DOI: https://doi.org/10.26911/theicph.2019.04.21

 

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