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Volume 13, Issue 1 (2025)                   Health Educ Health Promot 2025, 13(1): 7-12 | Back to browse issues page

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Suhadi S, Jumakil J, Pratiwi A, Rahman R, Dewi S, Afa J, et al . Effects of National Health Insurance Rate Increases on Healthcare Outcomes. Health Educ Health Promot 2025; 13 (1) :7-12
URL: http://hehp.modares.ac.ir/article-4-78104-en.html
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1- Department of Health Policy Administration, College of Public Health, University of Halu Oleo, Kendari, Indonesia
2- Department of Health Policy Administration, College of Public Health, Universitas Halu Oleo, Kendari, Indonesia
* Corresponding Author Address: College of Public Health, Universitas Halu Oleo, Bumi Tridharma Green Campus, Anduonohu, Kec. Kambu, Kendari City, Southeast Sulawesi 93232, Indonesia. Postal Code: 93232 (suhadi.uho@gmail.com)
Abstract   (1292 Views)
Aims: The increase in national health insurance rates is a policy that can significantly impact various aspects of healthcare services, including patient satisfaction, service quality, and financial factors, such as the ability and willingness to pay contributions. This study aimed to examine the effects of national health insurance rate increases on patient satisfaction, service quality, facility availability, and participants’ financial capacity and willingness to pay within Kendari City.
Instrument & Methods: This cross-sectional quantitative study employed an analytic observational approach. Data were collected from 1,368 independent healthcare and Social Security Agency health participants registered in several hospitals in Kendari City in 2023. Data were collected using a questionnaire distributed to national health insurance Mandiri participants visiting hospitals in Kendari City.
Findings: The increase in contributions significantly influenced patient satisfaction, as well as participants’ ability and willingness to pay contributions (p=0.001). However, the increase in fees did not significantly affect patient perceptions of facility availability (p=0.817).
Conclusion: The fee increase is strongly associated with patient satisfaction, ability to pay, and willingness to pay.
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