Impact Evaluation of National Health Insurance toward Access Hospital Inpatient Care in Indonesia Nugraheni Wahyu P1,2,*, Hidayat Budi3, Nadjib Mardiati4, Pambudi Eko Setyo5, Kosen Soewarta2, Trihandini Indang6, Thabrany Hasbullah3 1Faculty of Public Health, University of Indonesia, Indonesia 2National Institute of Health Research and Development Ministry of Health, Indonesia 3Department of Health Policy and Administration Faculty of Public Health, University of Indonesia, Indonesia 4Department of Health Policy and Administration Faculty of Public Health, University of Indonesia, Indonesia 5World Bank, Indonesia 6Department of Biostatistics Faculty of Public Health, University of Indonesia, Indonesia *Corresponding Author: Wahyu P Nugraheni Faculty of Public Health, University of Indonesia, Indonesia Email: nugraheni_wp@yahoo.com
Online published on 16 March, 2018. Abstract Indonesian government launched officially the National Health Insurance (JKN Program) on January 14, 2014. JKN program constructed with participation is mandatory and there is no selection, the spirit of cross subsidy (rich-poor, healthy-ill, young-old), non-profit and fees calculated as a percentage of wages or income. One of the main objectives of JKN is to improve equity in access to health services. This study aims to evaluate the impact of National Health Insurance program that has been running more than one year over the access to inpatient care at the hospital. This study used Indonesian Family Life Survey IFLS-4 (2007) and IFLS-5 (2014/2015). The analysis used a combination of propensity score matching methods and difference in difference. This analysis enables the research resembles the experiment considering the access changes to the inpatient care on the same individuals were evaluated before and one year after the National Health Insurance starts. The results showed that the National Health Insurance program have impact 2.4% on access to health care of inpatient at the government hospital and or private hospital. The resulting effect of National Health Insurance is not final because the data is just collected in 2014 until mid-2015, about half a year of the commencement of National Health Insurance. Top Keywords Health insurance, impact evaluation, propensity score matching. Top |