Factors Affecting Willingness to Pay for Outpatient Services at RSU Tangerang Selatan
DOI:
https://doi.org/10.12928/dpphj.v15i1.2059Keywords:
ability to pay, distance to hospital, health insurance, health service, income, information, treatment experience, willingness to payAbstract
Background: The government established a national health insurance program (NHI) to increase access to health services but the program is still not optimal, it affects the number of hospital visits and income. Therefore it required an analysis of patient’s willingness to pay out of pocket for outpatient services. The purpose of this study was to determine factors affecting patient’s willingness to pay. Method: This research is a cross sectional study involving 124 internal medicine outpatients at General Hospital (RSU) South Tangerang City in November 2019. Data were obtained from a questionnaire. Patient’s income, information, treatment experience, health insurance, distance to hospital, health service, ability to pay, and willingness to pay was investigated using chi square and logistic regression analysis. Results: The results outcomes showed that the level of willingness to pay of respondents is quite high and is influenced by patient’s income (p = 0.001), information (p = 0.045), treatment experience (p = 0.010), and ability to pay (ATP) (p = 0.001). Factors that have the most significant associations were patient’s ability to pay (OR = 14,502). Conclusion: Patient’s income, information, treatment experience, and ATP affect the willingness to pay of patients.
References
2. Sabri F, Amelia R. Analisis Willingness To Pay (Wtp) dan Kebutuhan Air di Kecamatan Merawang. INFO-TEKNIK. 2016;17(2):235–252.
3. Nugraheni WP, Pusat Humaniora dan Manajemen Kesehatan, Badan Penelitian dan Pengembangan Kesehatan Kemenkes RI, Hartono RK, Sekolah Tinggi Ilmu Kesehatan Indonesia Maju (STIKIM). Analisis Pola Layanan Kesehatan Rawat Jalan pada Tahun Pertama Implementasi Program Jaminan Kesehatan Nasional (JKN). Media Penelit dan Pengemb Kesehat. 2017;27(1):9–16.
4. Khalid S. Sistem Rujukan Terintegrasi (SISRUTE). Sistem Rujukan Terintegrasi. 2019. Available from: http://www.depkes.go.id/resources/download/info-terkini/rakerkesnas-2019/SESI II/Kelompok 2/1-Sistem-Rujukan-Terintegrasi-Sisrute.pdf
5. RSU Kota Tangerang Selatan. Laporan Kinerja Instantsi Pemerintah 2018. Tangerang Selatan; 2018. Available from: https://rsu.tangerangselatankota.go.id/wp-content/uploads/2019/05/LKIP2018.pdf
6. Notoatmodjo S. Metodologi Penelitian Kesehatan. 2nd ed. Jakarta Rineka Cipta; 2012.
7. Noormalasari W, Sandra C. Kemampuan Membayar Iuran Jaminan Kesehatan Nasional Bagi Nelayan di Kabupaten Jember (Ability To Pay The Premium Of National Health Insurance For Fisherman in Jember). Jurnal Pustaka Kesehat. 2015;3(1):147–54.
8. Zheng Y, Huang Z, Jiang T. Will the economic recession inhibit the out-of- pocket payment willingness for health care? Int J Environ Res Public Health. 2020;17(3):713.
9. Audureau E, Davis B, Besson MH, Saba J, Ladner J. Willingness to pay for medical treatments in chronic diseases: A multicountry survey of patients and physicians. J Comp Eff Res. 2019;8(5):357–69.
10. Ossai EN, Fatiregun AA. Clients’ willingness to pay for immunization services in the urban and rural primary health centers of Enugu state, Nigeria. J Public Health Africa. 2016;6(1):20–24.
11. Mudayana AA, Rusmitasari H. Analisis Kemampuan dan Kemauan Membayar Pasien Rawat Inap Di RS PKU Muhammadiyah Bantul. KESMAS. 2015;9(1):45–52.
12. Londo JP, Tucunan AAT, Maramis FRR. Hubungan antara Karakteristik Peserta BPJS Kesehatan dengan Pemanfaatan Puskesmas di Wilayah Kerja Puskesmas Tahuna Barat. KESMAS. 2017;6(3):1–7.
13. Nurvita S, Sekolah Pasca Sarjana Kesehatan Masyarakat Universitas Diponegori. Gambaran Kepesertaan JKN Tahun 2019. J Manaj Kesehat Indones. 2019;7(3):217–22.
14. Azimatun NA, Syed Mohamed AJ. Willingness to Pay for Outpatient Services User Fees: Malaysian Community Perspective. J Sains Kesihat Malaysia. 2018;16(1):145–53.
15. Innocent J, Handrof E, Matro JM, Wong Y-N, Chertock Y, Daly MB, et al. Patient interest and willingness-to-pay (WTP) out-of-pocket (OOP) for comprehensive tumor genetic profiling (CGP). J Clin Oncol. 2015;33(15):1545-1545.
Downloads
Published
Issue
Section
License
Authors transfer the copyright and grant the Disease Prevention and Public Health Journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License (CC BY-SA 4.0) that allows others to share (copy and redistribute the material in any medium or format) and adapt (remix, transform, and build upon the material) the work for any purpose, even commercially with an acknowledgement of the work's authorship and initial publication in Disease Prevention and Public Health Journal. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in Disease Prevention and Public Health Journal. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
