Factors affecting delayingpayment of national health insurance (BPJS Kesehatan)premium among participants of the informal sector in Banyumas Regency

Abstract

Objectives: The participants expansion of BPJS Kesehatan, especially for participants of the informal sector (PBPU) are faced with several problems, one of the problem was late payments of contribution payments per month by participants who have already registered. Data from BPJS Kesehatan Pur woker to showed if approximately 57.84% of the participantshad experienced late payments in contribution in 2015. The purpose of this study was to find out the factors which have effect of late payments inpaying the contribution of BPJS Kesehatan to the participants PBPU in Banyumas. Methods : This research is an analytical observational research with cross sectional design using a quantitative approach. Research sampling is grouped into two groups namely sample cases and control samples. The number of samples for each of the case groups and the control is 141.The Data in the study analyzed with SPSS software with quantitative analysis of research, including: univariate analysis (frequency and percentage), Bivariate analysis (Chi Square test), and multivariate analysis (linear logistic regression) Result: Based on the result of multivariate analysis of twelve independent variables were only four variables that had effect of late payments in paying the contributions of BPJS Kesehatan with values of CI 95%, which are variable age<35years (p- value=0.000), the economic status (quintile1)(p-value=0.000), number of family members ≥5person (p-value=0.011), and the value of CI 90% are married status (p-value=0.059). Conclusion : Improving socialization of regulations and consequences of late payments of BPJS Kesehatan, increasing participants' awareness of the importance have healthcare insurance continuously and give priority to the basic health needs at the household expenses are efforts thatcould be done to reduce the number of late payments in the premium payments of BPJS Kesehatan to the participants of PBPU.