PERSEPSI STAKEHOLDERS TERHADAP LATAR BELAKANG SUBSIDI PREMI, SISTEM KAPITASI DAN PEMBAYARAN PREMI PROGRAM JAMINAN KESEHATAN JEMBRANA

Abstract

Background: Premium subsidy of Jaminan Kesehatan
Jembrana or Jembrana Health Insurance (JKJ) in Jembrana
District has a rising trend since it began and needs to
redistribute, it’s critical to apply the cost containment programs
by introducing capitation system to primary health care
providers and premium payment to the member of JKJ.
Purpose: To examine perceptions of policy makers toward
background of premium subsidy, capitation system and premium
payment of JKJ and perceptions of providers toward capitation
system.
Method: Research was using cross sectional design and
data was taken by qualitative method. The subject was policy
makers and primary health care providers of JKJ. Instrument
being use was deep interview guidance.
Result and Conclusion: Generally policy makers of JKJ had
misinterpretation about the concept of basic needs and equity
egaliter in health, that causing resistance on premium payment.
Generally policy makers and providers of JKJ had bad
perception about capitation system.
Keywords: health insurance, capitation, premium payment