Factors Associated with Willingness to Pay for Cost-Sharing under Universal Health Coverage Scheme in Yogyakarta, Indonesia: A Cross-Sectional Survey

National Health Insurance (NHI) in Indonesia requires an appropriate cost-sharing policy, particularly for diseases that require the largest financing. This study examined factors that influence willingness to pay (WTP) for cost-sharing under the universal health coverage scheme among patients with...

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Bibliographic Details
Published in:International journal of environmental research and public health 2022-11, Vol.19 (22), p.15017
Main Authors: Nugraheni, Diesty Anita, Satibi, Satibi, Kristina, Susi Ari, Puspandari, Diah Ayu
Format: Article
Language:English
Subjects:
Cancer
Cardiovascular disease
Community
Cost control
Cost Sharing
Cross-Sectional Studies
Disease prevention
Drug use
Family size
Health care policy
Health insurance
Health services
Humans
Illnesses
Indonesia
Insurance
Insurance coverage
Insurance, Health
Patients
Primary care
Regression analysis
Universal Health Insurance
Willingness to pay
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Summary:National Health Insurance (NHI) in Indonesia requires an appropriate cost-sharing policy, particularly for diseases that require the largest financing. This study examined factors that influence willingness to pay (WTP) for cost-sharing under the universal health coverage scheme among patients with catastrophic illnesses in Yogyakarta, Indonesia. This was a cross-sectional study using structured questionnaires through direct interviews. The factors related to the WTP for cost-sharing under the NHI scheme in Indonesia were identified by a bivariable logistic regression analysis. Two out of every five (41.2%) participants had willingness to pay for cost-sharing. Sex [AOR = 0.69 (0.51, 0.92)], education [AOR = 1.54 (0.67, 3.55)], family size [AOR = 1.71 (1.07, 2.73)], occupation [AOR = 1.35 (0.88, 2.07)], individual income [AOR = 1.50 (0.87, 2.61)], household income [AOR = 1.47 (0.90, 2.39)], place of treatment [AOR = 2.54 (1.44, 4.45)], a health insurance plan [AOR = 1.22 (0.87, 1.71)], and whether someone receives an inpatient or outpatient service [AOR = 0.23 (0.10, 0.51)] were found to affect the WTP for a cost-sharing scheme with < 0.05. Healthcare (place of treatment, health insurance plan, and whether someone receives an inpatient or outpatient service) and individual socioeconomic (sex, educational, family size, occupational, income) factors were significantly related to the WTP for cost-sharing.
ISSN:1660-4601
1661-7827
1660-4601
DOI:10.3390/ijerph192215017