The regional and referral compliance of online healthcare systems by Indonesia National Health Insurance agency and health-seeking behavior in Indonesia

Purpose: Whether the provision of online health care referral systems by the Indonesia National Health Insurance Agency has ensured healthcare referral compliance raises much concern due to the continuing deficit. This study examines the pattern of healthcare referral process, regional and referral...

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Main Authors: Putu Wuri Handayani, Teguh Dartanto, Faizal Rahmanto Moeis, Ave Adriana Pinem, Fatimah Azzahro, Achmad Nizar Hidayanto, Denny, Dumilah Ayuningtyas
Format: Article
Language:English
Published: Elsevier 2021-09-01
Series:Heliyon
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S240584402102171X
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spelling doaj-fa665fdede4449ba82260fa8de5dc89f2021-10-04T10:53:38ZengElsevierHeliyon2405-84402021-09-0179e08068The regional and referral compliance of online healthcare systems by Indonesia National Health Insurance agency and health-seeking behavior in IndonesiaPutu Wuri Handayani0Teguh Dartanto1Faizal Rahmanto Moeis2Ave Adriana Pinem3Fatimah Azzahro4Achmad Nizar Hidayanto5 Denny6Dumilah Ayuningtyas7Faculty of Computer Science, Universitas Indonesia, Indonesia; Corresponding author.Faculty of Economic and Business, Universitas Indonesia, IndonesiaFaculty of Economic and Business, Universitas Indonesia, IndonesiaFaculty of Computer Science, Universitas Indonesia, IndonesiaFaculty of Computer Science, Universitas Indonesia, IndonesiaFaculty of Computer Science, Universitas Indonesia, IndonesiaFaculty of Computer Science, Universitas Indonesia, IndonesiaFaculty of Public Health, Universitas Indonesia, IndonesiaPurpose: Whether the provision of online health care referral systems by the Indonesia National Health Insurance Agency has ensured healthcare referral compliance raises much concern due to the continuing deficit. This study examines the pattern of healthcare referral process, regional and referral compliance from 2015 to 2016. To provide comprehensive analysis on how people seek treatment, this study also aims to understand health-seeking behavior in Indonesia, the utilization of alternative treatment, and health information–seeking behavior on social media. Method: The data come from three data files, namely the National Health Insurance membership master data, the First Level Health Facilities transaction data and the Advanced Referral Health Facilities transaction data of 1,697,452 individuals. The regional compliance applies a logit regression model, while referral compliance applies descriptive statistics of the referral pathway. This study also follows a quantitative approach using an online questionnaire, with 463 respondents who have National Health Insurance which applies an ordered logit model. Result: We found that several demographic variables and regional health facility availability affect regional compliance. Moreover, we found 19.3% of the transactions did not comply with the prescribed referral sequence. The prescribed referral sequence was mostly followed for patients with malignant diseases. We also found men who perceive that their health condition is healthy will less likely seek health services compared to women. Further, the tendency of alternative treatment increases health-seeking behavior, and the tendency of seeking health information on social media increases the frequency seeking health services. Conclusion: We recommend the prescribed referral sequence to be re-evaluated especially for patients with malignant disease; the referral process should not be based on hospital classes but on the competency of the healthcare facility which may indirectly address the deficit issue. It is imperative that the government evaluate health promotion approaches to men and women, both direct and indirect through their significant others.http://www.sciencedirect.com/science/article/pii/S240584402102171XReferralsReferral complianceHealth servicesHealth-seeking behaviorAlternative treatmentSocial media
collection DOAJ
language English
format Article
sources DOAJ
author Putu Wuri Handayani
Teguh Dartanto
Faizal Rahmanto Moeis
Ave Adriana Pinem
Fatimah Azzahro
Achmad Nizar Hidayanto
Denny
Dumilah Ayuningtyas
spellingShingle Putu Wuri Handayani
Teguh Dartanto
Faizal Rahmanto Moeis
Ave Adriana Pinem
Fatimah Azzahro
Achmad Nizar Hidayanto
Denny
Dumilah Ayuningtyas
The regional and referral compliance of online healthcare systems by Indonesia National Health Insurance agency and health-seeking behavior in Indonesia
Heliyon
Referrals
Referral compliance
Health services
Health-seeking behavior
Alternative treatment
Social media
author_facet Putu Wuri Handayani
Teguh Dartanto
Faizal Rahmanto Moeis
Ave Adriana Pinem
Fatimah Azzahro
Achmad Nizar Hidayanto
Denny
Dumilah Ayuningtyas
author_sort Putu Wuri Handayani
title The regional and referral compliance of online healthcare systems by Indonesia National Health Insurance agency and health-seeking behavior in Indonesia
title_short The regional and referral compliance of online healthcare systems by Indonesia National Health Insurance agency and health-seeking behavior in Indonesia
title_full The regional and referral compliance of online healthcare systems by Indonesia National Health Insurance agency and health-seeking behavior in Indonesia
title_fullStr The regional and referral compliance of online healthcare systems by Indonesia National Health Insurance agency and health-seeking behavior in Indonesia
title_full_unstemmed The regional and referral compliance of online healthcare systems by Indonesia National Health Insurance agency and health-seeking behavior in Indonesia
title_sort regional and referral compliance of online healthcare systems by indonesia national health insurance agency and health-seeking behavior in indonesia
publisher Elsevier
series Heliyon
issn 2405-8440
publishDate 2021-09-01
description Purpose: Whether the provision of online health care referral systems by the Indonesia National Health Insurance Agency has ensured healthcare referral compliance raises much concern due to the continuing deficit. This study examines the pattern of healthcare referral process, regional and referral compliance from 2015 to 2016. To provide comprehensive analysis on how people seek treatment, this study also aims to understand health-seeking behavior in Indonesia, the utilization of alternative treatment, and health information–seeking behavior on social media. Method: The data come from three data files, namely the National Health Insurance membership master data, the First Level Health Facilities transaction data and the Advanced Referral Health Facilities transaction data of 1,697,452 individuals. The regional compliance applies a logit regression model, while referral compliance applies descriptive statistics of the referral pathway. This study also follows a quantitative approach using an online questionnaire, with 463 respondents who have National Health Insurance which applies an ordered logit model. Result: We found that several demographic variables and regional health facility availability affect regional compliance. Moreover, we found 19.3% of the transactions did not comply with the prescribed referral sequence. The prescribed referral sequence was mostly followed for patients with malignant diseases. We also found men who perceive that their health condition is healthy will less likely seek health services compared to women. Further, the tendency of alternative treatment increases health-seeking behavior, and the tendency of seeking health information on social media increases the frequency seeking health services. Conclusion: We recommend the prescribed referral sequence to be re-evaluated especially for patients with malignant disease; the referral process should not be based on hospital classes but on the competency of the healthcare facility which may indirectly address the deficit issue. It is imperative that the government evaluate health promotion approaches to men and women, both direct and indirect through their significant others.
topic Referrals
Referral compliance
Health services
Health-seeking behavior
Alternative treatment
Social media
url http://www.sciencedirect.com/science/article/pii/S240584402102171X
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