The Impact of National Health Insurance (JKN) to Equity Formal Health Service in Indonesia

Abstract

This article aims to estimate the impact of National Health Insurance (JKN) to the equity of formal health service in Indonesia. The component of formal health service analysed in this article includes the access to outpatient service, access of inpatient service and utilisation of inpatient service. Using the dataset of National Social and Economic Survey (Susenas) 2013 and 2015. This study using decomposition of concentration index method (adapted from Wagstaff et al., 2003), the expenditure per capita factor is the main contributor of concentration index or the inequity of formal health service utilisation.. These results were founded in most of the formal health facilities observed and the expenditure per capita factor is the main contributor of concentration index or the inequity of formal health service utilisation.

Keywords: equity, health insurance, utilisation, Indonesia