ASSOCIATION BETWEEN MEMBERSHIP OF HEALTH INSURANCE AND INPATIENT UTILIZATION: ANALYSIS OF THE NATIONAL SOCIOECONOMIC SURVEY (SUSENAS) 2019

Abstract

Equity in health services, utilization including inpatient service, has become a global concern. It is crucial for the realization of universal health coverage. The aim of this study was to analyze the association between membership of health insurance and inpatient health service utilization in Indonesia. The study was a cross-sectional household survey from the Indonesian National Socioeconomic Survey (Susenas) conducted in 2019. The dependent variable was the utilization of inpatient. While the independent variables are health insurance membership status and socio-demographic factors, namely: age, gender, education, occupation, area of ​​residence. The study sample was 278,004 respondents. Data were analyzed using Chi-Square statistical test. The results of the study illustrated that the utilization of inpatient services in Indonesia is 4.8% and there is a statistically significant relationship between the variables of age, gender, education, occupation, area of ​​residence, and health insurance participation status (p-value <0.001) with use of inpatient health services. Health insurance ownership is the most dominant variable related to the utilization of health services in Indonesia (p-value <0.001). PR was 2.220 (95% CI= 2.117-2.328) after controlling for variables of age, gender, occupation, and area of ​​residence.