Model Problem of Participant Card Services System in the Service Office of the Agency of National Health Security Services Province Southeast Sulawesi Indonesia

Suhadi Suhadi, Alimin Maidin, Sukri Palutturi, Burnanuddin Bahar, La Dupai, Asnia Zainuddin, Yasnani Yasnani, Siti Rabani Karimuna, Jumakil Jumakil, Arum Dian Pratiwi, Junaid Junaid, Fifi Nirmala G


One of the problems of health services in Indonesia is the issue of availability of health budget. The condition that needs and demand for health services continue to increase from year to year, while the ability of health care providers are easy and cheap is very limited both provided by the government and private parties. This condition forces health services to continue to compete well, while communities have limited ability to obtain affordable health services. As a result the poor and incapable continue to experience health problems because they do not have the cost to purchase health services. Facing these problems, then since January 2014 the government implements the National Health Insurance (NHI) that applies to all the people of Indonesia. With the NHI program, it is expected that there will be no more poor, who do not seek medical treatment because they have no cost. The purpose of the study is to analyze the effectiveness of the Member Card Service System at the Service Office of the National Health Insurance Implementing Agency of the Southeast Sulawesi Province, to model the problems and solutions for the effectiveness of health care services of the National Health Insurance. Type of Survey Research, using Mix Qualitative quantitative method. Sample of outpatients as much 170. Informan patient and SSA officer. Data collection using questionnaires, in-depth interviews and document review. The results of the study show that the general implementation of National Health Insurance in Social Security Agency (SSA) Office has been adequate and effective. But in its implementation still experienced problems both from service mechanism, external environment aspect, organizational behavior / officer and service resources. Conclusion; the implementation of the National Health Insurance in the SSA office has been done effectively but in its implementation still encountered problems such as policy aspects, service management, officer behavior and resource readiness. Recommendation; the need for SSA Parties to improve policies, improve service management, education and training for officers, and the fulfillment of service resources needs.


National Health Insurance; Membership Service; Effectiveness.

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