Factors Related to Compliance in Paying BPJS Kesehatan Contributions among Self-Paying Outpatients at Sijunjung District Hospital, 2024

Annisa Novita Sary, Neneng Seprianti, Audrey Faiza Rosa, Finy Marsyah, Edison Edison

Abstract


Compliance in paying contributions reflects the willingness of participants to pay their dues on time according to established regulations. In Sijunjung Regency, as many as 30,917 people (74%) were reported to be non-compliant in paying BPJS Kesehatan contributions. Irregularities in contribution payments among JKN participants can disrupt the sustainability of health service guarantees in available health facilities. This study aimed to analyze factors related to compliance with paying BPJS Mandiri contributions among outpatients at Sijunjung District Hospital in 2024. This research used a quantitative analytical survey with a cross-sectional design. The study population was BPJS Mandiri participants visiting the outpatient installation of Sijunjung District Hospital, with an average of 328 visitors per month. A total of 161 respondents were selected using purposive sampling. Data were collected through structured questionnaires and analyzed using univariate and bivariate analysis with the chi-square test. The results showed that 49.7% of respondents were compliant in paying BPJS Mandiri contributions. Factors significantly related to compliance were knowledge (p=0.000), income (p=0.006), perception (p=0.000), and motivation (p=0.000). These findings indicate that compliance is influenced not only by economic factors but also by cognitive and psychological aspects. It is recommended that BPJS Kesehatan improve the dissemination of information to participants regarding their rights and obligations, particularly about contribution payment schedules, methods, and penalties for arrears. Hospitals are also expected to enhance service quality to maintain participants’ trust and encourage consistent compliance in contribution payments.

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