Pengaruh Asuransi Kesehatan Dan Ekonomi Terhadap Aksesabilitas Layanan Kesehatan Penyandang Disabilitas Di Indonesia

Ririn Nopiah, Heni Wahyuni
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Abstract

Health insurance is one of social health guarantees programs provided to the society in accessing health services in Indonesia. This program is implemented as a solution of equality problems on health services. This paper aims to analyze effect of health insurance ownership on accessibility health services to people with disabilities who included as vulnerable communities. This research have 1.288 respondents of people with disabilities from Indonesia Family Life Survey that analyzed by multinomial logit regression models. The results show that health insurance ownership of disabilities are not effective enough in accessibility of disabilities health services. To access health service, people with disabilities have main obstacle factor namely physical mobiltity services. Furthermore head of household, chronic disease, transportation costs, and years education variables have significant effect on preventive and curative health services to people with disabilities. Whereas sex and unemployed status significant effect on preventive health services. Keywords :  People with Disabilities1, Health Insurance2, Accessibility3, Health Service4 
健康和经济保险对残疾人健康服务的可偿付能力的影响
在印度尼西亚,健康保险是向获得保健服务的社会提供的社会健康保障方案之一。该方案的实施是为了解决保健服务方面的平等问题。本文旨在分析医疗保险所有权对纳入弱势群体的残疾人无障碍医疗服务的影响。本研究以印度尼西亚家庭生活调查的1288名残障人士为调查对象,采用多项logistic回归模型进行分析。结果表明,残障人健康保险所有制对残障人健康服务的可及性影响不够。残疾人获得医疗服务的主要障碍因素是身体移动服务。此外,户主、慢性病、交通费用和受教育年限等变量对向残疾人提供预防和治疗保健服务有重大影响。性别和失业状况对预防性保健服务有显著影响。关键词:残疾人;健康保险;可及性
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