Impact of the implementation of the National Health Insurance policy on hospital productivity levels in Indonesia

Abstract

Objective

The purpose of this study was to assess changes in productivity scores of BLUD hospital since the implementation of the National Health Insurance policy in Indonesia from 2014 to 2017.

Methods

The population and sample of the study were all Government General Hospitals with the status of Regional Public Service Agencies in the Province of South Sulawesi with a unit of research analysis being the annual performance of 25 BLUD hospitals in the 2014–2017 period. To analyze the productivity growth rate of the BLUD hospital in South Sulawesi, the Malmquist Total Factor Productivity Index approach was used.

Results

During the 2014–2017 period the average productivity level of hospitals grew by 4%, but the annual analysis showed that the productivity of hospitals continued to decline from year to year, from the 2014–2015 period grew by 7.4%, the 2015–2016 period fell to 4.1% and in the 2016–2017 period only grew by 0.5%.

Conclusion

The results of the study show that since the implementation of the National Health Insurance policy, the level of hospital productivity has continued to decline.