MINAT MASYARAKAT SEKTOR INFORMAL TERHADAP PROGRAM JAMINAN KESEHATAN NASIONAL DI KABUPATEN HULU SUNGAI UTARA

RUSMIATI, dr. Fatwa Sari tetra Dewi, MPH, Ph.D, Dra. Retna Siwi Padmawati, MA

2015 | Tesis |

ABSTRAK Latar Belakang: Penduduk Kabupaten Hulu Sungai Utara yang belum memiliki jaminan kesehatan sampai tahun 2014 cukup besar yaitu 47,49% dengan jumlah peserta mandiri dalam Jaminan Kesehatan Nasional hanya 0,82%. Sebagian besar penduduk yang belum memiliki jaminan kesehatan merupakan penduduk yang bekerja di sektor informal. Minat masyarakat khususnya masyarakat yang bekerja di sektor informal perlu digali terkait Universal Coverage tahun 2019. Penelitian ini menggunakan Theory of Planned Behavior yang memprediksi minat berdasarkan sikap, norma subyektif dan kontrol perilaku. Metode Penelitian: Penelitian merupakan penelitian korelasional menggunakan rancangan cross sectional. Pengambilan sample dengan Consecutive Sampling sebanyak 148 responden. Pengumpulan data menggunakan kuesioner yang diolah berdasarkan studi elisitasi dan dilakukan uji coba terlebih dahulu. Analisa data dengan uji korelasi Pearson dan uji regresi linier berganda. Hasil : Responden memiliki sikap, norma subyektif dan kontrol perilaku yang positif terhadap minat masyarakat sektor informal. Terdapat hubungan yang signifikan antara minat dengan sikap (p-value = 0,000, r = 0,728), norma subyektif (p-value = 0,000, r = 0,750) (p-value = 0,000, r = 0,328). Pengaruh masing-masing variabel didasarkan koefisien regresi didapatkan persamaan minat terhadap Jaminan Kesehatan Nasional = -6,370 + 0,223 sikap + 0,429 norma subyektif + 0,141 kontrol perilaku. Adjusted R Square memiliki nilai 0,674 yang berarti bahwa 67,40% perubahan minat dipengaruhi oleh sikap, norma subyektif dan kontrol perilaku. Kesimpulan: Terdapat hubungan yang signifikan antara sikap, norma subyektif dan kontrol perilaku dengan minat masyarakat sektor informal terhadap program Jaminan Kesehatan Nasional. Norma subyektif memiliki pengaruh positif paling besar dibandingkan dengan sikap dan kontrol perilaku. Kata Kunci: Minat, Masyarakat Sektor Informal, Theory of Planned Behavior dan Jaminan Kesehatan Nasional.

ABSTRACT Background: Population of Hulu Sungai Utara District who have no health insurance in 2014 is large enough or about 47.49% with a number of self-paid participants in the National Health Insurance is only 0.82%. Most of them are working in the informal sector. Intention of the community, especially people who work in the informal sector need to be excavated related to the Universal Coverage in 2019. The study used Theory of Planned Behavior to predict intention by attitude, subjective norm and perceived behaviour control. Method : The study was a correlational study using cross sectional design. The sample determined with Consecutive Sampling on 148 respondents. Collecting data using questionnaires gained from elicitation study and test-try questionnaires. Data analysis has used Pearson Correlation and multiple linier regression test. Results : Respondents had positive attitude, subjective norm and perceived behavioral control on intention of the informal sector community in the Hulu Sungai Utara District toward the National Health Insurance program. Significant relationship between intention with attitude (p-value = 0,000, r = 0,728), subjective norm (p-value = 0,000, r = 0,750) and perceived behaviour control (p-value = 0,000, r = 0,328). Influence of each variable based on regression coefficients obtained by the equation intention toward National Health Insurance = -6,370 + 0,223 attitude + 0,429 subjective norm + 0,141 perceived behaviour control. Adjusted R Square value 0,674 indicates 67,40% change of intention influenced by attitude, subjective norm and perceived behaviour control. Conclusion : There is a significant relationship between attitude, subjective norm and perceived behaviour control to the intention informal sector community toward the National Health Insurance. Subjective norm has the larges positive influences to the intention compared with attitude and perceived behaviour control. Governments need to make efforts and strategies to improve the coverage of the National Health Insurance in Hulu Sungai Utara District particularly for the informal sector. Keywords : Intention, Sector Informal Community, Theory of Planned Behavior and National Health Insurance.

Kata Kunci : Intention, Sector Informal Community, Theory of Planned Behavior and National Health Insurance.