Determinan Pengeluaran Kesehatan Katastropik Rumah Tangga Indonesia Pada Tahun Pertama Implementasi Program JKN

Health spending can lead to decrease the ability of the household financial. Nearly 2.3 million people (1%) each year fall to be poor as a impact of catastrophic health spending of high-cost diseases that are life-threatening complications. The aim of the research is to analyze the determinants of catastrophic health spending of Indonesian households in the first year of implementation of the National Health Insurance program (JKN). This study design is cross sectional using secondary data is data Indonesia Family Life Survey (IFLS) 2014. The methods of analysis used are econometric approach with logit model and instrumental variables probit model. The results of the study significantly shows that households with catastrophic health spending incidence is around 5.38% in the first year of implementing JKN Program. While the determinants that influence catastrophic health spending include level of education, place of residence in the city, health status and economic status. This study recommends to the government to improve and develop the health program that promotes healthy lifestyles and expand the coverage of JKN program to protect the Indonesian households from catastrophic helath spending