Reports from University of Airlangga Highlight Recent Findings in Nursing (Hospital Nurses’ Perceptions of Distributive Justice Under the National Health Insurance Scheme In Indonesia): Nursing

2021 NOV 23 (NewsRx) -- By a News Reporter-Staff News Editor at Health & Medicine Business Daily -- Investigators publish new report on Nursing. According to news reporting originating from Surabaya, Indonesia, by NewsRx correspondents, research stated, “National Health Insurance (NHI) is a health financing scheme implemented in Indonesia to achieve universal health coverage. This is a mandatory social insurance with approximately two-thirds of the members made up by the poor, who are subsidised by the government.”

Our news editors obtained a quote from the research from the University of Airlangga, “The principle of distributive justice is central in the NHI relating to fairness and equity in accessing health care, especially in this resource-constrained country. The nursing workforce is the largest direct health care provider and the workforce that experiences the impact of this policy. To describe narrative views and experiences of hospital nurses regarding fairness and equity in implementation of the NHI. This study employed a qualitative approach. Individual semi-structured interviews were conducted with a non-probability sampling technique of hospital nurses. Data were analysed using con -tent analysis technique. Participants and research context: Study participants included 16 nurses recruited from three different types of hospitals at secondary and tertiary levels in East Java province, Indonesia. Data analysis from interviews with study participants yielded the following four themes and categories: 1) helping the neediest people: a) access to affordable health care, b) sharing for solidarity, c) adequate standardised treatment; 2) a discriminatory service system: a) the dilemma of paying for priority services, b) different professional and resource allocations; 3) enduring impacts of the policy: a) higher workload, b) different attitudes for different social classes, c) unimproved financial incentives; and 4) managing new changes: a) nurses as the centre of communication, b) addressing patients’ complaints, c) strengthening teamwork. The findings highlight distributive justice challenges in implementing the NHI system in hos-pitals, as voiced by nurses. Despite more people enjoying the benefits of NHI, the hospital service system has allowed a discriminatory approach in caring for patients, with nurses bearing the burden of impacts and being obliged to make continuous adjustments.”

According to the news editors, the research concluded: “Understanding and addressing these issues will im-prove fairness and equity in utilising quality health care.”

This research has been peer-reviewed.

For more information on this research see: Hospital Nurses’ Perceptions of Distributive Justice Under the National Health Insurance Scheme In Indonesia. Collegian, 2021;28(5):506-514. Collegian can be contacted at: Elsevier, Radarweg 29, 1043 Nx Amsterdam, Netherlands. (Elsevier - www.elsevier.com; Collegian - http://www.journals.elsevier.com/collegian/)

The news editors report that additional information may be obtained by contacting Ferry Efendi, University of Airlangga, Jl Mulyorejo Kampus C Unair, Surabaya 60115, Indonesia. Additional authors for this research include Anna Kurniati and Ellen Rosskam.

The direct object identifier (DOI) for that additional information is: https://doi.org/10.1016/j.colegn.2021.01.003. This DOI is a link to an online electronic document that is either free or for purchase, and can be your direct source for a journal article and its citation.

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