Analysis of medical specialist satisfaction of Mokopido Hospital Tolitoli and Undata Hospital Palu about national health insurance’s implementation

Abstract

Objective: This study aimed to anilise medical specialist’s satisfaction about the implementa tion of national health insurance. Methods: This is a qualitative study with realist evaluation approach at Mokopido Tolitoli and Undata Hospital, interview was done to 24 specialists. Results: The most of medical specialists have less satisfied about national health insurance because of the decision and action autonomy, INA-CBGs payment system, administrative pro cedure, salary, and chance to thrive. National health insurance assessed to intervene medical aspect and INA-CBGs claim is too low so that can distract autonomy of medical specialist. The fare of INA-CBGs is lower than unit cost and establishment was not clear. National health insurance’s administrative procedure is quite complicated and it needs a long time. Conclusion: The main factor that influent medical specialist satisfaction about national health insurance is INA CBGs’s fare.