The influence of provider payment mechanisms on TB service provider behavior in Indonesia: insights from National Health Insurance data and provider perspectives.

ABSTRACT:

Background

The impact of provider payment mechanisms under Indonesia's National Health Insurance (NHI) scheme on healthcare providers' behavior-particularly in tuberculosis (TB) service delivery- remains underexplored. This study examines the consequences of provider payment incentives on TB service provider behavior.

Methods

A mixed-methods study was conducted using quantitative analysis of NHI claims data from 2015 to 2016 and qualitative data from focus group discussions with healthcare providers-22 primary care facilities and 14 hospitals across five provinces-. Quantitative analysis examined TB service utilization patterns, assessed referral appropriateness based on case complexity, and claim of TB services. Qualitative data were thematically analyzed to explore factors

SUBMITTER: O'Connell M 

PROVIDER: S-EPMC12283726 | biostudies-literature | 2025

REPOSITORIES: biostudies-literature