Indonesian National Health Insurance scheme longitudinal sample data 2015-2020: overview and potential uses for health policy analysis.

ABSTRACT:

Background

The Indonesian National Health Insurance Agency (BPJS-K) administers one of the largest single-payer healthcare systems in the world, with 95% of Indonesia's population registered by December 2023. Since 2019, BPJS-K has provided sample data representing 1% of insured individuals. Despite its potential, the BPJS-K sample data remains underutilised in research.

Methods

This study provides an overview of the BPJS-K dataset, including research that has used it, its structure, contents, and key variables from 2015 to 2020. We present descriptive statistics for the sample, including age and gender distributions, insurance membership type, healthcare visits, diagnoses, referrals, and associated tariffs. We illustrate the dataset's potential applications for health polic

SUBMITTER: Fatimah A 

PROVIDER: S-EPMC12699834 | biostudies-literature | 2025 Dec

REPOSITORIES: biostudies-literature