Factors associated with compliance payments patient social assurance administrative agency of health independent participants in the hospital Kendari city southeast Sulawesi province Indonesia, 2023

Background: Health is a human right that must be fulfilled by every country. Therefore, the Indonesian government guarantees quality health services through the implementation of national health insurance as a global commitment for every country to implement universal health coverage. In Indonesia, the number of participants in the health social assurance administration agency reached 248.77 million people or the equivalent of 90.73% of the entire population of Indonesia which was recorded at 274.20 million people. Southeast Sulawesi has a total of 8,071,716 health social assurance administration agency participants, while in Kendari City the number of participants from the health social security administration body reached 67,375 as of August 2023. However, health social assurance administration agency membership is not followed by the level of compliance of health social assurance administration agency participants in paying contributions. Method: The type of research used is descriptive quantitative with a cross sectional study approach. The total sample was 505 respondents with sampling methods, namely accidental sampling and purposive sampling. The independent variables are knowledge and sanctions, while the dependent variable is compliance with paying contributions. Data analysis uses bivariate analysis with the unit of analysis, namely the chi-square test with SPSS. Result: The results of the research show that there is a significant relationship between knowledge and compliance with paying health social assurance administration agency. The results of statistical tests using the chi-square test obtained a p-value = 0.000 < 0.05. Meanwhile, there is no relationship between sanctions and compliance with paying health social assurance administration agency. The results of statistical tests using the chi-square test obtained a p-value = 0.541 > 0.05. Conclusion: There is a relationship between knowledge and compliance with paying health social assurance administration agency independent participant and there is no relationship between sanctions and compliance with paying health social assurance administration agency independent participant in hospitals throughout Kendari City. Therefore, health social assurance administration agency needs to collaborate with all stakeholders involved to increase socialization so that health social assurance administration agency independent participant membership achievements are directly proportional to compliance with paying contributions, because this can indirectly affect health services.