Easy Access to Health Services in Inclusive Government Governance

Authors

  • Tumpak Parulian Situngkir Universitas Borobudur, Jakarta, Indonesia
  • Riswadi Universitas Borobudur, Jakarta, Indonesia

DOI:

https://doi.org/10.38035/gijlss.v3i3.588

Keywords:

Premium Assistance Recipients, National Health Insurance, Targeting, Equitable Services

Abstract

Access to health services is a fundamental right guaranteed by the 1945 Constitution. The Indonesian government has demonstrated its strong commitment through the Contribution Assistance Recipient (PBI) program, namely in Article 14 paragraph (2) of Law Number 40 of 2004 concerning the National Social Security System, which provides subsidies for National Health Insurance (JKN) premiums funded by the regional budget for the poor and underprivileged. However, there are serious challenges related to the accuracy of targeting recipients and the equitable distribution of health care facilities throughout Indonesia. The objective of this study is to analyze the mechanism for determining PBI recipient criteria, identify obstacles in program implementation, and offer strategic solutions to make health subsidies more effective and equitable. The method used is normative juridical, employing a legislative and analytical approach. Research shows that although PBI has succeeded in improving access to health services through Article 14 paragraph (2) of Law Number 40 of 2004 concerning the National Social Security System, the problem lies in the validation of recipient data, which is often inaccurate, so that the wealthy continue to enjoy subsidies while some of the poor are overlooked. Government efforts such as DTKS integration, supervision of aid distribution, and the construction of primary hospitals are significant steps toward improvement. effectiveness of the PBI program is highly dependent on the accuracy of beneficiary data and the equitable distribution of healthcare services. With strengthened databases, continuous verification, and improved healthcare infrastructure, this program can be more targeted and sustainable in achieving social justice in the field of health.

References

Alayda, N. F., Aulia, C. M., Ritonga, E. R., & Purba, S. H. (2024). Literature Review: Analisis Dampak Kebijakan Jaminan Kesehatan Nasional (JKN) Terhadap Akses dan Kualitas Pelayanan Kesehatan. Jurnal Kolaboratif Sains, 7(7), 2616–2626.

Amalia, A., & Husada, I. D. (2021). Perlindungan Hukum Terhadap Perubahan Data Fakir Miskin Peserta PBI Yang Dinonaktifkan Menjadi Peserta Non PBI (Studi Dinas Sosial Kota Medan): Legal Protection Againt Changes in Poor Data of Disabled Contribution Assistance Recipients Become Non-Recipien. Reformasi Hukum, 25(1), 1–20.

Ardinata, M. (2020). Tanggung Jawab Negara Terhadap Jaminan Kesehatan Dalam Perspektif Hak Asasi Manusia. Jurnal HAM, 11(2), 319.

Arifin, F. (2024). Analisis Terhadap Kebijakan Pemerintah Dalam Mengatur Urusan Pemerintahan Daerah Di Era Desentraliasi Asimetris. PROGRESIF: Jurnal Hukum, 18(2), 208–235.

Darwati, D., Pujiyanto, P., & Hidayat, B. (2023). Kemampuan membayar iuran jaminan kesehatan nasional peserta penerima bantuan iuran (JKN PBI) kota tangerang tahun 2023. Jurnal Ekonomi Kesehatan Indonesia, 8(2), 6.

Dwiarto, R. (2023). Inovasi Penyaluran Jaminan Sosial Tepat Sasaran Melalui Kebijakan Pengelolaan Anggaran Data Terpadu Kesejahteraan Sosial ( DTKS ) Dan Pemanfaatan Aplikasi " Cek Bansos ". Prosiding Seminar Nasional UNIMUS, 204–215.

Hanyfa, M. R., & Rustianingsih, E. (2024). Collaborative Governance Dalam Pelayanan Administrasi Kependudukan Bagi Masyarakat Miskin Di Desa Kesamben Kulon. Journal Publicuho, 7(3), 1471–1488.

Hepat, D. R., & Rachman, E. (2018). Faktor-Faktor Penghambat Pendataan Penerima Bantuan Iuran (PBI) BPJS Kesehatan Dikelurahan Heledululaa Utara Kecamatan Kota Timur Kota Gorontalo. Publik, 5(2), 87–96.

Ikhtiari, A., & Tarring, A. D. (2024). Perlindungan Hukum Melalui Penguatan Pelayanan Jaminan Kesehatan Nasional yang Berkualitas Melalui Pelayanan Kesehatan Primer (Primary Health Care) Di Era Revolusi Industri 5.0. Jurnal Hukum Ius Publicum, 5(2), 91–107.

Murniati, N., Rimbani, R. M., & Mawaddah, U. (2021). Keberhasilan Program Subsidi Kesehatan Terhadap Alokasi Biaya Kesehatan Keluarga Miskin: Studi Pada Penerima Bantuan Iuran Di Ngamprah, Kabupaten Bandung Barat. Jurnal Riset Ilmu Ekonomi, 1(1), 12–21.

Oldistra, F., & Machdum, S. V. (2020). Analisis perencanaan kebijakan jaminan kesehatan nasional dari aspek kepesertaan di Kementrian PPN/BAPPENAS. Jurnal Ilmu Kesejahteraan Sosial, 21(1), 10.

Putra, M. D. (2021). Negara kesejahteraan (welfare state) dalam perspektif Pancasila. Likhitaprajna, 23(2), 139–151.

Qalsum, U., & Wibowo, A. (2023). Peran Mahkamah Konstitusi Indonesia Untuk Ajudikasi Hak-Hak Ekonomi, Sosial Dan Budaya Yang Efektif: Hak-hak yang dapat dibenarkan, Hak-hak konstitusional, Mandat konstitusional, Hak-hak ekosob. Jurnal Penelitian Multidisiplin, 2(1), 87–95.

Romansyah, U. A., Labib, A., & Isnawati, M. (2017). Pemenuhan Hak Konstitusional Warga Negara Indonesia Studi Kasus Jaminan Kesehatan Nasional. Pemenuhan Hak Konstitusional Warga Negara Indonesia: Studi Kasus Jaminan Kesehatan Nasional, 1(1), 99–118.

Santoso, R. Y., & Wardhana, E. S. P. W. (2025). OPTIMALISASI SUBSIDI PEMERINTAH DALAM MENINGKATKAN KEADILAN AKSES LAYANAN KESEHATAN BAGI MASYARAKAT KURANG MAMPU: TINJAUAN ATAS PROGRAM BPJS KESEHATAN 2025. NETIZEN: JOURNAL OF SOCIETY AND BUSSINESS, 1(9), 433–444.

Suafisa, H., Zebua, O., Sembiring, G., & Siregar, H. (2025). Menggali manfaat dan kekurangan JKN: Peningkatan Layanan Kesehatan di Padang Bulan, Medan. Jurnal Administrasi Pemerintahan Desa, 6(1), 9.

Vyandri, M. A., & Handoko, R. (2014). IMPLEMENTASI KEBIJAKAN BPJS KESEHATAN DI KOTA SURABAYA (Studi Tentang Kepesertaan PBI Jaminan Kesehatan Dalam Mengakses Pelayanan Kesehatan). DIA: Jurnal Administrasi Publik, 12(01).

Widjaja, G., & Dhanudibroto, H. (2025). KOORDINASI ANTAR-LEMBAGA PEMERINTAH DAN EFEKTIVITAS KEBIJAKAN KESEJAHTERAAN. SIBATIK JOURNAL: Jurnal Ilmiah Bidang Sosial, Ekonomi, Budaya, Teknologi, Dan Pendidikan, 4(7), 1323–1332.

Yatni, S. H., Suhardi, M., Murtikusuma, R. P., & Setiawan, Y. (2025). PANDANGAN TENAGA KESEHATAN TERHADAP TANTANGAN DALAM MEMBERIKAN EDUKASI KESEHATAN DI DAERAH TERPENCIL. DIAGNOSA: Jurnal Hasil Riset Dan Pengembangan Ilmu Kesehatan, 1(1), 30–38.

Zulfiqar, E. (2014). Kendala Struktural Dan Kultural Pembangunan Tapanuli Selatan (Beberapa Catatan Awal). Jurnal Justitia Vol, 1(04).

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Published

2025-11-20

How to Cite

Tumpak Parulian Situngkir, & Riswadi. (2025). Easy Access to Health Services in Inclusive Government Governance. Greenation International Journal of Law and Social Sciences, 3(3), 1015–1027. https://doi.org/10.38035/gijlss.v3i3.588

Issue

Vol. 3 No. 3 (2025): (GIJLSS) Greenation International Journal of Law and Social Sciences (September - November 2025)

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Copyright (c) 2025 Tumpak Parulian Situngkir, Riswadi

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