Pembiayaan kesehatan sekitar 146 (60%) penderita talasemia di
Banyumas, tahun 2011 ditanggung rumah tangga dalam bentuk pembayar-
an langsung (out of pocket payment). Penelitian ini bertujuan untuk meng-
analisis ability to pay, willingness to pay, dan need assessment pembiayaan
kesehatan penderita talasemia di Kabupaten Banyumas. Jenis penelitian ini
adalah observasional analitik dengan rancangan studi kasus. Penelitian ini
menggunakan desain studi cross sectional dengan teknik pengambilan
sampel simple random sampling. Jumlah sampel penelitian 30 responden
yang mempunyai anggota keluarga penderita talasemia di Kabupaten
Banyumas. Hasil penelitian menunjukkan keluarga penderita talasemia
mempunyai kemampuan membayar ability to pay rata-rata adalah
Rp34.448,8/bulan dan rata-rata willingness to pay pengobatan talasemia
adalah Rp133.833,3/ bulan. Pola pembiayaan kesehatan talasemia di
Kabupaten Banyumas menggunakan 93,3% Jaminan Kesehatan
Masyarakat (Jamkesmas), 3,3% biaya sendiri, dan 3,3% asuransi kese-
hatan. Sebelum mendapatkan Jamkesmas, 90,0% responden membayar
dengan out of pocket, berhutang, berhemat pada kebutuhan nonkesehatan,
dan menjual perhiasan/sawah. Kebutuhan pelayanan kesehatan yang di-
harapkan keluarga penderita talasemia adalah konsultasi talasemia dan
desain khusus ruang perawatan anak. Kebutuhan pembiayaan kesehatan
keluarga penderita talasemia adalah uang transportasi ke rumah sakit se-
bagai bentuk biaya tidak langsung.
Health financing of majority thalassemia patients, around 146 people (60%)
in Banyumas year 2011 is assured by Households in direct payments to
health care providers (out-of-pocket payment). This study aimed to analyze
the ability to pay, willingness to pay, and need assessment of health
financing thalassemia in Banyumas. This research an analytic observation-
Analisis Pembiayaan Kesehatan Keluarga Penderita
Talasemia
Health Financing Analysis of Thalassemia Patient Family
Arif Kurniawan, Arih Diyaning Intiasari
al with case study design. This research used cross sectional approach.
Sampling technique used simple random sampling. Total sample of 30
respondents who had had family members suffering from thalassemia in
Banyumas. The results showed thalassemia families have an average
ability to pay of Rp34,448.8/month and the average willingness to pay for
the treatment on thalassemia Rp133,833.3/month. Health financing
patterns of thalassemia in Banyumas district uses 93.3% health security,
3.3% personal costs, and 3.3% health insurance. Before getting health se-
curity, 90.0% of respondents performed out-of-pocket financing, get loan,
skimped on nonmedical needs, and sold jewelry/rice fields to finance tha-
lassemia?s health services. Health care needs that expected by thalassemia
patient?s family is thalassemia consulting and special design of child-care
room. Health financing needs of thalassemia?s patient family is transporta-
tion money to hospital as indirect costs.
