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Konsumsi Tembakau Pada Peserta Jaminan Kesehatan: Risiko BPJS? [Analisis Data Riskesdas 2013] (Tobacco Consumption By Health Insurance Participants: BPJS Risk? [Riskesdas 2013 Data Sources])

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ABSTRACT
Background: Tobacco consumption can lead to the diseases that can cause death. Calculation of the experts in the Global Burden of diseases - Generating Evidence, Guiding Policy (IHME and the University of Washington), smoking is a second highest risk factor after high blood pressure (12% mortality) that results in loss of 8 years of age healthy living (8 DALY) for each individual. Tobacco atlas in 2007 referencing that Indonesia is the fourth largest tobacco-consuming country in the world after China, Russia and the United States. Indonesia has made the implementation of the National Social Security health policy in force since January 2014, an insurance that doesn't see the participants' risk factors because having The principle of mandatory participation. This paper would like to analyze the pattern of tobacco consumption on the health insurance participants, askes, jamsostek and jamkesmas based on Riskesdas, 2013, as a risk factor on the incidence of disease that will be borne by BPJS.

Method: Bivariate analysis on Riskesdas 2013 data. Result: Jamsostek has the highest Propotion of participants who consume tobaco every day as many as 26.2% of them followed by Jamkesmas (25,9%) and Askes participants (16,3%). Askes participants consume 13, 6 sigarette per day, Jamsostek participants consume 12.1 stems per day and participants Jamkesmas 11.9 stems per day. Thus, if the average price of 1 stem of sigarreteis Rp. 750,then the participants of Jamkesmas and Askes in month to pay as much as Rp. 267.255, Rp. 273.781, and Rp. 307 412, - for cigarrete. Costs incurred by Jamkesmas participants for tobacco consumption in month is almost 14 times the value of dues paid by the government. Rupiahs that burned into smoke and create risk factor of self and others death in Indonesia in month in 2013 of 5.4 trillion rupiah in wich three-quaters of amount came from Jamkesmas participants.

Conclusion : The cost of tobacco consumtion among smokers per day can pay the class 1 dues to 4 people’s health care. Cross-subsidies from people who are at risk and not at risk and needs to be re-evaluated. Suggestion : Dues paid by the government should be examined in order not to burden the government budget.

Key words : Tobacco, participant

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Buletin Penelitian Sistem Kesehatan, 17 (4) 201

Publisher

Surabaya : Buletin Penelitian Sistem Kesehatan., 2014

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8p

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1410-2935

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