What is it about?

This study delves into the experiences of hospital nurses in Indonesia regarding the National Health Insurance (NHI) system. The NHI aims to provide healthcare coverage for all, with a focus on fairness and equity. However, nurses, as the primary caregivers, share their perspectives on how the policy is implemented. They highlight both positive aspects, such as increased access to affordable healthcare, and challenges, like a discriminatory service system and higher workloads. Ultimately, this research sheds light on the complexities of achieving fairness and equity in healthcare and the role of nurses in addressing these issues.

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Why is it important?

This research stands out for its exploration of healthcare fairness and equity through the eyes of hospital nurses in Indonesia. It's timely as the country strives for universal health coverage, making the experiences of frontline healthcare workers crucial. The study's unique perspective, directly from nurses, provides insights into the real-world challenges and impacts of health insurance policies. This human-centric approach to understanding distributive justice in healthcare is likely to draw the interest of healthcare professionals, policymakers, and researchers. It offers a valuable perspective that can inform policy improvements and enhance fairness and equity in healthcare systems.


This publication sheds light on an often-overlooked aspect of healthcare policy implementation – the perspective of nurses who are at the forefront of patient care. It brings to the forefront the voices of those directly impacted by health insurance policies and their implications on the ground. It's a reminder that healthcare systems should not only aim for universal coverage but also prioritize fairness and equity in practice.

Mr Ferry Efendi
Universitas Airlangga

Read the Original

This page is a summary of: Hospital nurses’ perceptions of distributive justice under the national health insurance scheme in Indonesia, Collegian Journal of the Royal College of Nursing Australia, October 2021, Elsevier,
DOI: 10.1016/j.colegn.2021.01.003.
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