Analysis of primary health facility leader perceived risk on cooperation with health care and social security agency in east java: (Study on public health centers and non-public health centers in urban areas)

Objective. Indonesia has been implementing the National Health Insurance since 2014. In implementing national health insurance, the collaboration between the Health Care and Social Security Agency as an organizing body and health facilities is needed. Understanding the types of risks and proper management in cooperation between primary health facilities and Health Care and Social Security Agency is a strategy to provide optimal performance. Methods. The design used in this study is cross-sectional. This research analyzed the primary health facilities leaders perceived risk score in cooperation with Health Care and Social Security Agency and compare it between public health centers and non-public health centers. The study was conducted in 2 cities, Kediri and Probolinggo, in East Java Province that obtained by simple random sampling from 9 cities in East Java. As many as 30 percent of the total 80 primary health facilities were randomly sampled. Based on random sampling, 24 primary health facilities were selected. There were 6 types of perceived risks assessed. Results. The leader’s perceived risk scores were: social (mean 6.38), legal (mean 6.14), time loss (mean 4.95), performance (mean 4.76), financial (mean 3.67) and physical (mean 3.24). The result also found that legal risk and risk of time loss have significant differences between public health centers (p = 0.02) and non-public health centers (p = 0.01). Implementing appropriate risk management will provide the opportunity for primary health facilities to determine the best technique for anticipating emerging risks.