Social Relations of Agent and Structure in the BPJS Health Service System

Abstract

The BPJS Health service system supports the improvement of public health status. This qualitative study with a phenomenological approach aims to understand the social relations of BPJS participants in the health service system in Wonogiri Indonesia. The analysis unit is the active and non-active BPJS participants uses health center, hospital care facilities, family doctors in Wonogiri and Surakarta. Informants were selected using purposive sampling techniques; data collection using non-participation observations, in-depth interviews and documentation. Data validation uses triangulation of data sources and data collection techniques. The data analysis technique uses interpretative phenomenology, and the theory of structuration from Anthony Giddens for explaining the data. The results show that the relation of dialectical practices in the health services process have improve the healthy behavior patterns of BPJS participants by adopting regulations in the health center and hospitals. Doctors and other health care providers serve according to the ethics and professional norms; duality of role occurs between patients and health services provider, agents and structures in the arena of the health center (Puskesmas) system and hospitals. Patients and health services provider have mutually reinforced roles, and benefits. In the course of space and time, the actions of the participants are recurring, Giddens calls it is form of structuration that influences the continuation of the BPJS participant's patterns of social and health behavior; and they will affect for public health improvement later. 3rd International Conference on Social Transformation, Community, and Sustainable Development (ICSTCSD 2019) Copyright © 2020 The Authors. Published by Atlantis Press SARL. This is an open access article distributed under the CC BY-NC 4.0 license (http://creativecommons.org/licenses/by-nc/4.0/) Advances in Social Science, Education and Humanities Research, volume 389