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Doctors in Primary Health Care (PHC) Ngesrep were found to be disappointed with their workload that is related to the implementation of Badan Penyelenggara Jaminan Sosial (BPJS). Doctors felt burdened by the increase in the total amount of BPJS participants. Average number of visits by Health Insurance participants in 2013 was 199 patients every month. Meanwhile, in 2014, the number of BPJS patients reached 668. Doctors’ work performance became less optimal since they worked without motivation, shown by the high (36%) referral ratio. Ngesrep PHC referred the patients with diseases that could be treated by Health Care Provider Level I, such as Diabetes Mellitus, Vertigo, Bronchitis and Presbyopia. The goal of research was to identify factors that are related to the work motivation of the doctors in Ngesrep PHC. This research used a qualitative method with a descriptive approach. The data collection was undertaken using an in-depth interview. This research found that there is additional administrative work. There are no training opportunities; supervision is undertaken incidentally through personal interviews. The physical and psychological working conditions not conducive enough. The facilities are not adequate to support doctors’ work. The incentives do not yet conform to doctors’ workloads. It is advised that the head of PHC should cooperate with BPJS in improving work performance, providing training opportunities and incentivizing the doctors.

The Working Motivation of Doctors in the Era of National Health Insurance in Ngesrep Primary Health Care (PHC) 2015