Latar Belakang: Stroke menyumbang angka kecacatan jangka panjang yang berdampak pada aktivitas sehari-hari pasien dan pemulihannya memerlukan penaganan rehabilitasi medik yang berkelanjutan. Layanan rehabilitasi medik di Fasilitas Kesehatan Rujukan Tingkat Lanjutan (FKRTL) menjadi salah satu layanan esensial dalam penanganan pasien stroke dengan defisit fungsional. Tujuan: Menganalisis pemanfaatan layanan rehabilitasi medik serta faktor-faktor yang berhubungan pada pasien stroke peserta JKN di FKRTL. Metode: Desain cross sectional dengan pendekatan kuantitatif berdasarkan data sekunder berupa Data Sampel BPJS Kesehatan Tahun 2024-2025. Hasil: Selama masa perawatan 1 tahun setelah pulang dari rawat inap, pemanfaatan kelompok kunjungan rendah (≤8 kunjungan) sebesar 50,3% dan kunjungan tinggi (>8 kunjungan) sebesar 49,7%, dengan penumpukan terbesar pada pasien yang hanya berkunjung satu kali dalam setahun setelah pulang rawat inap (17,4%), sehingga pemanfaatan berpotensi belum optimal. Seluruh variabel independen (karakteristik peserta, klinis, dan pelayanan) berhubungan signifikan dengan pemanfaatan layanan rehabilitasi medik, dengan peserta yang tinggal di Kalimantan (OR = 10,364; 95% CI = 8,879–12,097), memanfaatkan di RS Tipe A (OR = 6,315; 95% CI = 5,707–6,987), dan memiliki hak kelas rawat Kelas I (OR = 6,311; 95% CI = 5,815–6,848) menjadi kelompok dengan probabilitas tertinggi untuk memanfaatkan layanan rehabilitasi medik. Kesimpulan: Temuan ini menunjukkan perlunya penguatan kontinuitas layanan melalui rehabilitasi yang lebih fleksibel, pemerataan tenaga dan fasilitas rujukan, penjaminan akses bagi kelompok kebutuhan tinggi dengan pemanfaatan rendah, serta penguatan upaya promotif berupa edukasi dan sosialisasi pemanfaatan layanan kepada pasien dan caregiver untuk mendukung kesinambungan utilisasi rehabilitasi medik dalam mencegah perburukan fungsional dan stroke berulang pada pasien stroke, guna mendorong pemanfaatan yang optimal dan berkeadilan dalam pengelolaan defisit fungsional pada pasien stroke selama masa pemulihan.

Background: Stroke contributes to long-term disability that affects patients's daily activities, and its recovery requires sustained medical rehabilitation management. Medical rehabilitation services at Advanced Referral Health Facilities (FKRTL) constitute one of the essential services in the management of stroke patients with functional deficits. Objective: This study aims to analyze the utilization of outpatient medical rehabilitation services and the factors associated with it among stroke patients insured by the National Health Insurance (JKN) at FKRTL. Methods: This study employed a cross sectional design with a quantitative approach, using secondary data from the 2024–2025 BPJS sample data. Results: Over a one-year period after discharging from inpatient care, 50.3% of patients are in the low-frequency utilization group (≤8 visits) and 49.7% are in the high-frequency group (>8 visits), with the largest concentration among patients who attended only a single visit per year (17.4%), indicating that utilization remains potentially suboptimal. All independent variables, comprising participant, clinical, and service characteristics, were significantly associated with the frequency of medical rehabilitation visits with participants residing in Kalimantan (OR = 10.364; 95% CI = 8.879–12.097), treated at Type A hospitals (OR = 6.315; 95% CI = 5.707–6.987), and entitled to Class I inpatient care (OR = 6.311; 95% CI = 5.815–6.848) constituting the group with the highest probability of utilizing medical rehabilitation services. Conclusion: This study finds that strengthening the continuity of care is needed through more flexible rehabilitation models, a more equitable distribution of personnel and referral facilities, guaranteed access for groups with high need but low utilization, and strengthened promotive efforts through education and outreach on service utilization for patients and caregivers to support continuity of the utilization of medical rehabilitation in preventing functional decline and recurrent stroke, in order to promote optimal and equitable service utilization in the management of functional deficits in stroke patients during recovery period.