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Laporan Pelaksanaan Program JPKMM Puskesmas Warung Jambu Tahun 2007 tentang kunjungan peserta Jamkesmas ke pelayanan kesehatan mencatat hanya sebanyak 7,7 %. Sedangkan pada tingkat Puskesmas, diharapkan peserta yang dapat dilayani sebanyak 15 % - 20 % dari total penduduk miskin di suatu wilayah kerja. Tidak tercapainya target utilisasi pelayanan kesehatan dapat berdampak pada rendahnya status kesehatan penduduk. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang mempengaruhi utilisasi pelayanan kesehatan Puskesmas Warung Jambu di Kecamatan Bogor Utara Tahun 2008. Penelitian ini menggunakan disain Cross Sectional, yang dilakukan pada Bulan November 2008 pada 118 responden yang memiliki kartu Jamkesmas dan dalam tiga bulan terakhir pernah ke Puskesmas. Variabel dependen adalah utilisasi pelayanan kesehatan, variabel independen adalah faktor predisposisi (pendidikan, pengetabuan, sikap dan persepsi), faktor enabling (ketersediaan pelayanan, jarak, waktu, sarana dan biaya transportasi serta waktu tunggu layanan) dan faktor reinforcing (dukungan petugas dan dukungan keluarga). Hasil penelitian diperoleh sebanyak 56,8 % responden menggunakan pelayanan kesehatan di Puskesmas dalam 3 bulan terakhir. Hasil uji statistik menunjukkan ada hubungan yang bermakna antara waktu tunggu layanan dengan utilisasi pelayanan kesehatan Puskesmas setelah dikontrol pengetahuan dan dukungan petugas, dimana responden yang menilai waktu tunggu layanan singkat berpeluang 2,3 kali untuk menggunakan pelayanan kesehatan Puskesmas dibandingkan dengan responden yang menilai waktu tunggu layanan lama. Berdasarkan hasil tersebut maka untuk meningkatkan utilisasi pelayanan kesehatan Puskesmas perlunya mempersingkat waktu tunggu layanan dengan cara mempercepat proses pendaftaran, menerapkan pelaksanaan SOP pada pemeriksaan pasien tanpa mengorbankan waktu tunggu pasien lain dan membuat sebuah sistem pelayanan yang terpadu pada alur pelayanan.
JPKMM program at Warung Jambu health center reported that in 2007 there were only 7,7% of Jamkesmas participants who used public health center. Meanwhile, at the level of health centers, it is expected that participants can be as much as 15% - 20% of the total population in a poor area. The non optimum utilization of health services can impact on the low health status of the popUlation. This study objective is to know the ractors that affect the utilization of health services at Warung Jambu health centers in the sub-district of North Bogor in 2008. This research is using cross sectional design, conducted in November 2008 following by 118 respondents who have Jamkesmas card and in the last three months have been to health center. The dependent variable is the utilization of health services, the independent variables are predisposing factors (education, knowledge, attitudes and perceptions), enabling factors (the availability of services, distance, time, cost and facilities of transporiation and waitting time services) and reinforcing factors (health worker and family support). Research revealed 56.8% of respondents use health services at health centers. Statistic test showed thst there is significant relationship of the waitting time of service to utilization of health services at the health center controlled by the knowledge and health worker support, where respondents who rate the waitting time services are good likely to use health services at health centers 2,3 times higher compared by respondents who rate the waitting time service less. Based On these results. in order to improve health services utilization at public health center by improving the performance of waitting time service. By speed up the registration desk, use strandard operational procedure on patient checking whitout neglecting other patient waitting time service and make the better system in service low.
Chronic Kidney Disease (CKD) poses a significant financial burden, making the utilization of Advanced Outpatient Services (AOS) crucial, especially for National Health Insurance (JKN) participants. This cross sectional study involved 498 CKD patients who used AOS in 2023. The results showed that age, sex, marital status, membership segmentation, class of care entitlement, and facility ownership were significantly associated with AOS utilization (p<0.05). Age ≥65 years was the most dominant factor (AOR: 1.48; 95% CI: 1.29–1.69). All variables had a significant influence on the utilization of AOS among CKD patients.
Backgorund: The high of outpatient revisit in hospital from INA CBG Claims with grouping code Q-5-44-0 since 2014 can be a burden on health assurance (JKN) financing. Based on INA CBG system, grouping code: Q- 5-44-0 is set for follow up after treatment visit at secondary health facilities. This condition needs indepth analysis to find factor which is related with outpatient revisit rate. Methodology: This study used a cross-sectional study (quantitative methods) to observe relationship between independent variables of JKN participant (gender, age cluster, participant cluster) and hospital (ownership type, hospital referral class, specialist clinic) with outpatient revisit rate (dependent variable). Sample size were 2.947 participant identities as uniqely code which is presented every participant from nine branch offices of BPJS Kesehatan (Indonesia administration bodies of social health security). Results: the average number of 9.96 visits in 2017 was highest in Class B FKRTL (51.5%) and the highest specialist poly destination was internal medicine poly (27.5%). There is no average difference between the number of outpatient revisit for women and men, there is no difference in the average number of outpatient revisit between government and private ownership, and there is no difference in the number of outpatient revisit between age groups. There is an average difference in the number of outpatient revisit between subsidized participan and Non-subsidized participan, there are differences in the number of outpatient revisit between hospital classes, and there is a significant difference in the number of outpatient revisit between specialists clinic. Hospital class and specialist clinic have a positive influence on the number of return visits while the participation segment has a negative influence on the number of return visits. Non-subsidized participan, hospital class B, neurosurgical poly, gastrology poly, geriatric poly, kidney poly, emergency clinic, eye clinic, poly obgyn, and poly rheumatology had negative effect while subsidized participan, hospital class A, C, and with other specialist clinic had a positive effect on the number of outpatient revisit.
This study aims to determine how the determinants of inpatient utilization of JKN participants in the elderly who are cardiovascular patients in the DI Yogyakarta Province based on BPJS Sample Data in 2019. This study used a cross-sectional design to obtain variables that affect the inpatient utilization of JKN participants in the elderly who are cardiovascular patients and analysis is limited to 192 total samples with the chi-square analysis test. The sampling technique used the total sampling technique and was in accordance with the inclusion and exclusion criteria. For the 192 total samples, respondents who utilized inpatient facilities the most were in the male gender (61.0%), pre-elderly age group (45-59 years) (69.8%), has unmarried status (66.7%), residing in the Gunungkidul Regency (84.6%), FKTP puskemas (61.3%), public sector (64.3%), PBI APBD participant (100.0%), nursing class I and II (100.0%), and had no comorbidities (75.6%). Variables that have a significant relationship with the use of RITL are age characteristics, area of residence (Gunungkidul Regency and Bantul Regency), membership segments (PBI APBD and PBI APBN), nursing class (class III), and comorbidities. The study also represented that PBI JKN is able to increase access to the poor citizen.
This study aims to determine the factors related to the utilization of advanced inpatient care (RITL) in FKRTL by JKN participants in the North Sulawesi Province in the year both before the COVID-19 pandemic (2019) and during the COVID-19 pandemic (2020). This research is quantitative with a cross-sectional study design using secondary data in the form of BPJS Health Sample Data 2019-2020. The sample obtained came from the total sampling method, so that samples that meet the inclusion and exclusion criteria will be included. The total sample obtained in 2019 was 24,748, while the total sample obtained in 2020 was 25,902 participants. The relationship test was analyzed through the Single Logistic Regression test. The results of the study show that overall there is a decrease in inpatient utilization after the COVID-19 pandemic compared to before the COVID-19 pandemic. RITL services both before the COVID-19 pandemic (2019) and during the COVID-19 pandemic (2020) were widely accessed by participants in the elderly group (7.39% and 4.13%), women (6.49% and 4. 46%), the group of participants with divorced status (12.16% and 6.58%), the group of wives (7.44% and 6.06%), the group of participants with a history of PM and PTM (11.36% and 7, 78%), the right to care class I (7.67% and 6.54%), the PBPU segmentation group (9.66% and 8.53%), the group who had accessed outpatient care in FKTP (9.09% and 5.89%) and FKRTL (17.51% and 10.85%), participants registered in clinic type FKTP (8.04% and 6.64%), participants registered in privately owned FKTP (7.19% and 5.84%, and the group of participants who live in cities (6.03% and 4.20%). All variables have a significant relationship with RITL utilization both before the COVID-19 pandemic or during the COVID-19 pandemic.