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Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan pemanfaatan pelayanan kesehatan gigi dan mulut pada penduduk Indonesia. Metode yang digunakan adalah cross-sectional dengan menggunakan data Riset Kesehatan Dasar (Riskesdas) dan Survei Sosial Ekonomi Nasional (Susenas) tahun 2007. Responden pada penelitian ini minimal berusia 12 tahun keatas (N = 725,966). Dari hasil analisis deskriptif didapatkan gambaran pemanfaatan pelayanan kesehatan gigi dan mulut kuratif dan preventif. Hasil uji regresi logistik memperlihatkan bahwa faktor predisposisi (umur, jenis kelamin, status kawin, pendidikan, pekerjaan utama, perilaku menggosok gigi), faktor pendukung (ketersediaan jaminan kesehatan, status ekonomi, wilayah domisili, rural/urban) dan faktor need (status kesehatan gigi dan mulut) berhubungan dengan pemanfaatan pelayanan kesehatan gigi dan mulut kuratif dan preventif. Status kesehatan gigi dan mulut serta ketersediaan asuransi kesehatan merupakan variabel yang paling berhubungan dengan pemanfaatan pelayanan kesehatan gigi dan mulut kuratif dan preventif. Dari penelitian ini dapat disimpulkan bahwa pemanfaatan pelayanan kesehatan gigi dan mulut kuratif dan preventif di Indonesia berhubungan dengan faktor predisposisi, pendukung dan need. Kata kunci : pemanfaatan pelayanan kesehatan gigi dan mulut, faktor, Indonesia
The objective of this study was to analyze factors associated with curative and preventive dental care utilization in Indonesian population. This study used secondary cross-sectional data from the Indonesian Basic Health Research 2007 and Indonesian National Socio-Economic Survey 2007. Respondent included individuals at least 12 years old (N = 725,966). Descriptive analyses was used to describe the curative and preventive dental care utilization. Multivariate logistic regression analyses showed that predisposing factors (age, gender, marital status, education, occupation, and toothbrushing behavior), enabling factors (health insurance, economic status, domicile, rural/urban) and need factor (dental health status) were associated with curative and preventive dental care utilization. Moreover also found that both dental health status and health insurance were the most associated variables with curative and preventive dental care utilization. This study concluded that curative and preventive dental care utilization in Indonesia were influenced by all the three predisposing, enabling, and need factors. Keywords : dental care utilization, factors, Indonesia
Program Keluarga Harapan (PKH) aims to improve the standard of living of the community by accommodating the utilization of health services. One health component that is required as a PKH Beneficiary Family (KPM) is that pregnant women must deliver in a health care facility. The purpose of this study is to look at the effect of PKH on the use of health facilities for delivery in Indonesia. This study used a cross sectional design using Susenas and Podes data in 2018 with a total sample of 8,636 mothers aged 15-49 who had had their last live deliver in the two-year period before the survey was conducted. The analysis uses the Propensity Score Matching (PSM) method with the Logit model that looks at the OR value. PKH has an influence on the use of maternity in health facilities. Dominant
factors that influence mothers in utilizing health facilities for deliveryh are urban residential areas, mothers and household heads with higher education, ownership of communication and information tools, ownership of transportation facilities and complementary assistance JKN-PBI. PKH implantation and other supporting factors have beneficial benefits quite large in order to help the community, especially the poor and vulnerable population to get the right to Utilize health care facilities for delivery.
The high cost of treatment is one of the obstacles in accessing affordable health services for the poor and vulnerable, so the Indonesian government created the JKN program through a guarantee scheme for contributions / subsidy assistance to ensure groups meet health care needs without difficulty paying. This study aims to determine the effect of health insurance on the utilization and cost of outpatient health services (OOP) for participants in subsidized and non-subsidized insurance. The study design was cross- sectional and quantitative approach of secondary data (data Susenas 2018) with the amount of research sampels which fit with inclusive criteria was 66,132 respondents. The analysis shows that the existence of health insurance can increase the utilization of outpatient health care services for subsidized is 49% and non-subsidized is 48% and from the results of the analysis there are still OOP in outpatient health services due to the dual role of providers and asymmetries. information that causes the supplier induced demand (SID). Therefore it is necessary to monitor and evaluate the BPJS Health control function so that the goal of health insurance can provide financial protection can be realized.
