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Kata kunci: Pemanfaatan pelayanan kesehatan, rawat jalan, IFLS 5, model perilaku Andersen
This study analyzes the factors associated with the utilization of outpatient health services in Indonesia. This is an observational study with a cross sectional design using data from the Indonesia Life Family Survey-5 2014 (IFLS 2014). The sample of total 25.212. The relationship test was analyzed using Chi-square. The results showed that the utilization of outpatient health services in Indonesia was quite low, amounting to 20.4%. Individuals with elderly characteristics (≥46 years), female, low education, unemployed, have high income levels, live in cities, have health insurance, and have chronic conditions are statistically more likely to use outpatient health services in Indonesia.
Key words: Health service utilization, outpatient, IFLS 5, Andersen behavioral model
Kata kunci: puskesmas, dokter keluarga, rate kunjungan, rasio rujukan.
This study aims to describe the utilization of health services at thefirst level outpatient on health centres and family doctor in Bogor. This study used a cross sectional design, which was done in December 2013 by using secondary data from PT. Askes (Persero) Bogor reports of visits andreferrals. The results showed that the average visits rate and referral ratio ofhealth center in Bogor from January to June 2013 was 14% and 29%. Whilethe average visits rate and referral ratio of primary health care phisician inBogor from January to June 2013 was 11% and 16%.
Keyword : health centre, family doctor, visits rate, referrals ratio
ABSTRAK
Penelitian yang menganalisis data kualitatif dan data sekunder ini bertujuanuntuk mengetahui potensi, manfaat dan tata laksana asuransi malpraktik medisbagi PPK tingkat pertama di era SJSN. Kejadian malpraktik medis di Indonesiamasih merupakan fenomena gunung es. Dokter mempunyai potensi mengalamikebangkrutan akibat gugatan ganti rugi oleh pasien dan/atau keluarganya,terutama akibat kerugian nonmateriel. Pada awal dilaksanakan SJSN, asuransimalpraktik medis diserahkan pada mekanisme pasar melalui perusahaan asuransikomersial. Sebaiknya asuransi malpraktik medis ini dikelola oleh badan hukumnirlaba dan bersifat wajib kepada seluruh dokter yang menjalin kerjasama denganBPJS.
ABSTRACTT
his study analyzed qualitative and secondary data to determine thepotential, benefit and governance of medical malpractice insurance for the generalpractitioners in the era of SJSN. The incidence of medical malpractice inIndonesia is still an iceberg phenomenon. Doctors have potential of bankruptcydue to the patient and/or the family lawsuit, especially non-material loss. In thebeginning of implementation SJSN, medical malpractice insurance will beprovided through the market mechanism, managed by a commercial insurancecompany. Ideally, the medical malpractice insurance is managed by a non-profitcompany and obligatory to all doctors who establish cooperation with BPJS.
