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Syifa Nur Azizah; Pembimbing: Kurnia Sari; Penguji: Purnawan Junadi, Erfan Chandra Nugraha
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Penelitian ini menganalisis pemanfaatan pelayanan rawat jalan tingkat lanjut oleh penderita skizofrenia di Indonesia, yang merupakan peserta JKN pada tahun 2023. Penelitian ini menggunakan pendekatan cross-sectional dengan menggunakan data sekunder, yaitu Data Kontekstual Kesehatan Mental Tahun 2024 yang merupakan bagian dari Data Sampel BPJS tahun 2024. Hasil penelitian menunjukkan bahwa mayoritas penderita skizofrenia (68,1%) peserta tidak rutin (>12 kali/tahun) dalam melakukan pelayanan rawat jalan. Faktor-faktor yang berhubungan dengan pemanfaatan rawat jalan tingkat lanjut diantaranya faktor usia, jenis kelamin, status pernikahan, hubungan keluarga, segmentasi peserta, hak kelas rawat, lokasi FKRTL, serta jenis kepemilikan FKRTL. Temuan ini menunjukkan bahwa perlunya penguatan kebijakan yang mendukung kemudahan akses bagi penderita skizofrenia serta peningkatan inovasi dalam program intervensi yang dilakukan kepada penderita serta keluarga penderita skizofrenia.
This study analyzes the utilization of referral outpatient services by schizophrenia patients in Indonesia who are participants in the National Health Insurance (JKN) program in 2023. The study employs a cross-sectional approach using secondary data, specifically the 2024 Mental Health Contextual Data, which is part of the 2024 BPJS Sample Data. The results indicate that the majority of schizophrenia patients (68.1%) who are participants do not regularly (more than 12 times per year) utilize outpatient services. Factors associated with the utilization of referral outpatient services include age, gender, marital status, family relationships, participant segmentation, class of care, location of the FKRTL, and type of FKRTL ownership. These findings highlight the need for strengthened policies supporting easier access for schizophrenia patients, as well as increased innovation in intervention programs targeting both patients and their families.
S-11974
Depok : FKM-UI, 2025
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Vania Nabiyla Zhafiirah; Pembimbing: Vetty Yulianty Permanasari; Penguji: Pujiyanto, Yusuf Subekti
Abstrak:
Penyakit Ginjal Kronik (PGK) menimbulkan beban pembiayaan yang tinggi, sehingga pemanfaatan layanan Rawat Jalan Tingkat Lanjut (RJTL) menjadi krusial, terutama bagi peserta JKN. Penelitian ini menggunakan desain cross-sectional pada 498 pasien PGK pengguna RJTL tahun 2023. Hasil menunjukkan bahwa faktor usia, jenis kelamin, status perkawinan, segmentasi kepesertaan, hak kelas rawat, dan kepemilikan fasilitas berhubungan signifikan dengan utilisasi RJTL (p<0,05). Usia ≥65 tahun menjadi faktor paling dominan (AOR: 1,48; 95% CI: 1,29–1,69). Seluruh variabel memiliki pengaruh signifikan terhadap pemanfaatan layanan RJTL pada pasien PGK.
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.
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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.
S-11971
Depok : FKM-UI, 2025
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Latin Vania Nisrina; Pembimbing: Vetty Yulianty Permanasari; Penguji: Atik Nurwahyuni, Erfan Chandra Nugraha
Abstrak:
Penelitian ini menganalisis pemanfaatan pelayanan kesehatan di Fasilitas Kesehatan Tingkat Pertama (FKTP) oleh penderita hipertensi yang terdaftar sebagai peserta JKN pada tahun 2022. Desain penelitian menggunakan pendekatan cross-sectional dengan data sampel BPJS 2023. Hasil penelitian menunjukkan bahwa mayoritas penderita hipertensi (96,4%) memanfaatkan FKTP yang jarang, yaitu kurang dari 12 kali dalam setahun, sedangkan hanya 3,6% yang memanfaatkan secara sering (≥12 kali). Faktor-faktor yang memiliki hubungan signifikan dengan pemanfaatan layanan meliputi usia, jenis kelamin, status perkawinan, kelas rawat, segmentasi peserta, dan regional wilayah. Faktor dominan adalah usia, dengan peserta berusia ≥65 tahun memiliki peluang tertinggi untuk sering memanfaatkan layanan (OR = 33,41, 95% CI: 27,08-41,22). Temuan ini menunjukkan perlunya peningkatan akses dan edukasi pada layanan kesehatan primer, terutama bagi kelompok risiko tinggi. Hasil penelitian dapat menjadi acuan bagi pengambilan kebijakan dalam pengelolaan hipertensi di FKTP.
This study analyzes the utilization of healthcare services at Primary Healthcare Facilities (FKTP) by hypertension patients registered as participants of the National Health Insurance (JKN) in 2022. The research design employed a cross-sectional approach with BPJS 2023 sample data. The results show that the majority of hypertension patients (96.4%) utilized FKTP services fewer than 12 times a year, while only 3.6% utilized them frequently (≥12 times). Significant factors associated with service utilization include age, gender, marital status, care class, participant segmentation, and regional area. The dominant factor is age, with participants aged ≥65 years having the highest likelihood of frequent service utilization (OR = 33.41, 95% CI: 27.08-41.22). These findings indicate the need for improved access and education on primary healthcare services, especially for high-risk groups. The results can serve as a reference for policy making in hypertension management at FKTP.
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This study analyzes the utilization of healthcare services at Primary Healthcare Facilities (FKTP) by hypertension patients registered as participants of the National Health Insurance (JKN) in 2022. The research design employed a cross-sectional approach with BPJS 2023 sample data. The results show that the majority of hypertension patients (96.4%) utilized FKTP services fewer than 12 times a year, while only 3.6% utilized them frequently (≥12 times). Significant factors associated with service utilization include age, gender, marital status, care class, participant segmentation, and regional area. The dominant factor is age, with participants aged ≥65 years having the highest likelihood of frequent service utilization (OR = 33.41, 95% CI: 27.08-41.22). These findings indicate the need for improved access and education on primary healthcare services, especially for high-risk groups. The results can serve as a reference for policy making in hypertension management at FKTP.
S-11814
Depok : FKM UI, 2025
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Reviana Annisa Mulyani; Pembimbing: Vetty Yulianty Permanasari; Penguji: Jaslis Ilyas, Erfan Chandra Nugraha
Abstrak:
Hipertensi merupakan penyakit tidak menular dengan prevalensi tinggi yang membutuhkan pemanfaatan pelayanan kesehatan secara berkelanjutan, khususnya melalui Program Jaminan Kesehatan Nasional (JKN). Penelitian ini bertujuan menganalisis utilisasi pelayanan rawat jalan di Fasilitas Kesehatan Tingkat Pertama oleh peserta JKN penderita hipertensi di Provinsi Jawa Barat tahun 2023. Penelitian ini menggunakan desain cross-sectional dengan data sekunder dari Data Sampel BPJS Kesehatan tahun 2023 dan dianalisis secara univariat, bivariat, serta multivariat. Hasil penelitian menunjukkan bahwa usia, jenis kelamin, jenis FKTP, segmentasi kepesertaan, dan wilayah tempat tinggal berhubungan dengan utilisasi pelayanan rawat jalan. Hypertension is a major non-communicable disease requiring continuous health service utilization through the National Health Insurance (JKN) program. This study aimed to analyze outpatient service utilization at Primary Health Care Facilities among JKN participants with hypertension in West Java Province in 2023. This cross-sectional study used secondary data from the 2023 BPJS Kesehatan Sample Data and applied univariate, bivariate, and multivariate analyses. The results showed that age, sex, type of primary health care facility, membership segmentation, and area of residence were associated with outpatient service utilization.
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S-12189
Depok : FKM-UI, 2026
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Tsabitah Addinni; Pembimbing: Helen Andriani; Penguji: Ede Surya Darmawan, Maria Hotnida
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Penyakit Paru Obstruktif Kronik (PPOK) merupakan penyebab kematian keempat tertinggi di dunia, dengan total sekitar 3,5 juta kematian pada tahun 2021 menurut data WHO. Jumlah ini setara dengan 5% dari seluruh kematian global. Di Indonesia, PPOK termasuk dalam 20 besar penyakit dengan kunjungan rawat jalan tingkat lanjut (RJTL) terbanyak berdasarkan ICD selama delapan tahun terakhir, dari 2017 hingga 2024. Mengingat PPOK adalah penyakit kronis yang membutuhkan penanganan jangka panjang dan stabil, integrasi layanan primer dan lanjutan menjadi kunci keberhasilan pengelolaannya. Penelitian ini bertujuan untuk mengetahui pola pemanfaatan layanan kesehatan tingkat primer dan lanjutan oleh peserta Jaminan Kesehatan Nasional (JKN) yang menderita PPOK di Indonesia, serta faktor-faktor yang memengaruhinya berdasarkan karakteristik predisposisi, kemampuan, dan sistem pelayanan kesehatan. Desain penelitian ini adalah kuantitatif dengan pendekatan cross-sectional menggunakan Data Sampel BPJS Kesehatan tahun 2024. Total sampel yang dianalisis adalah 5.281 sebelum pembobotan. Analisis data dilakukan menggunakan tabulasi silang, uji chi-square, dan regresi logistik multinomial. Hasil penelitian menunjukkan bahwa pemanfaatan layanan kesehatan oleh penderita PPOK didominasi oleh layanan tingkat primer (73,3%). Pemanfaatan layanan tingkat lanjut saja lebih tinggi (16%) dibandingkan dengan integrasi layanan primer dan lanjutan (10,6%). Ditemukan bahwa karakteristik predisposisi, kemampuan, dan sistem pelayanan kesehatan berhubungan secara signifikan dengan pola pemanfaatan layanan kesehatan tingkat primer dan lanjutan pada penderita PPOK di Indonesia. Temuan ini menekankan pentingnya penguatan pelayanan penapisan dan program rujuk balik (PRB), penerapan pendekatan pelayanan yang holistik, serta integrasi yang lebih kuat antara layanan primer dan lanjutan untuk meningkatkan efektivitas penatalaksanaan PPOK.
Kata kunci: Penyakit paru obstruktif kronik (PPOK), Utilisasi Pelayanan Kesehatan, Jaminan Kesehatan Nasional (JKN), Data Sampel BPJS Kesehatan
Chronic Obstructive Pulmonary Disease (COPD) is the fourth leading cause of death globally, with approximately 3.5 million deaths reported in 2021, according to WHO data. This figure accounts for around 5% of all global deaths. In Indonesia, COPD has consistently ranked among the top 20 diseases with the highest number of advanced outpatient visits (RJTL) based on ICD data from 2017 to 2024. Given that COPD is a chronic condition requiring long-term and stable management, integration between primary care services and advanced care services is essential to ensure comprehensive disease management. This study aims to examine the pattern of primary and advanced healthcare service utilization among participants of the National Health Insurance (JKN) who suffer from COPD in Indonesia, and to identify influencing factors based on predisposing characteristics, enabling resources, and the healthcare system. The research used a quantitative cross-sectional design, utilizing the 2024 Sample Data from BPJS Kesehatan. A total of 5,281 samples were analyzed prior to weighting. Data analysis was conducted using cross-tabulation, chi-square tests, and multinomial logistic regression. The findings reveal that healthcare service utilization by COPD patients is predominantly at the primary care level (73.3%). The utilization of advanced care services alone (16%) was higher than the integrated healthcare services (10.6%). It was also found that predisposing characteristics, enabling factors, and the healthcare system were significantly associated with the pattern of healthcare utilization among COPD patients in Indonesia. These findings highlight the importance of strengthening early diagnostic capacity for COPD at primary healthcare facilities, implementing a holistic service approach, and enhancing integration between primary and advanced care to improve the effectiveness of COPD management. These findings highlight the importance of strengthening screening services and the Back Referral Program (PRB), implementing a holistic approach to care, and fostering stronger integration between primary and secondary care services to enhance the effectiveness of COPD management.
S-11977
Depok : FKM-UI, 2025
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Melati Amanah; Pembimbing: Atik Nurwahyuni; Penguji: Kurnia Sari, Donni Hendrawan
Abstrak:
Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan utilisasi rawat jalan di Rumah Sakit atau FKRTL yang dilakukan oleh Peserta JKN di Wilayah Provinsi Banten Tahun 2016. Penelitian ini merupakan penelitian kuantitatif dengan desain cross sectional menggunakan Data Sampel BPJS Kesehatan Tahun 2015-2016. Sampel yang diperoleh sebesar 41.181 peserta. Uji hubungan dianalisis dengan menggunakan Chi-square.
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S-10575
Depok : FKM-UI, 2021
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Athifa Asha Calista; Pembimbing: Atik Nurwahyuni; Penguji: Pujiyanto, Erfan Chandra Nugraha
Abstrak:
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Latar Belakang: Osteoarthritis (OA) merupakan salah satu penyakit muskuloskeletal kronis yang berdampak pada kualitas hidup dan fungsi gerak, terutama pada kelompok usia lanjut. Fisioterapi menjadi salah satu layanan penting dalam penanganan OA, khususnya di fasilitas kesehatan rujukan tingkat lanjutan (FKRTL). Tujuan: Penelitian ini bertujuan untuk menganalisis utilisasi pelayanan rawat jalan fisioterapi pada peserta BPJS Kesehatan dengan diagnosis Osteoarthritis. Metode: Penelitian ini menggunakan desain penelitian non-eksperimental dengan pendekatan kuantitatif berdasarkan data sekunder dari sampel BPJS Kesehatan tahun 2024. Hasil: Hasil penelitian menunjukkan bahwa sebagian besar peserta dengan osteoarthritis (OA) memanfaatkan fisioterapi di FKRTL dengan frekuensi rendah (<8 sesi), yakni sebesar 88,6%. Seluruh variabel independen (karakteristik peserta dan pelayanan) memiliki hubungan signifikan terhadap pemanfaatan layanan fisioterapi. Faktor dominan adalah variabel usia, terutama pada kelompok dewasa akhir (36–45 tahun) dengan OR 1,90 (95% CI: 1,81–2,01). Kesimpulan: Temuan ini menunjukkan perlunya peningkatan edukasi dan intervensi promotif-rehabilitatif secara lebih aktif, khususnya pada kelompok yang memiliki risiko tinggi osteoarthritis, guna mendorong pemanfaatan fisioterapi secara optimal dalam pengelolaan osteoarthritis.
Background: Osteoarthritis (OA) is one of the most common chronic musculoskeletal disorders that affects quality of life and physical function, particularly among the elderly. Physiotherapy plays an essential role in OA management, especially in advanced referral health facilities (FKRTL). Objective: This study aims to analyze the utilization of outpatient physiotherapy services among BPJS Kesehatan participants diagnosed with osteoarthriti. Methods: This research employed a non-experimental study design with a quantitative approach, using secondary data from the 2024 BPJS Kesehatan sample. Results: The results show that the majority of osteoarthritis (OA) participants utilized physiotherapy services at advanced referral health facilities (FKRTL) with low frequency (<8 sessions), accounting for 88.6%. All independent variables comprising both participant and service characteristics were significantly associated with physiotherapy utilization. The dominant factor was age, particularly in the late adulthood group (36–45 years), with an odds ratio (OR) of 1.90 (95% CI: 1.81–2.01). Conclusion: These findings highlight the need for increased education and more active promotive-rehabilitative interventions, especially among groups at high risk of osteoarthritis, to encourage optimal physiotherapy utilization in OA management.
Background: Osteoarthritis (OA) is one of the most common chronic musculoskeletal disorders that affects quality of life and physical function, particularly among the elderly. Physiotherapy plays an essential role in OA management, especially in advanced referral health facilities (FKRTL). Objective: This study aims to analyze the utilization of outpatient physiotherapy services among BPJS Kesehatan participants diagnosed with osteoarthriti. Methods: This research employed a non-experimental study design with a quantitative approach, using secondary data from the 2024 BPJS Kesehatan sample. Results: The results show that the majority of osteoarthritis (OA) participants utilized physiotherapy services at advanced referral health facilities (FKRTL) with low frequency (<8 sessions), accounting for 88.6%. All independent variables comprising both participant and service characteristics were significantly associated with physiotherapy utilization. The dominant factor was age, particularly in the late adulthood group (36–45 years), with an odds ratio (OR) of 1.90 (95% CI: 1.81–2.01). Conclusion: These findings highlight the need for increased education and more active promotive-rehabilitative interventions, especially among groups at high risk of osteoarthritis, to encourage optimal physiotherapy utilization in OA management.
S-12035
Depok : FKM UI, 2025
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Siti Zahrotun Ngaliyah; Pembimbing: Mardiati Nadjib; Penguji: Vetty Yulianty Permanasari, Ari Purwohandoyo
Abstrak:
Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan utilisasi rawat inap tingkat lanjut peserta JKN pada lansia yang merupakan pasien kardiovaskular di wilayah Provinsi DI Yogyakarta berdasarkan Data Sampel BPJS Kesehatan Tahun 2019. Penelitian ini merupakan penelitian kuantitatif dengan menggunakan desain penelitian cross sectional. Total sampel yang diperoleh sebesar 192 peserta. Teknik pengambilan sampel menggunakan teknik total sampling dan sesuai dengan kriteria inklusi dan eksklusi yang telah ditetapkan dengan uji analisis chi-square untuk mengetahui hubungan antar variabel. Hasil penelitian diperoleh bahwa utilisasi rawat inap pada peserta JKN yang memiliki penyakit kardiovaskular di Yogyakarta sebagian besar diakses oleh peserta dengan jenis kelamin laki-laki (61.0%), kelompok umur pra lansia (45-59 tahun) (69.8%), memiliki status belum kawin (66.7%), bertempat tinggal di wilayah Kabupaten Gunungkidul (84.6%), jenis FKTP puskesmas (61.3%), kepemilikan FKRTL milik pemerintah (64.3%), segmen peserta PBI APBD (100.0%), hak kelas rawat I dan II (100.0%), tidak memiliki penyakit penyerta atau komorbiditas (75.6%). Variabel yang memiliki hubungan secara signifikan dengan utilisasi RITL adalah karakteristik umur, wilayah tempat tinggal (Kabupaten Gunungkidul dan Kabupaten Bantul), segmentasi kepesertaan (PBI APBD dan PBI APBN), serta komorbiditas. Penelitian ini juga menunjukkan bahwa PBI JKN mampu meningkatkan akses pelayanan kesehatan pada masyarakat miskin.
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.
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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.
S-11060
Depok : FKM-UI, 2022
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Gio Sandi; Pembimbing: Atik Nurwahyuni; Penguji: Vetty Yulianty Permanasari, Fajar Ariyanti
Abstrak:
Penelitian ini bertujuan untuk mengetahui terkait faktor-faktor yang berhubungan dengan utilisasi rawat inap tingkat lanjut (RITL) di FKRTL oleh peserta JKN di wilayah Provinsi Sulawesi Utara pada tahun baik sebelum pandemi COVID-19 (2019) dan saat pada pandemi COVID-19 (2020). Penelitian ini bersifat kuantitatif dengan desain studi cross-sectional menggunakan data sekunder berupa Data Sampel BPJS Kesehatan 2019-2020. Sampel yang diperoleh berasal dari metode total sampling, sehingga sampel yang memenuhi kriteria inklusi dan ekslusi akan diikutsertakan. Total sampel yang diperoleh pada tahun 2019 sebesar 24.748, sedangkan total sampel yang diperoleh pada tahun 2020 sebesar 25.902 peserta. Uji hubungan dianalisis melalui uji Single Logistic Regression. Hasil dari penelitian menunjukkan bahwa secara keseluruhan terjadi penurunan utilisasi rawat inap setelah pandemi COVID-19 dibandingkan sebelum pandemi COVID-19. Layanan RITL baik pada saat sebelum pandemi COVID-19 (2019) maupun saat pandemi COVID-19 (2020) banyak diakses oleh peserta kelompok lansia (7,39% dan 4,13%), kelompok perempuan (6,49% dan 4,46%), kelompok peserta dengan status cerai (12,16% dan 6,58%), kelompok istri (7,44% dan 6,06%), kelompok peserta dengan riwayat PM dan PTM (11,36% dan 7,78%), kelompok hak kelas rawat I (7,67% dan 6,54%), kelompok segmentasi PBPU (9,66% dan 8,53%), kelompok yang pernah mengakses rawat jalan di FKTP (9,09% dan 5,89%) dan FKRTL (17,51% dan10,85%), peserta yang terdaftar di FKTP jenis klinik (8,04% dan 6,64%), peserta yang terdaftar di FKTP milik swasta (7,19% dan 5,84%), dan kelompok peserta yang tinggal di kota (6,03% dan 4,20%). Seluruh variabel memiliki hubungan yang bermakna dengan utilisasi RITL baik sebelum pandemi COVID-19 ataupun saat pandemi COVID-19.
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.
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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.
S-11068
Depok : FKM-UI, 2022
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Asmira Dayanti; Pembimbing: Atik Nurwahyuni; Penguji: Kurnia Sari, Khaterina Kristina Manurung
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Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan utilisasi Rawat Jalan Tingkat Lanjut (RJTL) Oleh Peserta JKN Di Wilayah Provinsi Sumatera Utara. Penelitian ini merupakan penelitian kuantitatif dengan desain cross sectional menggunakan data sampel BPJS Kesehatan Tahun 2015-2019. Sampel yang diperoleh sebesar 64.697. Uji hubungan dianalisis melalui uji Single Logistic Regression dengan menggunakan software program pengolah data. Hasil penelitian didapatkan pemanfaatan pelayanan kesehatan rawat jalan di Sumatera Utara rendah yaitu 7,56% dan utilisasi kesehatan rawat jalan tingkat lanjut banyak diakses oleh peserta dengan kelompok lansia (12,75%), berjenis kelamin perempuan (9,01%), status pernikahan cerai (16,98%), hak kelas rawat kelas I (10,94%), dengan segmen kepesertaan PBPU (15,2%), hubungan keluarga sebagai istri (11,35%), jenis FKTP adalah klinik pratama (10,52%), kepemilikan faskes dari swasta (10,14%), berdomisili di wilayah Regional IV (9,62%) dan berdomisili di Kota (10,27%). Seluruh varaibel yang diteliti bermakna secara statistic untuk lebih berkemungkinan melakukan pelayanan kesehatan rawat jalan tingkat lanjut di Provinsi Sumatera Utara.
This study aims to determine the factors related to the utilization of Advanced Outpatient Care (RJTL) by Jkn Participants in the Province of North Sumatra (BPJS Health Sample Data for 2015-2019). This research is a quantitative study with a cross-sectional design using BPJS sample data. Health Year 2015-2019. The sample obtained was 64.697. Relationship test was analyzed using data processing program. The results showed that the utilization of outpatient health services in North Sumatra was low at 7.56% and the utilization of advanced outpatient health services was mostly accessed by participants with elderly age (12,75%), female (9,01%), divorce marital status (16,98%), class I care rights (10,94%), with the PBPU membership segment (15,2%), family relations as wife (11,35%), the type of FKTP is klinik pratama (10,52 %), ownership of health facilities from the private (10,14%), domiciled in Regional IV(9,62%) and domiciled in the district (10,27%). All the variables studied were statistically significant to be more likely to perform advanced outpatient health services in North Sumatra Province
S-11184
Depok : FKMUI, 2023
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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