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Implementation of the JKN program should be able to increase people's access to health services. However, disparities in health services still exist. The study aims to analyze the utilization of health services based on regional status for JKN participants in Indonesia from 2019 to 2021 and also examine the factors that influence the utilization of inpatient healthcare for JKN participants in Indonesia. This research uses Susenas secondary data for 2019, 2020 and 2021. Data were analyzed bivariately and multivariately using the Binary Regression method using a logit model. The results showed that regional status is significantly related (p-value 0.000 <0.05) to health utilization of JKN participants from 2019 to 2021. Respondents who live in urban areas in 2019 have 1,141 times, 1,127 times in 2020 and 1,127 times in 2021 higher odds ratio than respondents who live in rural areas. Age, gender, educational status, marital status, employment status, economic status and province are significantly related (p-value 0.000 <0.05) to the utilization of inpatient healthcare for JKN participants.
Utilization of health services have an influence in improving the healthstatus of the elderly. The number of elderly people in Indonesia in 2012 is the fifthlargest in the world and when compared with 1990 that number is projected to beincreased 414% by the year 2025, but the level of utilization of health services inthe Indonesian elderly is the lowest among Southeast Asian countries, while themorbidity of elderly in 2005 is 29.98% and increased in 2007 which reached31.11%.This study is a secondary data analysis of Susenas Panel in 2012 which isa quantitative study with cross-sectional design and the use of chi square test. Thisstudy aims to look at the determinant related to the utilization of health services inoutpatient (RJTP / RJTL) and hospitalization in the sick elderly in Indonesia. Theunit of analysis is the elderly aged ≥ 60 years who had health complaintsThe analysis showed that the utilization of health services is very low inthe sick elderly because still many elderly with health complaints but does notutilize health services (unmet need), factors related to the utilization of outpatienthealth services first level (RJTP): education, ownership health insurance,economic status, variable urban / rural, impaired activity; while in outpatientsettings (RJTL) ie: marital status, education, occupation, ownership healthinsurance, economic status, urban / rural and impaired activity; in the facility ofhospitalization (ranap): education, ownership health insurance, economic status,impaired activity.Suggestions of this study is to increase the utilization of health services atthe health center, it is expected that continuous socialization to the communityabout the importance of elderly health maintenance, improving access to healthcare information for the elderly, encourage the Central and Local Government toprovide budget support in providing health care facilities in accordance with theconditions of the elderly such as home care service, add and strengthend theequity of health personnel trained in handling elderly, expanding health insurancecoverage that ensures the entire cost of treatment of the elderly including elderlywith multipatologis case, encourage central and regional government to socializethe doctors at first level health services such as health centers, physician practices,so that the health personel at the first level better understand the concept andapplication of the Social Security System.Key words :Utilization of health services, unmet need, Susenas Panel 2012
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
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.
Penelitian ini bertujuan mengetahui peran jaminan kesehatan dan determinan yang mempengaruhi pemanfaatan pelayanan kesehatan oleh penyandang disabilitas di Indonesia pada tahun 2021 menggunakan data Susenas Maret 2021. Variabel terikat penelitian ini adalah pemanfaatan pelayanan kesehatan rawat jalan dan rawat inap di FKTP dan FKRTL. Data dianalisis secara bivariat dan multivariat dengan metode Binary Regression menggunakan model logit. Diketahui variabel kepemilikan jaminan kesehatan, pemanfaatan JKN, jenis disabilitas, tingkat keparahan disabilitas, jenis kelamin, pendidikan, status pekerjaan, status kawin, jumlah anggota rumah tangga, dan karakteristik tempat tinggal serta status ekonomi berpengaruh signifikan pada pemanfaatan layanan rawat jalan dan rawat inap (p-value 0,000 <0,005). Kepemilikan jaminan kesehatan non JKN atau kepemilikan jaminan kesehatan ganda (JKN dan non JKN) meningkatkan peluang pemanfaatan layanan baik rawat inap maupun rawat jalan. Terjadi penurunan kepemilikan jaminan kesehatan terhadap peningkatan status ekonomi penyandang disabilitas (propoor). Sebaliknya terjadi tren peningkatan pemanfaatan jaminan kesehatan terhadap peningkatan status ekonomi keluarga penyandang disabilitas (prorich).
This research aims to determine the role of health insurance and the determinants that influence the use of health services by people with disabilities in Indonesia in 2021 using Susenas data for March 2021. The dependent variable of this research is the use of outpatient and inpatient health services at FKTP and FKRTL. Data were analyzed bivariately and multivariately using the Binary Regression method using the logit model. It is known that the variables of ownership of health insurance, utilization of JKN, type of disability, severity of disability, gender, education, employment status, marital status, number of household members, and characteristics of residence and economic status have a significant effect on the utilization of outpatient and inpatient services ( p-value 0.000 <0.005). Ownership of non-JKN health insurance or ownership of dual health insurance (JKN and non-JKN) increases the chances of utilizing both inpatient and outpatient services. There has been a decrease in ownership of health insurance due to an increase in the economic status of people with disabilities (propoor). On the contrary, there is a trend of increasing use of health insurance towards increasing the economic status of families of people with disabilities (prorich).