ABSTRAK This thesis discusses the demand pattern of outpatient care in those commercial health insurance in Indonesia by using outpatient claims data at 2.566.850 million. Using quantitative esearch method with cross sectional design. The results showed that outpatient demand on the commercial health insurance participants related to the characteristics of participants, the diagnosis of disease, characteristic of health insurance benefits, and types of health care facilities. The dominant predictor affecting the demand are tuberculosis and the benefits of unlimited ceiling. As a suggestion for a national social health insurance policy, outpatient premium is amounting to Rp 3,112 per person per month and outpatient premium for commercial health insurance is amounting to Rp 115,665. Keywords: Demand, health insurance

IPM merupakan indikator keberhasilan negara (pendidikan, kesehatan dan ekonomi). Kesehatan diukur dengan angka harapan hidup (AHH) yang perhitungannnya erat dengan angka kematian ibu dan anak. Metode : Analisa regresi logistic data sekunder : Riskesdas 2007 dan Susenas 2007 dan AHH BPS tahun 2007. Hasilnya indikator p value <0,05: persalinan oleh nakes (OR=6,590), imunisasi BCG (OR=2,686), prevalensi gizi kurang (OR=2,457) dan prevalensi diare (OR=1,893). Kesimpulan kabupaten/ kota dengan cakupan kurang baik mempunyai AHH ≤68,7 tahun lebih banyak. Kab/kota dengan prevalensi gizi kurang dan diare tinggi mempunyai AHH ≤68,7 tahun lebih banyak. Alokasi pembiayaan prioritas pada 52 kabupaten. Kata kunci : Angka harapan hidup, indikator anak, indikator ibu.

HDI (Human Development Index). HDI is measured by education, health and economic. From the health view point the measurement life expectancy (LE) at birth is heavily connected with child and maternal mortality. Methode with logistic regression analyzing data utilizing from Riskesdas 2007 and Susenas 2007 with LE from BPS 2007.Result: Indicators (p value < 0,05) are delivery helped by health providers (OR= 6.592), BCG immunization coverage (OR=2.686), prevalence of malnutrition (OR=2.457), prevalence of diarrhea ( OR=1.893). Conclusion: Districts/municipalities which have unsatisfactory category will have more LE ≤68,7 years. Districts/municipalities which have prevalence of malnutrition and diarrhea are high category will have more LE ≤68,7 years. Alocation budget must interes iteracy key words:Life expectancy, child health indicators, mother health indicators.

Tesis ini membahas hubungan karakteristik perusahaan peserta PT. Asuransi Jiwa InHealth Indonesia dengan pemanfaatan benefit persalinan sectio caesaria produk managed care dengan menggunakan data sekunder yaitu perusahaan yang mengambil benefit persalinan sebanyak 1.441 perusahaan. Disain penelitian ini adalah cross sectional. Hasil penelitian menunjukan adanya hubungan antara karakteristik group yaitu proporsi wanita usia subur, proporsi perempuan menikah, rerata jumlah anak, jenis badan usaha dan besar kelompok dengan pemanfaatan benefit persalinan sectio caesaria, ditemukan variabel dominan yang berhubungan dengan pemanfaatan benefit persalinan sectio caesaria diantaranya kelompok besar, kelompok sedang dan proporsi wanita usia subur. Kata kunci : Sectio Caesaria, Managed Care

This thesis discusses the relationship characteristics of participating companies PT. Asuransi Jiwa InHealth Indonesia benefit to the utilization of sectio caesaria maternity, managed care product. Using secondary data,  the companies that take the benefit of maternity by the number of 1441 companies. This study design was cross sectional. The result showed relationship between the characteristics of the group: the proportion of women of childbearing age, the proportion of married women, the average number of children, types of bussiness and type of groups to the utilization of benefits sectio caesaria and found that the dominant variabel are a large group, average group, and the proportion of women are childbearing age. Key words : Sectio Caesaria, Managed Care