Pengaruh jaminan kesehatan terhadap pemanfaatan pelayanan kesehatan primer di perkotaan Indonesia: adilkah bagi masyarakat miskin?

https://doi.org/10.22146/bkm.37474

Achmad Djunawan(1*)

(1) Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan, Universitas Gadjah Mada
(*) Corresponding Author

Abstract


Tujuan: Studi ini memberikan gambaran pengaruh jaminan kesehatan terhadap pemanfaatan pelayanan kesehatan primer perkotaan di Indonesia. Metode: Penelitian ini menganalisis data (IFLS 5) dengan rancangan penelitian cross sectional menggunakan uji regresi logistik. Sampel penelitian adalah penduduk kota di 13 provinsi Indonesia yang berusia 15 tahun ke atas. Hasil: Total responden yang didapat sebesar 2.563 responden, 35% responden menggunakan pelayanan kesehatan pemerintah. 39,72% responden belum memiliki jaminan kesehatan. Jaminan kesehtatan mempunyai pengaruh terhadap pemanfaatan pelayanan kesehatan (p<0,05). Simpulan: Perlu adanya kebijakan untuk meningkatkan pemanfaatan pelayanan kesehatan milik pemerintah sebagai fasilitas kesehatan propoor dan meningkatkan cakupan jaminan kesehatan yang berkeadilan ke seluruh masyarakat khususnya masyarakat miskin.


Keywords


jaminan kesehatan; penduduk miskin perkotaan; pemanfaatan; layanan kesehatan primer

Full Text:

PDF


References

Andersen, R., & Newman, J. F. . (2005). Societal and Individual Determinant of Medical Care Utilization in United Stated. The Milbank Quarterly, 83(4), 1–28.

Babitsch, B., Gohl, D., & Lengerke, T. von. (2012). Re-revisiting Andersen ’ s Behavioral Model of Health Services Use : a systematic review of studies from. GMS Psycho-Social-Medicine, 9, 1–15.

Basu, S., Andrews, J., Kishore, S., Panjabi, R., & Stuckler, D. (2012). Comparative Performance of Private and Public Healthcare Systems in Low- and Middle-Income Countries : A Systematic Review. Plos Medicine, 9(6). http://doi.org/10.1371/journal.pmed.1001244

Castel, P. (2009). Health insurance Use of health care services by the poor efficiency and equity issues in the province of Kon Tum.

Castiglione, D., Lovasi, G. S., & Carvalho, M. S. (2017). Perceptions and Uses of Public and Private Health Care in a Brazilian Favela. Qualitative Health Research, 1–14. http://doi.org/10.1177/1049732317739611

Dahlan, S. (2017). Analisis Multivariat Regresi Logistik. Jakarta: Sagung Seto.

Fenny, A. P., Yates, R., & Thompson, R. (2018). Social health insurance schemes in Africa leave out the poor. International Health, 10(April), 1–3. http://doi.org/10.1093/inthealth/ihx046

Hidayat, B., Thabrany, H., Dong, H., & Sauerborn, R. (2004). The effects of mandatory health insurance on equity in access to outpatient care in Indonesia. Health and Policy Planing, 19(5), 322–335. http://doi.org/10.1093/heapol/czh037

Husna, A. (2017). Pemanfaatan Puskesmas oleh Penduduk Miskin di Kota-Kota Besar Indonesia (Analisis Data IFLS 2014). Universitas Gadjah Mada.

Intiasari, A. D. (2017). Kebijakan Single Pooling dan Keadilan Pemanfaatan Pelayanan Kesehatan Pada Implementasi Jaminan Kesehatan Nasional. Universitas Gadjah Mada.

Perpres. (2013). Peraturan Presiden Nomor 12 Tahun 2013 Tentang Jaminan Kesehatan. Jakarta.

Rebhan, D. P. (2011). Health Care Utilization: Understanding and applying theories and models of health care seeking behavior. Case Western Reserve University, 1–19.

Ringel, J. S., & Sturm, R. (2001). National Estimates of Mental Health Utilization and Expenditures for Children in 1998. Journal of Behavioral Health Services & Research, 28(3), 319–320.

Rolindrawan, D. (2015). The Impact of BPJS Health Implementation for the Poor and Near Poor on the Use of Health Facility. Social and Behavioral Sciences, 211(September), 550–559. http://doi.org/10.1016/j.sbspro.2015.11.073

Savadogo, G., Souarès, A., Sié, A., Parmar, D., Bibeau, G., & Sauerborn, R. (2015). Using a Community-Based Definition of Poverty for Targeting Poor Households for Premium Subsidies in The Context of a Community Health Insurance in Burkina Faso, 1–12. http://doi.org/10.1186/s12889-014-1335-4

Strauss, J., Witoelar, F., & Sikoki, B. (2016). The Fifth Wave of the Indonesia Family Life Survey : Overview and Field Report (Volume 1) (WR-1143/1-NIA/NICHD).

Wang, Q., Zhang, D., & Hou, Z. (2016). Insurance Coverage and Socioeconomic Differences in Patient Choice Between Private and Public Health Care Providers in China. Social Science & Medicine, 170, 124–132. http://doi.org/10.1016/j.socscimed.2016.10.016

Waters, H. R. (2000). Measuring equity in access to health care. Social Science and Medicine, (51), 599–612.

World Bank. (1993). World Development Report: Investing in health 1993. New York: Oxford University Press for the World Bank.



DOI: https://doi.org/10.22146/bkm.37474

Article Metrics

Abstract views : 6351 | views : 6413

Refbacks

  • There are currently no refbacks.




Copyright (c) 2018 Berita Kedokteran Masyarakat

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Berita Kedokteran Masyarakat ISSN 0215-1936 (PRINT), ISSN: 2614-8412 (ONLINE).

Indexed by:


Web
Analytics Visitor Counter