Health Service Utilization at West Sulawesi Provincial General Hospital

Aulia Apriliani; Nur Akifa Sartika Putri

doi:10.55606/ijhs.v5i3.6234

Authors

Aulia Apriliani Institut Batari Toja Bone
Nur Akifa Sartika Putri Institut Batari Toja Bone

DOI:

https://doi.org/10.55606/ijhs.v5i3.6234

Keywords:

Knowledge, Perception of Pain, Health Insurance, Affordability of Access, Utilization of Health Services

Abstract

In 2021, the number of outpatient visits at the West Sulawesi Provincial Hospital decreased by 46% compared to 2019, indicating a significant decline in the utilization of health services. This study aimed to analyze the factors related to the utilization of health facility services among outpatients. This quantitative research employed a cross-sectional design with a total of 100 respondents selected through accidental sampling. Data were collected using a structured questionnaire and analyzed using statistical tests to identify relationships between variables. The findings revealed that health insurance (p < 0.001) and affordability of access (p = 0.008) had a significant relationship with the utilization of health facility services. In contrast, knowledge (p = 0.075) and perception of pain (p = 0.055) were not significantly associated with service utilization. These results suggest that socioeconomic factors, particularly the ownership of health insurance and the accessibility of health services, play a crucial role in determining patients’ healthcare-seeking behavior. Therefore, efforts to improve health service utilization should focus on expanding insurance coverage, reducing access barriers, and ensuring the equitable availability of healthcare facilities in all regions.

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References

Adelia Nasution. (2020). Determinan pemanfaatan pelayanan rawat jalan di Puskesmas Bandar Khalipah Kecamatan Percut Sei Tuan Kabupaten Deli Serdang tahun 2019 [Skripsi]. Universitas Sumatera Utara.

Bekel, D., & Keneni, G. N. (2020). Effect of community-based health insurance on utilization of outpatient health care services in Southern Ethiopia: A comparative cross-sectional study. Risk Management and Healthcare Policy, 13.

Fajar, C., Samino, & Christin, A. (2024). Pengaruh kualitas pelayanan terhadap keputusan kunjungan ulang pasien rawat jalan di Poli Mata RS Pertamina Bintang Amin. Jurnal Kesehatan Tambusai, 5(2).

Irawan, B., & Ainy, A. (2018). Analisis faktor-faktor yang berhubungan dengan pemanfaatan pelayanan kesehatan pada peserta Jaminan Kesehatan Nasional di wilayah kerja Puskesmas Payakabung Kabupaten Ogan Ilir. Jurnal Ilmu Kesehatan Masyarakat, 9(8). https://doi.org/10.26553/jikm.2018.9.3.189-197

Jones, S. G. (2012). Development of multi-dimensional health care access index. Proceedings of the ESRI Health Geographical Information System Conference.

Lela, et al. (2024). Faktor-faktor yang berhubungan dengan preferensi kunjungan di rumah sakit. Jurnal Ilmu Kesehatan, 15(2). https://doi.org/10.34305/jikbh.v15i02.1195

Levesque, J., Mark, F. H., & Grant, R. (2013). Patient-centred access to health care: Conceptualising access at the interface of health systems and populations. International Journal for Equity in Health, 12(18). https://doi.org/10.1186/1475-9276-12-18

Malikhatul, M., & Fitri, I. (2021). Pemanfaatan layanan kesehatan pada peserta BPJS Kesehatan. HIGEIA Journal of Public Health Research and Development, 5(2).

Mareike, L., Jana, T., & Eva, M. (2021). Application of Andersen’s Behavioral Model of Health Services Use: A scoping review with a focus on qualitative health services research. British Medical Journal.

Nanifa, M. (2021). Faktor-faktor yang berhubungan dengan pemanfaatan pelayanan kesehatan di wilayah kerja Puskesmas Talu Kecamatan Talamau [Skripsi]. Universitas Islam Negeri Sumatera Utara.

Neda, et al. (2020). Determinants of outpatient health service utilization according to Andersen's Behavioral Model: A systematic scoping review. Iranian Journal of Medical Sciences, 45(6).

Oktarianita, Sartika, A. W., Wati, N., & Ferasinta. (2021). Faktor yang berhubungan dengan pemanfaatan pelayanan kesehatan pada masa pandemi COVID-19 di Puskesmas Lingkar Barat. Prosiding Seminar Nasional UNIMUS, 4. https://doi.org/10.35329/jp.v4i1.2864

Profil Kesehatan Indonesia. (2020). Fasilitas pelayanan kesehatan dan UKBM. Kementerian Kesehatan Republik Indonesia.

Profil RSUD Provinsi Sulawesi Barat. (2020). Fasilitas dan sarana pelayanan. RSUD Provinsi Sulawesi Barat.

Sarit, K. R., Kirti, S. S., & Sandeep, M. (2019). Utilization of health care services in public and private healthcare in India: Causes and determinants. International Journal of Healthcare Management.

Travers, J., et al. (2020). Adapting Andersen’s Expanded Behavioral Model of Health Services Use to include older adults receiving long-term services and supports. BMC Geriatrics, 20(6). https://doi.org/10.1186/s12877-019-1405-7

Wahyu, I. (2019). Perbandingan sistem kesehatan di negara maju dan negara berkembang. Jambi Medical Journal, 7(2).

Yanto, H., Elfi, & Nunik, K. (2024). Prediksi jumlah serta faktor yang dapat memengaruhi kunjungan pasien rawat jalan di Rumah Sakit Sumber Kasih Kota Cirebon tahun 2023. Media Informasi, 20(2). https://doi.org/10.37160/mijournal.v20i2.401

Yonas, A., Birhanu, A., & Meseret, D. M. (2020). Knowledge, attitude, and practice towards COVID-19 among chronic disease patients at Addis Zemen Hospital, Northwest Ethiopia. Infection and Drug Resistance.

Ziana, B., & Galuh, P. (2019). Faktor-faktor yang berhubungan dengan pemanfaatan pelayanan kesehatan di Puskesmas Gayamsari Kota Semarang. Universitas Negeri Semarang.