Journal of Advances in Health and Medical Sciences Details Journal ISSN: 2517-9616
Article DOI:https://doi.org/10.20474/jahms-6.1 Received: 14 January 2020
Accepted: 18 March 2020
Published: 16 June 2020
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Analysis of Factors Related to the Utilization of the Community Health Center by BPJS Participants in Three Puskesmas in Banjarmasin City, 2020
Septy Handayani, Ruslan Muhyi, Eko Suhartono, Husaini, Meitria Syahadatina Noor
Published online: 2020
Abstract
BPJS Kesehatan provides health services in collaboration with all First Level Health Service Facilities and Advanced Level Health Facilities. Based on BPJS data, the largest use of BPJS is at the Community Health Centers. However, there are health centers with the lowest and decreasing use of BPJS in Banjarmasin, namely Banjarmasin Indah, S. Parman, and Alalak Tengah Community Health Centers. This study analyzes the factors related to the use of Community Health Centers by BPJS patients at 3 Community Health Centers in Banjarmasin City. This research was analytic observational with a cross-sectional design. The population was all patients who visited the Community Health Centers with a consecutive sampling technique of 106 people. The instrument was a questionnaire, data analysis using Multiple Logistic Regression. The results showed that there was a relationship between the level of knowledge and the utilization of Community Health Centers services (p-value 0.000) and PR of 7.619 (95% CI 3,474-16,710), there was a relationship between the facilities and the utilization of Community Health Centers services (p-value 0.000) and PR of 3.920 (CI 1.972-7.792). There is a relationship between infrastructure and Community Health Centers' utilization (p-value 0.001) and PR of 2.611 (95% CI 1.539-4.430). There is a relationship between infrastructure and the utilization of Community Health Centers services (p-value 0.000) and a PR value of 7.045 (CI 3.208-15.474). There is a relationship between knowledge, facilities, infrastructure, easy access to health centers using Community Health Centers services (p-value 0.000) in multivariate analysis. There is a relationship between knowledge, facilities, infrastructure, and ease of access using Community Health Centers by BPJS patients in 3 Community Health Centers in Banjarmasin City. The Study has applicability in the public health management field, and originality lies in Factors in the utilization of primary health services by BPJS participants.