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All Journal JOURNAL LA MEDIHEALTICO
Endah Labati Silapurna
Master’s Program in Public Health Sciences, Faculty of Medicine and Health Sciences, Universitas Lambung Mangkurat, Banjarbaru, Indonesia
Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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Analysis of Factors Associated with the Utilization of the Kotabaru Community Health Center in the Era of Primary Care Integration Satria Tanjung Pura; Syamsul Arifin; Mohamad Isa; Ermina Istiqomah; Endah Labati Silapurna
Journal La Medihealtico Vol. 7 No. 2 (2026): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v7i2.3225

Abstract

Health constitutes a fundamental investment in both human well-being and economic development. Strengthening the primary healthcare system through the Primary Care Integration (PCI) program has therefore emerged as a national priority aimed at delivering comprehensive, accessible, and affordable services. This study seeks to examine the factors associated with the utilization of the Kotabaru Community Health Center (Puskesmas) in the PCI era, with particular emphasis on the relationships among access to healthcare services, health status, and educational attainment in shaping community health-seeking behavior. Employing a literature review approach based on scientific publications from the past five years, the findings indicate that access to healthcare services in the PCI era extends beyond mere geographical proximity, encompassing affordability, administrative simplicity, and the integration of electronic medical records. These dimensions collectively influence the frequency of community visits. Subjective health status emerges as the most dominant determinant, as the PCI system has effectively shifted service utilization patterns from reactive, curative practices toward continuous, life-cycle-based health risk monitoring. Educational level functions as a critical predisposing factor, shaping health literacy and the cognitive capacity of individuals to navigate the newly implemented cluster-based service system. The utilization of the Kotabaru Community Health Center within the PCI framework is therefore significantly shaped by the interplay between accessibility, risk-based health awareness, and the level of community health literacy in making informed medical decisions.
Analysis of Factors Associated with Patient Satisfaction in the Outpatient Unit Besty Sibarani; Didik Dwi Sanyoto; Bahrul Ilmi; Endah Labati Silapurna; Zairin Noor
Journal La Medihealtico Vol. 7 No. 2 (2026): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v7i2.3227

Abstract

The patient satisfaction level at the Outpatient Unit of the Sengayam Regional General Hospital (RSUD) in the second quarter of 2025 was recorded at 84.23, which means it is still below the minimum service standard of ≥95%. This study aims to analyze factors associated with patient satisfaction through a literature review using a qualitative descriptive approach on scientific articles published between 2015 and 2025. The analysis results indicate that the reliability dimension is the most critical factor as it is directly related to the consistency of staff in accurately following standard operating procedures. In addition to clinical aspects, cost factors such as tariff transparency and physical facilities including the comfort of waiting areas and cleanliness were found to be significant in shaping patients’ perceived value. This satisfaction dynamic is not static but continues to evolve alongside patients’ demographic characteristics and the ease of accessing digital information, which makes the public’s expectations regarding healthcare services increasingly critical and personalized. In conclusion, effective coordination across the SERVQUAL dimensions, particularly regarding reliability and tangible evidence, serves as the primary strategy for Sengayam General Hospital to enhance service quality and achieve the established satisfaction standards.
Co-Authors Bahrul Ilmi Besty Sibarani Didik Dwi Sanyoto Ermina Istiqomah Mohamad Isa Satria Tanjung Pura Syamsul Arifin Zairin Noor