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SOSIODEMOGRAPHIC DETERMINANTS OF HEALTH FACILITY UTILIZATION IN INDONESIA: Determinan Sosiodemografi Utilisasi Pelayanan Kesehatan di Indonesia Rahayu, Eka Putri; Ariyanti, Rea; Rahayu, Agustin Putri
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 13 No. 2 (2025): December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v13i2.2025.195-205

Background: Health service facility utilization is crucial for determining healthcare service success and accessibility. Sociodemographic factors significantly influence utilization patterns. Aims: This research aims to examine the relationship between sociodemographic factors and health facility utilization patterns among the Indonesian population Methods: Secondary data from the 2023 Indonesian Health Survey (Health Development Policy Agency, Ministry of Health) were analyzed using a quantitative cross-sectional approach. Chi-square tests and binary logistic regression were employed for bivariate and multivariate analyses Results: Non-JKN health insurance was the dominant factor with PR = 2.4 (95%CI PR: 2.335-2.645), followed by never in union with PR= 1.328 (95%CI PR:1.269-1.390). Married with PR= 1.3 (95%CI PR: 1.224-1.381), unemployed with PR= 1.262 (95%CI PR: 1.226-1.300), children with PR= 1.181 (95%CI PR: 1.110-1.257), men with PR =1.030 (95% CI PR: 1.005-1.005). Factors reducing utilization likelihood included are rural residence with PR= 0.378 (95%CI PR: 0.368-0.388), secondary education with PR= 0.390 (95%CI PR: 0.376-0.404), adult with PR= 0.650 (95%CI PR: 0.603-0.701), primary education with PR= 0.703 (95%CI PR: 0.684-0.722), non formal occupation with PR= 0.955 (95%CI PR: 0.922-0.989). Conclusion: The binary logistics regression shows that health insurance ownership is the most dominant predictor, with individuals holding non-JKN health insurance being 2.4 times more likely to utilize healthcare services compared to those with JKN insurance. Therefore, geographical disparities and educational levels are critical obstacles that require intervention in efforts to improve access to health services. Keywords: Determinants, Health Facility, Sociodemographic, Utilization, SKI 2023

Binomial Logistic Regression of Contraceptive Use among Indonesian Multiparous Women: Indonesia Health Survey 2023 Ariyanti, Rea; Rahayu, Eka Putri; Rahayu, Agustin Putri
Preventif : Jurnal Kesehatan Masyarakat Vol. 16 No. 3 (2025): Preventif : Jurnal Kesehatan Masyarakat
Publisher : Tadulako University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/0nvrr515

Family planning (KB) is an important strategy to reduce maternal mortality by reducing the number of pregnancies and the proportion of high-risk pregnancies, while enabling family planning and improving quality of life. Although data from the Central Statistics Agency (BPS) shows fluctuations, the prevalence of active KB participation in Indonesia is not enough to significantly increase contraceptive use, especially in multiparous women. The purpose of this study was to examine the factors that influence contraceptive use in multiparous women in Indonesia. The study design was cross-sectional using secondary data obtained from the 2023 Indonesian Health Survey (SKI). The analysis focused on data from 14,975 multiparous mothers who had filled out the questionnaire. The dependent variable in this study was contraceptive use. Independent variables included age, education level, occupation, insurance ownership, delivery method, pregnancy risk, and history of labor and postpartum complications. Data were analyzed using binomial logistic regression. The results of the study showed that determinant factors such as education level, occupation, delivery method, and history of delivery complications affected the use of contraceptives in multiparous women in general by only 3.1%, while 96.9% were influenced by other factors not included in this model test. Therefore, targeted interventions are very important, including expanding contraceptive education for highly educated women and increasing flexible access to services for informal sector workers, as well as conducting counseling programs especially for women with a history of surgery or delivery with complications, to ensure optimal use of contraceptives

EVALUASI PENERAPAN REKAM MEDIS ELEKTRONIK PADA FASILITAS PELAYANAN KESEHATAN DI INDONESIA: A SYSTEMATIC REVIEW Rahayu, Eka Putri; Ariyanti, Rea
Journal of Health Service Management Vol 28 No 04 (2025)
Publisher : Departemen of Health Policy and Management, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpk.v28i04.20034

Background: The issuance of the Minister of Health Regulation Number 24 of 2022 requires every health care facility to improve the medical record management system that has not been implemented optimally. Every health care facility, including hospitals, is required to implement an electronic patient medical history recording system no later than December 2023. With the implementation deadline ending at the end of 2023, many health care facilities are immediately complying with the regulation, although in reality not all health care facilities have been able to implement Electronic Medical Records according to its standards. Objectives: This study aims to evaluate the implementation of electronic medical records in health care facilities in Indonesia. Methods: This study is a systematic review compiled based on the PRISMA flowchart method as a guide. Three electronic databases used in the literature search are: Portal Garuda, Pubmed and Science Direct. Boolean "AND" and "OR" are used to combine keywords described in Table 1. Articles are selected based on the last 3 years of publication, namely from 2022-2024. Results: From the 6 literature findings, the evaluation related to the application of electronic medical records used was the TAM (Technology Acceptance Model) method to assess technology acceptance from three main aspects, namely perceived usefulness, perceived ease of use, and interest in using (behavioral intention to use). These 6 pieces of literature discuss 3 main aspects of the TAM method Conclusion: The implementation of electronic medical records in hospitals has great potential to improve the efficiency and quality of health services. However, successful implementation is highly dependent on comprehensive handling of various aspects, especially human resources, infrastructure and regulations.

Length of Stay Among Schizophrenia Patients in Referral Health Facilities 2023: Kaplan-Meier and Cox Analysis Saefurrohim, Muhamad Zakki; Putri Rahayu , Eka; Ariyanti, Rea; Putri Rahayu , Agustin; Pratomo , Hadi
Jurnal Jaminan Kesehatan Nasional Vol. 5 No. 2 (2025): Jurnal Jaminan Kesehatan Nasional
Publisher : BPJS Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53756/jjkn.v5i2.379

Schizophrenia contributes significantly to global disease burden, with hospitalization management being crucial for treatment outcomes. This study aimed to determine factors influencing length of stay and recovery outcomes among schizophrenia patients in Indonesian referral health facilities. Secondary data analysis was conducted using BPJS Kesehatan sample data from 2023. Of 54,820 mental health records, 2,562 schizophrenia patients treated at referral facilities were analyzed. Cox proportional hazards regression was used to identify factors associated with discharge status, while Kaplan-Meier analysis examined length of stay distribution. Mean length of stay was 19.9 days. Significant factors associated with better recovery outcomes included: treatment at general hospitals (HR=2.31, p<0.001), public hospitals (HR=0.57, p<0.001), undifferentiated (HR=1.45, p<0.001) and catatonic schizophrenia subtypes (HR=1.70, p=0.029), single medical procedure (HR=0.73, p<0.001), and local treatment facilities (HR=1.42, p=0.028). Healthcare service factors and clinical characteristics significantly outweigh demographic factors in determining recovery outcomes. These findings emphasize the importance of healthcare service quality and accessibility in schizophrenia treatment, supporting integrated care models and universal healthcare access policies.

Linkage Between Hospital Accessibility and Health Insurance Ownership in East Kalimantan Province Rahayu, Eka Putri; Ariyanti, Rea; Rahayu, Agustin Putri
Jurnal Jaminan Kesehatan Nasional Vol. 5 No. 2 (2025): Jurnal Jaminan Kesehatan Nasional
Publisher : BPJS Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53756/jjkn.v5i2.390

Healthcare accessibility remains a persistent challenge in Indonesia, particularly in resource-limited regions where geographical barriers, transportation constraints, and financial limitations create significant disparities in health service utilization. Hospital accessibility encompasses multiple dimensions that collectively influence healthcare utilization patterns. The physical presence of healthcare facilities, commonly referred to as hospital existence, serves as the fundamental prerequisite for healthcare access. This study seeks to analyze how dimensions of hospital accessibility correlate with health insurance ownership in East Kalimantan. 2023 Indonesian Health Survey. This research was quantitative approach with cross sectional design. The population in this research refers to the population of 2023 Indonesian Health Survey, with total . Chi square analysis was used to determine the relationship between the independent variable and dependent variable. The result shows that the independent variables that are significantly related to the health insurance ownership with p-value < 0.005, namely marital status, age group, education level and occupation. Meanwhile, sex (p-value= 0.185), residence (p-value= 0.093) and hospital accessibility (p-value= 0.134) showed no significant associations with health insurance ownership with p-value > 0.005. The lack of association between hospital accessibility and insurance ownership indicates that physical proximity to healthcare facilities is not a primary determinant of insurance enrolment decisions.

Edukasi petugas rekam medis terkait penyusunan Standar Operasional Prosedur (SOP) sistem retensi berkas rekam medis Ariyanti, Rea; Aini, Nita Dwi Nur; Maulana, Moh
SELAPARANG: Jurnal Pengabdian Masyarakat Berkemajuan Vol 8, No 1 (2024): March
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jpmb.v8i1.21150

AbstrakGuna menjalankan pelayanan kesehatan yang optimal maka diperlukan dukungan oleh unit-unit yang terkait didalamnya, salah satunya adalah unit rekam medis. Seiring dengan berjalannya waktu, berkas rekam medis pasien akan mengalami peningkatan dari tahun ke tahun, sehingga perlu diperhatikan terkait sistem filling dan sistem retensi berkas rekam medis. Retensi berkas rekam medis merupakan salah satu cara penting untuk mengatasi masalah penumpukan berkas yang tidak memiliki nilai guna lagi guna memberikan kapasitas serta pemeliharaan yang lebih baik baik bagi berkas yang memiliki nilai guna. Klinik X merupakan salah satu klinik yang ada di kabupaten Malang. Rata-rata kunjungan pasien di klinik X Poncokusumo Malang berkisar 50 pasien per hari, dimana hingga saat ini belum pernah dilakukan retensi berkas rekam medis, sehingga banyak rekam medis yang tertumpuk yang berakibat pada terjadinya kerusakan fisik pada berkas rekam medis seperti map terlipat, robek, dan lain sebagainya. Adanya penumpukan berkas rekam medis ini disebabkan karena sampai dengan saat ini belum pernah dilaksanakan retensi berkas rekam medis akibat dari belum adanya SOP terkait sistem filling dan retensi berkas rekam medis. Kegiatan PkM ini bertujuan untuk memberikan edukasi kepada tenaga kesehatan dalam penyusunan SOP agar pelaksanaan sistem penyimpanan rekam medis dapat terlaksana dengan baik. Kegiatan ini dilaksanakan sebanyak 3 kali dengan metode sosialisasi dan diskusi interaktif mengenai penyusunan SOP sistem filling dan retensi berkas rekam medis. Dari hasil evaluasi, diketahui bahwa, terdapat peningkatan pengetahuan sebear 23% yang dilihat berdasarkan rerata nilai pretest petugas sebelum diberikan edukasi sebesar 65.00 dan setelah diberikan edukasi rerata nilai postest menjadi 80.00. Hasil PkM ini menunjukkan bahwa petugas kesehatan memiliki peningkatan pengetahuan terkait penyusunan SOP terkait sistem filling dan retensi berkas rekam medis. Kata kunci: edukasi; filling; retensi; SOP Abstract In order to provide optimal health services, support is needed from the units involved, one of which is the medical records unit. As time goes by, patient medical record files will increase from year to year, so it is necessary to pay attention to the filling system and retention system for medical record files. Retention of medical record files is one important way to overcome the problem of accumulating files that no longer have use value in order to provide better capacity and maintenance for files that have use value. Clinic X is one of the clinics in Malang district. The average patient visit at the X Poncokusumo Malang clinic is around 50 patients per day, where until now there has never been any retention of medical record files, so that many medical records are piled up which results in physical damage to medical record files such as folders folded, torn, and so forth. This accumulation of medical record files is due to the fact that up to now there has never been any retention of medical record files as a result of the absence of SOPs related to the system for filling and retention of medical record files. This PkM activity aims to provide education to health workers in preparing SOPs so that the implementation of the medical record storage system can be carried out well. This activity was carried out 3 times using socialization methods and interactive discussions regarding the preparation of SOPs for filling and retention systems for medical record files. From the evaluation results, it is known that there was an increase in knowledge of 23% which was seen based on the average pretest score of officers before being given education of 65.00 and after being given education the average posttest score was 80.00. The results of this PkM show that health workers have increased knowledge regarding the preparation of SOPs related to the filling and retention system for medical record files. Keywords: education; filling; retention; SOP

Determinan Kebutuhan Pelayanan Kesehatan pada Lansia: Sebuah Studi di Samarinda, Indonesia Masithah, Masithah; Gunawan, Ike Anggraeni; Susanti, Rahmi; Ariyanti, Rea; AB, Ismail
Jurnal Kesehatan Masyarakat Mulawarman (JKMM) Vol.7 No.2 (2025) : Jurnal Kesehatan Masyarakat Mulawarman (JKMM)
Publisher : Mulawarman University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30872/jkmm.v7i2.22723

Meningkatnya kebutuhan perawatan lansia di Indonesia menunjukkan tantangan dalam memenuhi tuntutan kesehatan fisik, mental, dan sosial individu lanjut usia. Penelitian ini bertujuan untuk mengidentifikasi determinan utama yang memengaruhi kebutuhan dan preferensi layanan kesehatan pada lansia. Menggunakan desain observasional potong lintang, data dikumpulkan dari 61 lansia berusia 54 hingga 82 tahun di 14 Posyandu Lansia di Samarinda. Kuesioner terstruktur yang diadaptasi dari alat yang telah divalidasi, termasuk SF-36 dan UCLA Loneliness Scale, digunakan untuk menilai karakteristik demografi, tingkat kelemahan, aktivitas harian, kesehatan kognitif, dan kesejahteraan mental. Hasil penelitian menunjukkan bahwa 32,8% responden membutuhkan bantuan untuk memenuhi kebutuhan kesehatannya, dengan kelemahan fisik (p=0,021), kemandirian aktivitas harian (p=0,039), dan penurunan kognitif (p=0,036) secara signifikan memengaruhi kebutuhan tersebut. Sebagian besar responden menilai kondisi kesehatan fisik (78,7%) dan mentalnya (75,4%) baik, meskipun 39,3% melaporkan gejala depresi. Dukungan sosial cukup umum, dengan 75,4% memiliki pendamping dari keluarga atau pengasuh, namun hal ini tidak secara signifikan memengaruhi kebutuhan kesehatan (p=0,186). Temuan ini menegaskan sifat multidimensi kebutuhan kesehatan lansia, dengan kelemahan fisik, penurunan kognitif, dan kemandirian aktivitas harian sebagai determinan utama. Intervensi yang berfokus pada area ini, disertai dengan peningkatan sistem dukungan, dapat meningkatkan akses dan hasil layanan kesehatan untuk populasi lansia. Studi ini menemukan pentingnya model layanan kesehatan terpadu yang mencakup dimensi fisik, kognitif, dan sosial untuk memberikan perawatan yang komprehensif bagi lansia.

EVALUASI PENERAPAN REKAM MEDIS ELEKTRONIK PADA FASILITAS PELAYANAN KESEHATAN DI INDONESIA: A SYSTEMATIC REVIEW Rahayu, Eka Putri; Ariyanti, Rea
Journal of Health Service Management Vol 28 No 04 (2025)
Publisher : Departemen of Health Policy and Management, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpk.v28i04.20034

Background: The issuance of the Minister of Health Regulation Number 24 of 2022 requires every health care facility to improve the medical record management system that has not been implemented optimally. Every health care facility, including hospitals, is required to implement an electronic patient medical history recording system no later than December 2023. With the implementation deadline ending at the end of 2023, many health care facilities are immediately complying with the regulation, although in reality not all health care facilities have been able to implement Electronic Medical Records according to its standards. Objectives: This study aims to evaluate the implementation of electronic medical records in health care facilities in Indonesia. Methods: This study is a systematic review compiled based on the PRISMA flowchart method as a guide. Three electronic databases used in the literature search are: Portal Garuda, Pubmed and Science Direct. Boolean "AND" and "OR" are used to combine keywords described in Table 1. Articles are selected based on the last 3 years of publication, namely from 2022-2024. Results: From the 6 literature findings, the evaluation related to the application of electronic medical records used was the TAM (Technology Acceptance Model) method to assess technology acceptance from three main aspects, namely perceived usefulness, perceived ease of use, and interest in using (behavioral intention to use). These 6 pieces of literature discuss 3 main aspects of the TAM method Conclusion: The implementation of electronic medical records in hospitals has great potential to improve the efficiency and quality of health services. However, successful implementation is highly dependent on comprehensive handling of various aspects, especially human resources, infrastructure and regulations.

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