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All Journal Jurnal Bina Praja Jurnal Ekonomi Kesehatan Indonesia
Alawi, Masykur
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Humanities Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Environmental Science Health Professions Law, Crime, Criminology & Criminal Justice Library & Information Science Medicine & Pharmacology Public Health Social Sciences

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Analisis Faktor-Faktor yang Berhubungan dengan Tingginya Rujukan Kasus Non Spesialistik Pasien Jaminan Kesehatan Nasional pada Puskesmas di Kabupaten Sukabumi Tahun 2015 Alawi, Masykur; Junadi, Purnawan; Latifah, Siti Nur
Jurnal Ekonomi Kesehatan Indonesia Vol. 2, No. 1
Publisher : UI Scholars Hub

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Abstract

Public Health Center is the frontline in the basic health services that include non-specialist cases to be solved in this primary health care level. However, a report from BPJS Kesehatan in 2015 showed that there were 11.487 referral of non-specialist cases in Primary Health Cares (PHCs) in Sukabumi. This study was to determine factors associated with high referral rate of National Health Insurance’s members with non-specialist cases by PHCs in Sukabumi in 2015. The study employed cross-sectional design in 58 PHCs along with a general practitioner in each centers using a whole sampling. The result showed that there were correlation between characteristics of the region (P=0,000); adequacy of drug (P=0,040); adequacy of medical devices (P=0,024); and distance from the PHCs to the referral health care facilities (P=0,003) with non-specialist cases referral rate. It is recommended for the PHCs to meet the needs of drugs, medical devices according to the standard, monitor and evaluate the non-specialist referral cases, both from health centers and the Social Security Agency for Health of Sukabumi.
Analisis Keragaman Indeks Status Kesehatan di Kabupaten Sukabumi Menggunakan Analisis Komparatif Kualitatif (QCA) Alawi, Masykur; Fauzi, Akhmad; Rustiadi, Ernan; Rahma, Hania
Jurnal Bina Praja Vol 17 No 3 (2025): [Sedang Berjalan]
Publisher : Research and Development Agency Ministry of Home Affairs

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21787/jbp.17.2025-2740

Abstract

The public health level is a crucial indicator for evaluating the success of health sector development. In Sukabumi Regency, characterized by diverse geography and socio-economic conditions, there are notable variations in the Public Health Degree Index (PHDI) across regions. This study employs Crisp-Set Qualitative Comparative Analysis (csQCA) using Tosmana QCA software to explore the combinations of factors that influence PHDI outcomes. Data were collected from the Sukabumi District Health Office, the Central Statistics Agency, and other secondary sources. The aim is to analyze regional differences in community health and identify the sets of factors that drive high or low PHDI levels. Results show that Clean and Healthy Living Behaviors (CHLB) and sanitation are the most consistent determinants of high PHDI, even in contexts with limited health facilities and budgets. Conversely, improvements in health infrastructure and financial resources are effective only when paired with strengthened CHLB and sanitation practices. Interestingly, extreme poverty does not necessarily hinder achieving a high PHDI if healthy behaviors and environmental sanitation are well-established. On the other hand, areas with low PHDI typically suffer from a combination of unhealthy behaviors and poor sanitation, despite having adequate infrastructure and funding. These insights highlight the need for targeted, area-specific intervention strategies that prioritize enhancing healthy living behaviors and sanitation, along with optimizing health facilities and financial support.
Co-Authors Akhmad Fauzi Ernan Rustiadi Latifah, Siti Nur Purnawan Junadi Rahma, Hania