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Suryanto
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Journal : Journal of Built Environment Studies

 1 
THE IMPACT OF REGIONAL EXPANSION ON THE EFFECTIVENESS OF HEALTHCARE SERVICES Ilmi, Iva Nur; Suryanto; Pramono, Retno Widodo Dwi
Built Environment Studies Vol 6 No 1 (2025)
Publisher : Department of Architecture and Planning, Faculty of Engineering, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/best.v6i1.20776

Abstract

The enactment of Law Number 7 of 2002 concerning the Establishment of Penajam Paser Utara (PPU) Regency marked the official formation of this new administrative region, resulting from the separation of four sub-districts from the original twelve in Paser Regency. As a newly established regency, PPU required immediate development in institutional structures, government infrastructure, and development planning. A key indicator of progress lies in healthcare facility improvements, which were previously difficult to access due to reliance on water transport to Balikpapan or Paser. This study aims to analyze healthcare service development in PPU and assess how regional expansion has influenced service effectiveness. The research compares conditions before and after the expansion using a deductive qualitative approach, triangulation, and descriptive methods. Findings indicate that while the number of healthcare facilities declined, service utilization became more efficient, travel distances were reduced, and quality improved. Effective health service delivery depends on availability, accessibility, and continuity. While regional expansion positively affected specific dimensions, its most decisive influence was improved interaction between health workers and patients, disease prevention, and public health education.
Co-Authors Adang Muhammad Gugun Adang Muhammad Gugun, Adang Muhammad Agung Trilaksono Agus Setiawan Alauddin, Falih Albert Almira, Anissa Putri Amaluddin Sope Anggraeni, Rosmita Apriliani, Angeline Paskaria Ardian Rizal Aris Budiarto Azizah, Salsa Nur Bagas, Mafaza Basuki, Dewy Beti Pudyastuti Budy Wiryawan Cholid Tri Tjahjono Candra Dadang Dally Dewi Latifatul Ilma Eko Yudiyanto Emanauli Evi Gravitiani, Evi Faisal Akhmal Muslikh Fita Sari, Fita Ghazyarda Aqilah Setya Hasriati Nasution Helman Nur Yusuf Hikmawan Wahyu Sulistomo Hutasoit, Dame Triulina Ika Setyo Rini Ilmi, Iva Nur Iqnatius Tri Hagiyatno Irfan Yulianto Isnubroto, Danang Junaidi Junaidi Junun Sartohadi Khambali, Khambali Lestari, Eviadi lukman Nulmunir Mahiswara Margettya Marjabessy, Mutiara Melyawati Mifetika Lukitasari Moh. Afnan Rahmaturrahman Mohamad Natsir Mohammad Saifur Rohman Mudrajat Kuncoro Mukhsin, Moh. Mu’awanah, Isnin Aulia Ulfah Nahdhia, Nadhifatun Nayla, Muthia Rahman Nugroho, Septiawan Nurlinda Parmasari, Damairia Hayu Permana, Sofiyan Muji Regi Fiji Anggawangsa Reko Priyonggo Rekso Negoro, Widigdo Retno Widodo Dwi Pramono Rindy Permana, Annes Rodli, Muhammad Rosmala, Mila Ashri Rozany, Farida Rubai, Windri Lesmana Saad, Asmadi Santi, Dyan Evita Sari, Fipit Nurika Sembiring, Rahmat Widya Setyaji, Hajar sintara, sindu Suartana, Dewa Putu Sudewi Sukamta Sukamta sultan Sumardi Susilawati, Delis Susilo, Sugeng Hadi Taruna Shafa Arzam, Taruna Shafa Watmah, Sri Werdiningsih, Wiwik Wulansari, Oktufiani Dwi Yoli Anathasia Yulisti, Maharani Yuristi Mahardika, Yesika Yusfaneti