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All Journal International Journal of Public Health Science (IJPHS) Jurnal Sosial Ekonomi Pertanian Jurnal Komunikasi Suluh Pembangunan: Journal of Extension and Development Jurnal Gizi dan Kesehatan GIZI INDONESIA Wikrama Parahita : Jurnal Pengabdian Masyarakat Jurnal SEPA (Social Economic and Agribusiness Journal) Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics) Agrisocionomics: Jurnal Sosial Ekonomi Pertanian Jurnal Ilmu Kedokteran dan Kesehatan Wahana Sekolah Dasar Jurnal Review Pendidikan dan Pengajaran (JRPP) JAS (Jurnal Agri Sains) Community Development Journal: Jurnal Pengabdian Masyarakat AGRITEXTS: Journal of Agricultural Extension Jurnal Pengabdian kepada Masyarakat Nusantara Narra J Kirana: Jurnal Komunikasi dan Penyuluhan Pertanian TA'DIB Jurnal Pemikiran Pendidikan JUrnal Riset Ilmu Pendidikan Journal Of Human And Education (JAHE) SERUNAI JURNAL BISNIS ADMINISTRASI DAN MANAJEMEN Jurnal Indonesia Sosial Sains Indonesian Research Journal on Education JIASEE Journal of Integrated Agricultural Socio-Economics and Entrepreneurial Research Jurnal Pengabdian Masyarakat Bangsa West Science Interdisciplinary Studies Jurnal Penelitian Agrihatantiring West Science Interdisciplinary Studies Proceeding of International Conference on Special Education in South East Asia Region Jurnal Akademik Pengabdian Masyarakat Malewa: Journal of Multidisciplinary Educational Research Journal of Social Work and Science Education Media Penelitian dan Pengembangan Kesehatan Jurnal Ilmu-Ilmu Pertanian ETIC (EDUCATION AND SOCIAL SCIENCE JOURNAL)
Suminah Suminah, Suminah
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Journal : Narra J

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Health promotion model in the utilization of health services for Indonesian social security agency for health participants Mustikawati, Irma F.; Sulaeman, Endang S.; Subiyanto , Achmad A.; Suminah, Suminah
Narra J Vol. 4 No. 3 (2024): December 2024
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narra.v4i3.1300

Abstract

Health promotion models are essential for enhancing community health and facilitating access to quality health services. Understanding the effects of these models on the utilization of health services among participants of the Indonesian Social Security Agency for Health (Badan Penyelenggara Jaminan Sosial Kesehatan/BPJS) provides valuable insights for developing effective health promotion strategies. The aim of this study was to assess the impact of health promotion on the utilization of health services among BPJS health participants, focusing on the mediating roles of perception, self-efficacy, expected results, and social support, using structural equation modeling (SEM). A descriptive, quantitative research design was employed, involving 160 BPJS health participants at Prof. Dr. Margono Soekarjo Hospital, Purwokerto, Indonesia. Data was collected using structured questionnaires, with participants selected through purposive sampling. SEM analysis, performed using AMOS software, was utilized to examine the relationships among health promotion, perception, self-efficacy, social support, expected outcomes, and health service utilization behavior. The SEM analysis revealed that health promotion significantly influenced health service utilization behavior directly (critical ratio (CR)=2.741; p=0.011). Furthermore, health promotion had a significant effect on perception through self-efficacy (CR=2.500; p=0.012).  Perception also significantly influenced behavior through self-efficacy (CR=3.789, p<0.001), while its indirect effect on behavior through outcome expectations was not significant (CR=0.908; p=0.958). Social support directly affected behavior (CR=2.267; p=0.023) and exerted both direct and indirect effects on behavior through self-efficacy (CR=3.789; p<0.001) and outcome expectations via self-efficacy (CR=6.267; p<0.001). However, self-efficacy did not significantly influence the behavior of utilizing BPJS health services through outcome expectations (CR=0.237; p=0.185). The findings indicate that health promotion significantly enhances the utilization of health services among BPJS health participants by improving perceptions and self-efficacy. Social support emerges as a critical factor in influencing health service utilization behavior and shaping outcome expectations through perception. In conclusion, future health promotion strategies should prioritize strengthening perceptions, enhancing self-efficacy, and leveraging social support to improve health service outcomes effectively.
Co-Authors Adiantha Putratama Agditianingrum, Shella Agung Wibowo Agussalim, Wijono Sukaputra Aisyah, Salsabila Nur Alizaldi, Annisa Nadialifuzana Alva Beriansyah Anik Lestari Anisah Inas Faujiyah Anisah, Ayu Annisa Laila Putri Sarsanti April Laksana Ardela, Monika Ari Natalia Probandari Ari Probandari Arip Wijianto Bekti Wahyu Utami Buamona, Nur Sitra Budiyanti Wiboworini Cahyani, Nanda Cibro, Juniara Fitri Ciputri, Leony Devina Zaliaty Dora, Helena Christine Dwiningtyas Padmaningrum, Dwiningtyas Dwiyanti, Shafira Eksa Rusdiyana, Eksa Emi Widiyanti Endwiyatni, Pipiet Erlyna Wida R, Erlyna Eti Poncorini Pamungkasari Fahiya Mu’ammara Al Fahd Farida, Esti Fatmawati, Fatmawati Fauzi Fauzi Febriani, Farraz Putri Fitriani, Sufia Fitriyani Fitriyani Fitroh, Ana Mariana Gustina Gustina Haeriyah, Haeriyah Hanifah Ihsaniyati Hanifah, Vyta Wahyu Hanip, Hanip Happy Fitria, Happy Hapsa Hapsa, Hapsa Hardi, Yelini Fan Hasanah, Uun Tasfiren Nurul Hendriawan, Jemi Herliman, Fuji Yulianti Hery Widijanto Hesti, Retta Chandra Hulman Panjaitan, Hulman Imaduddin Xena Intan, Rara Iswanti, Mira Jayadi, Hendri Jiwandanu Wigaraningtyas Joko Winarno Jusmail, Jusmail Jusman Mansyur Kamilah, Salma Zakiya Khairunnisa, Hasna Khasanah, Rahmadani Khilda, Isna Noor Laili, Mahsiani Mina Laratu, Wahyuni Lega, Michael Luviansyah, Daffa Malik Cahyadin Mardiah, Ema Miranti, Titi Muhammad Akhyar Munawaroh Munawaroh Mursyidah Mursyidah Mustikawati, Irma F. Najib, Khoiri Nur Alif, Muhammad Gilang Nuraeni Nuraeni Nurmastuti, Ardela Nurmastuti, Ardela Oetama, Winardi Saka Padeyo, Muhammad Hafizh Parulian, Adrian Pitriyani, Devi Prabawangi, Ega Galuh Puspaningtyas, Ermanda Putra, Dinda Syufradian Putri Permatasari, Putri Putri, Magdalena Tri Rahman, Luthfi Abdur Rasyid, Faisal Abdul Retno Setyowati, Retno Riri Maria Fatriani Rizki, Muhammad Ivan Rohayati, Wahyu Rosswina Putri Az Zahra Sapja Anantanyu, Sapja Saputri, Khristine Sari, Nurtika Sariwulan, Dewi Retno Shaulita, Rizkia Shofiani, Meliana Dela Shubhi, Naufal Rastra Siahaan, Richard S.N. Siti Masitoh Sofiyah, Astya Nur Sri Murdiyah Sri Peni Wastutiningsih Sri Widodo Subiyanto , Achmad A. Sugihardjo Sugihardjo Suhel Madyono Sukisno, Safira Amalia Sukmana, Rika Indra Sulaeman, Endang S. Sulistia, Lie Sumardiyono Sumardiyono Sunarru Samsi Hariadi Suraya, Laili Suriyanto , Suriyanto Suroto Suroto Sutansi, Sutansi Suwarto Suwarto Urbaningrum, Anis Utari, Prahastiwi Vania Yuniar Putri Virgita Fidya Salindri Wahyudiyono, Wahyudiyono Wati, Dewi Risna Winarto, Edi Yolandia, Rita Ayu Yosanta, Frida Yulia Ristiana Yustiaroh, Yustiaroh