Berita Kedokteran Masyarakat
Vol 42 No 07 (2026)

A preliminary study on the utilization of health services among JKN-subsidized beneficiaries in West Tanjung Jabung District

Annisa Putri S (Department of Public Health, Faculty of Medicine and Health Science, Universitas Jambi, Jambi, Indonesia)
Dwi Noerjoedianto (Department of Public Health, Faculty of Medicine and Health Science, Universitas Jambi, Jambi, Indonesia)
Lu'ai Hana Adilah (Department of Biotechnology, Graduate School of Life Sciences, Ritsumeikan University, Kusatsu, Shiga, Japan)



Article Info

Publish Date
29 Jul 2026

Abstract

Purpose: Despite the National Health Insurance (JKN) coverage, outpatient service utilization remains suboptimal. In 2023, only 48.20% of the Indonesian population utilized health insurance for primary care. This preliminary study aims to provide an initial exploration of the factors related to health service utilization among subsidized beneficiaries (PBI) at Public Health Centers (Puskesmas) in West Tanjung Jabung District. Methods: This quantitative study employed an analytical cross-sectional survey. The research was conducted at Merlung and Suban Puskesmas. A sample of 106 PBI participants was selected from a population of 26,043 using proportional random sampling. Data were collected using a validated and reliable questionnaire, then analyzed using univariate and bivariate (chi-square) tests. Results: The study found that 62.3% of respondents did not utilize health services in the last month (utilization rate 37.7%). Bivariate analysis revealed that significant factors associated with service utilization were JKN knowledge (p=0.001), employment status (p=0.003), perception of illness (p=0.035), history of chronic disease (p=0.000), and accessibility of information (p=0.041). Conversely, age (p=0.051), education level (p=0.18), and geographical distance (p=0.534) showed no significant correlation. Conclusion: The study identifies several significant factors related to utilization in a bivariate context. As a preliminary finding, these results provide a baseline for future multivariate research to determine the independent predictors of healthcare access among the PBI population.

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Journal Info

Abbrev

bkm

Publisher

Subject

Nursing Public Health

Description

Berita Kedokteran Masyarakat (BKM Public Health and Community Medicine) is a peer-reviewed and open access journal that deals with the fields of public health and public medicine. The topics of the article will be grouped according to the main message of the author. This focus covers areas and scope ...