<![CDATA[Background: Health service utilization is an indicator of the success of primary health services, influenced by the frequency of visits, access, health care facilities and infrastructure, and the attitudes of health care providers. Purpose: To analyze the determinants associated with the level of health service utilization among BPJS PBI patients at Lhoknga Public Health Center. Methods: A quantitative study with a cross-sectional design. The population consisted of 781 patients and a sample of 89 respondents selected using accidental sampling. The study was conducted from July 13–24, 2026. Data were analyzed using the Chi-Square test. Results: There was a significant association between the frequency of visits (p=0.001), health care facilities and infrastructure (p=0.001), access to health services (p=0.001), and health care providers’ attitudes (p=0.001) and the level of health service utilization among BPJS PBI patients. Conclusion: There were associations between the frequency of visits, access to health services, health care facilities and infrastructure, and health care providers’ attitudes and the level of health service utilization among BPJS PBI patients at Lhoknga Public Health Center. Keywords: Facilities and Infrastructure; Health Care Providers’ Attitudes; Health Service Access; Health Service Utilization; Visit Frequency. Pendahuluan: Pemanfaatan layanan kesehatan merupakan indikator keberhasilan pelayanan kesehatan primer yang dipengaruhi frekuensi kunjungan, akses, sarana prasarana, dan sikap petugas kesehatan. Tujuan: Untuk menganalisis determinan yang berhubungan dengan tingkat pemanfaatan layanan kesehatan pada pasien BPJS PBI di Puskesmas Lhoknga. Metode: Penelitian kuantitatif dengan desain cross-sectional. Populasi berjumlah 781 pasien dan sampel sebanyak 89 responden yang dipilih menggunakan accidental sampling. Penelitian dilaksanakan pada 13–24 Juli 2026. Analisis data menggunakan uji Chi-Square. Hasil: Terdapat hubungan signifikan antara frekuensi kunjungan (p=0.001), sarana prasarana (p=0.001), akses layanan kesehatan (p=0.001), dan sikap petugas kesehatan (p=0.001) dengan tingkat pemanfaatan layanan kesehatan pasien BPJS PBI. Simpulan: Terdapat hubungan frekuensi kunjungan, akses layanan, sarana prasarana dan sikap petugas kesehatan dengan tingkat pemanfaatan layanan kesehatan pasien BPJS PBI di Puskesmas Lhoknga. Kata Kunci: Akses Layanan Kesehatan; Frekuensi Kunjungan; Pemanfatan Layanan Kesehatan; Sikap Petugas Kesehatan; Sarana Prasarana.]]>
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