ANALYSIS OF ASSOCIATED FACTORS WITH HEALTH SERVICES UTILIZATION FOR NATIONAL HEALTH INSURANCE PARTICIPANTS AT WORKING AREA OF PAYAKABUNG HEALTH CENTER, OGAN ILIR DISTRICT

Abstract

Background: Health center provides primary health care for national health insurance participants. Based on data from Ogan ilir district health office in 2017, the lowest outpatients visit for national health insurance patients occurred at Payakabung health center (650 patients). The aim of this study was to analyze associated factors with health services utilization at working area of Payakabung health center

Methods: This was a cross sectional study using simple random sampling technique with total sample was 112 respondents.

Results: The results of the study illustrated that only 43,8% respondents utilized health services. The most of respondents have characteristics as follow: age≤46 years (60,7%), female (59,8%), low education (76,8%), employment (66,1%), having good perception regarding health officers attitude (61,6%), having good perception regarding national health insurance (55,4%), close to health center (67,9%) and having positive perception regarding pain (58,9%). There were correlation between age variable (p-value<0,0001), sex (p-value=0,016), perception regarding national health insurance (p-value=0,039), service accessibility (p-value=<0,0001) and health services utilization for national health insurance participants at​ working area of Payakabung health center.

Conclusion: There were four variables correlated significantly with health services utilization (age, gender, perception regarding national health insurance, and service accessability). It is suggested that good understanding concerning national health insurance programs among society need to be improved in order to effectiveness of health service at health center .

Keywords: Utilization, health service, national health insurance, public health center