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"[Tujuan penelitian ini adalah mengetahui hubungan pemberdayaan perempuan, utilisasi layanan kesehatan dengan kematian perinatal di Indonesia tahun 2012. Penelitian ini adalah penelitian kuantitatif dengan desain studi cross sectional menggunakan data sekunder SDKI 2012. Sampel penelitian ini adalah semua WUS yang (15 ? 49 tahun) yang pernah melahirkan dalam kurun waktu lima tahun terakhir sebelum survei pada data SDKI 2012. Hasil penelitian menunjukan bahwa tidak ada hubungan antara pemberdayaan perempuan dengan kematian perinatal. Ada hubungan antara Utilisasi layanan kesehatan dengan kematian Perinatal. variabel lain yang signifikan mempengaruhi kejadian kematian perinatal adalah pendidikan, status ekonomi, jumlah kelahiran, komplikasi kehamilan dan komplikasi persalinan. Faktor yang paling berpengaruh terhadap kejadian perinatal adalah variabel utilisasi layanan kesehatan buruk pada kelompok status ekonomi rendah dengan Odds ratio

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The purpose of this study was determine the correlation of womens Empowerment, health service utilization with perinatal mortality in Indonesia in 2012. The research was quantitative, with cross sectional design using secondary data SDKI 2012. The sample was all womens aged 15 ? 49 years old who were respondent in data SDKI 2012 and has breathing in past five years before survey SDKI 2012. The results showed that the women?s empowerment has not correlation with perinatal mortality, health service utilization has relationship with perinatal mortality. The other variables that has significantly correlation with perinatal mortality are educational level, economic status, parity, breathing complications and pregnancy complications. Breathing complication was the most correlation factor with perinatal mortality (OR: 4.5, 95%CI: 2.21-9.12). The purpose of this study was determine the correlation of women?s Empowerment, health service utilization with perinatal mortality in Indonesia in 2012. The research was quantitative, with cross sectional design using secondary data SDKI 2012. The sample was all womens aged 15 ? 49 years old who were respondent in data SDKI 2012 and has breathing in past five years before survey SDKI 2012. The results showed that the women?s empowerment has not correlation with perinatal mortality, health service utilization has relationship with perinatal mortality. The other variables that has significantly correlation with perinatal mortality are educational level, economic status, parity, breathing complications and pregnancy complications. Breathing complication was the most correlation factor with perinatal mortality (OR: 4.5, 95%CI: 2.21 ? 9.12).;The purpose of this study was determine the correlation of women?s Empowerment, health service utilization with perinatal mortality in Indonesia in 2012. The research was quantitative, with cross sectional design using secondary data SDKI 2012. The sample was all womens aged 15-49 years old who were respondent in data SDKI 2012 and has breathing in past five years before survey SDKI 2012. The results showed that the womens empowerment has not correlation with perinatal mortality, health service utilization has relationship with perinatal mortality. The other variables that has significantly correlation with perinatal mortality are educational level, economic status, parity, breathing complications and pregnancy complications. Breathing complication was the most correlation factor with perinatal mortality (OR: 4.5, 95%CI: 2.21 ? 9.12).;The purpose of this study was determine the correlation of women?s Empowerment , health service utilization with perinatal mortality in Indonesia in 2012. The research was quantitative, with cross sectional design using secondary data SDKI 2012. The sample was all womens aged 15 ? 49 years old who were respondent in data SDKI 2012 and has breathing in past five years before survey SDKI 2012. The results showed that the women?s empowerment has not correlation with perinatal mortality, health service utilization has relationship with perinatal mortality. The other variables that has significantly correlation with perinatal mortality are educational level , economic status, parity, breathing complications and pregnancy complications. Breathing complication was the most correlation factor with perinatal mortality (OR: 4.5, 95%CI: 2.21 ? 9.12).;The purpose of this study was determine the correlation of women?s Empowerment , health service utilization with perinatal mortality in Indonesia in 2012. The research was quantitative, with cross sectional design using secondary data SDKI 2012. The sample was all womens aged 15 ? 49 years old who were respondent in data SDKI 2012 and has breathing in past five years before survey SDKI 2012. The results showed that the women?s empowerment has not correlation with perinatal mortality, health service utilization has relationship with perinatal mortality. The other variables that has significantly correlation with perinatal mortality are educational level , economic status, parity, breathing complications and pregnancy complications. Breathing complication was the most correlation factor with perinatal mortality (OR: 4.5, 95%CI: 2.21 ? 9.12)., The purpose of this study was determine the correlation of women’s Empowerment , health service utilization with perinatal mortality in Indonesia in 2012. The research was quantitative, with cross sectional design using secondary data SDKI 2012. The sample was all womens aged 15 – 49 years old who were respondent in data SDKI 2012 and has breathing in past five years before survey SDKI 2012. The results showed that the women’s empowerment has not correlation with perinatal mortality, health service utilization has relationship with perinatal mortality. The other variables that has significantly correlation with perinatal mortality are educational level , economic status, parity, breathing complications and pregnancy complications. Breathing complication was the most correlation factor with perinatal mortality (OR: 4.5, 95%CI: 2.21 – 9.12).]"

"Indonesia telah mengimplementasikan Universal Health Coverage sejak 1 Januari 2014, ini merupakan suatu prestasi sekaligus tantangan. Maka dari itu, strategi rumah sakit dalam meningkatkan mutu dan mengendalikan biaya adalah dengan membuat clinical Pathway, salah satu perangkat yang digunakan untuk memperbaiki proses pelayanan. Penelitian ini menggunakan pendekatan deskriptif kuantitatif bersifat cross sectional, mengambil data sekunder dari rekam medik dan berkas billing pasien yang dirawat 1 januari ? 31 Desember 2014 di Rumah Sakit Hermina Depok, populasi 1107 pasien dan sampel dipilih berdasarkan variasi terbanyak yaitu pasien dengan riwayat Sectio caesaria sebanyak 265 pasien. Diolah menggunakan software ?Tools Pengembangan Pra Clinical Pathway dan Evaluasi Clinical Pathway? serta pengolahan data univariat. Hasil penelitian menunjukkan bahwa pasien yang memiliki resiko tinggi persalinan operasi 26.4%, lebih rendah daripada pasien yang tidak memiliki resiko persalinan operasi yaitu sebesar 73,6%. Pasien dengan jenis pembayaran pribadi lebih banyak yaitu 53.6% daripada pasien asuransi 45.3% dan JKN BPJS hanya 1.1%. Kamar perawatan kelas II lebih banyak dipilih oleh pasien yaitu 33%, VIP 29%, kelas III 23%, dan paling sedikit adalah kelas I yaitu 15%. ALOS sebesar 3.16 dan 99.6% hari perawatan sudah sesuai. Tidak semua pasien dilakukan visite berturut-turut selama masa perawatan. Terdapat 11 parameter pemeriksaan laboratorium, pemeriksaan paket ibu 94.3% lebih banyak dilakukan dibandingkan dengan pemeriksaan paket persiapan operasi 25.7% dan hematologi rutin 8.7%, terdapat 8 parameter lain yang dilakukan terpisah dari paket dan tidak ada dalam clinical pathway. Pemeriksaan CTG 40% ini lebih banyak dilakukan dibandingkan pemeriksaan USG 0.8%. Penggunaan kelas terapi obat telah sesuai dengan clinical pathway yaitu; ringer laktat, RL/D5, obat-obatan anestetik, analgesik, antibiotik, uterotonika, roborantia, dan lactagogue. Kelas terapi yang tidak terdapat dalam clinical pathway adalah antiemetik. Tindakan operasi Sectio caesaria dan pemasangan infus adalah 100%, pemasangan oksigen 93.2%, sedangkan pemasangan kateter 75%. Kesesuaian utilisasi layanan di hari pertama, seluruh variabel menunjukkan adanya perbedaan dengan rencana perawatan dalam clinical pathway. Hari kedua, masih ada tindakan operasi sebesar 15.5%, konsultasi 5%, pemeriksaan laboratorium 78.5% dan pemeriksaan radiologi 4.2%. Hari ketiga, masih ada tindakan operasi sebesar 1.5%, konsultasi 8%, dan pemeriksaan laboratorium 0.04%. Utilisasi layanan di hari keempat dan kelima, utilisasi sudah sesuai dengan clinical pathway.

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Indonesia has implemented a Universal Health Coverage since January 1, 2014, this is an achievement and a challenge. Therefore, the strategy of hospitals in improving quality and controlling costs is to make a clinical pathway, one of the devices that are used to improve the service process. This research uses descriptive quantitative approach is cross sectional, taking secondary data from medical records and billing files hospitalized patients from January 1 - December 31, 2014 at the Hermina Depok Hospital, a population of 1107 patients and samples selected based on variations of the most is patients with a Sectio Caesaria history as 265 patients. Processed using software 'Tools Pre-Clinical Development and Evaluation of Clinical Pathway' as well as data processing univariate too.

Results showed that patients who are at high risk 26.4% is lower than patients who do not have the risk of delivery operations in the amount of 73.6%. Patients with the type of personal payment is 53.6% more than insured patients of 45.3% and JKN BPJS only 1.1%. Treatment rooms class II preferred by patients is 33%, 29% VIP, 23% Class III, and the least is the Class I is 15%. ALOS at 3,16 and 99.6% of treatment days was appropriate. Not all patients got visited row during treatment. There are 11 parameters of laboratory tests, examination of 94.3% mothers pack a lot more done than the preparation packet inspection operation of 25.7% and 8.7% routine hematology, there are 8 other parameters are done separately from the package and not in clinical pathways. CTG examination is 40% more than an ultrasound examination carried 0.8%.

The use of therapeutic classes of drugs are in compliance with clinical pathways, namely; Ringer's lactate, RL/D5, anesthetic drugs, analgesics, antibiotics, uterotonic, roborantia, and lactagogue. Therapeutic classes that are not included in the clinical pathway is an antiemetic. Surgery and the infusion was 100%, 93.2% oxygen installation, while the catheter 75%. Suitability utilization of services in the first day, all the variables showed a difference in treatment planning in clinical pathways. The second day, there is still a surgery operation 15.5%, 5% consultations, 78.5% laboratory tests and radiological examinations 4.2%. The third day, there is still an operation of 1.5%, 8% consultations, and 12.04% laboratory tests. Utilization of services in the fourth and fifth days, the utilization is in accordance with clinical pathways."

"Pendahuluan: Depresi antenatal dialami oleh satu dari lima ibu hamil dan hal ini memengaruhi kesehatan ibu serta bayinya. Gejala depresi antenatal sulit dikenali karena tumpang tindih dengan perubahan fisik dan psikologis saat hamil. Depresi antenatal juga dihubungkan dengan beragam faktor risiko. Penelitian ini bertujuan untuk mengetahui permasalahan depresi antenatal dan faktor risikonya di layanan kesehatan primer daerah urban. Metode: Studi potong lintang dengan metode pengambilan sampel secara konsekutif yang melibatkan ibu hamil di Poli Kesehatan Ibu Anak Puskesmas Kecamatan Matraman selama April-Agustus 2016. Responden mengisi kuesioner self-report berupa Kuesioner Data Umum untuk mendapat profil demografi, Lembar Pengenalan Gejala Depresi titik potong ge;5 untuk melihat gejala depresi pada ibu hamil, Kuesioner Dukungan Sosial titik potong ge;13 untuk melihat adanya dukungan sosial bagi ibu hamil, Kuesioner Kesesuaian Hubungan Suami Istri titik potong ge;16 untuk kesesuaian dalam pernikahan, serta derajat stres menggunakan Kuesioner Holmes-Rahe 300 stres berat . Data yang didapat diolah menggunakan analisis bivariat Chi-square dan analisis multivariat menggunakan regresi logistik. Hasil: 107 ibu hamil berpartisipasi dalam penelitian ini. 15 ibu hamil n=16 menunjukkan gejala depresi antenatal. Model faktor risiko untuk depresi antenatal adalah aktivitas yang menghasilkan uang, jumlah kehamilan, riwayat lahir hidup, usia kehamilan, dukungan sosial, serta stres yang dialami ibu hamil Prob > chi2 = 0.0021. Pembahasan: Depresi antenatal relatif banyak ditemukan di layanan primer area urban sehingga perlu menjadi perhatian khusus. Depresi antenatal berhubungan dengan faktor biologis dan psikososial terutama dukungan sosial dan stres saat hamil.

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Introduction: One of five pregnant mothers experienced antenatal depression and this could affect both mother's and baby's health outcome. Identification of antenatal depression is uneasy due to its similarities with physiological and psychological changes during pregnancy period. Also, antenatal depression is related with various risk factors. This study will describe antenatal depression and its associated risk factors among urban primary health care practice.

Method: A cross sectional study with consecutive sampling method of pregnant mothers who utilized maternal health services in Matraman Primary Health Care during April August 2016. They were asked to fill in self report questionnaires. Demographical characteristics were collected using patient's identity form, antenatal depression was determined using self report questionnaire Lembar Pengenalan Gejala Depresi LPGD with cut off ge 5 for presence of depression, social support using Kuesioner Dukungan Sosial KDS with cut off ge 13, relationship situation with husband using Kuesioner Kesesuaian Hubungan Suami Istri KHSI with cut off score ge 16, and level of stress experienced in the past years using Holmes Rahe questionnaire 300 severe stress. Data collected was analyzed using chi square and further with logistic regression.

Result: 107 pregnant mothers joined this study. Fifteen percent n 16 of them were found to have depressive symptoms. Risk factors model for antenatal depression is generating income activities, number of pregnancies, history of livebirth, gestational age, social support, and stress during pregnancy Prob chi2 0.0021.

Discussion: Antenatal depression found to be common in urban primary health care practice. Antenatal depression is related with biological and psychosocial factors, mainly social support and stress during pregnancy."

"Dalam pelayanan kesehatan, terdapat suatu catatan yang digunakan untuk mencatat setiap kondisi dan tindakan medis yang dilakukan kepada pasien. Rekam medis menjadi satu-satunya catatan yang memuat riwayat kesehatan serta rangkaian tindakan medis yang dilakukan kepada pasien. dari latar belakang tersebut, terdapat dua rumusan permasalahan yang akan diteliti oleh penulis dalam penelitian ini, yaitu: 1 Bagaimana persyaratan penggunaan rekam medis sebagai alat bukti di pengadilan? 2 Bagaimana kekuatan pembuktian rekam medis dalam hukum acara perdata di Indonesia dalam putusan No. 225/PDT.G/2014/PN.BDG? metode yang digunakan dalam penelitian ini adalah yuridis-normatif. Dari penelitian yang dilakukan, rekam medis dapat dijadikan sebagai alat bukti apabila sudah memenuhi isi minimal yang diatur dalam Permenkes no. 269/MENKES/PER/III/2008 tentang Rekam Medis dan kekuatan pembuktian rekam medis di persidangan adalah alat bukti surat berupa akta otentik yang memiliki kekuatan sempurna dan mengikat.

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In health care service, there is one document which ise used to record each condition and medical treatment towards patient. Medical record is the only document which contains the patient rsquo s medical history. Hence, medical record can be used as evidence in the court. From the background, there are 2 two principal issues raised by the author 1 how are the requirements of the usage of medical records as the evidence 2 how is the strength of evidence of medical record as admissible evidence based on civil law procedure in verdict No. 225 Pdt.G 2014 PN.Bdg The method used in the research is juridicial normative. As the result of the research are medical record can be used as evidence if the requirements stated in Peraturan Menteri Kesehatan No. 269 MENKES PER III 2008 tentang Rekam Medis are fulfilled and the force of evidence of medical record is as authentic deed."

"ABSTRAK Nama : Tinton Mohammad AkbarProgram Studi : Ilmu Kesehatan MasyarakatJudul : Perbandingan Pemanfaatan Rawat Jalan pada Lansia Sakit,Periode Pra dan Pasca JKN Analisis Data SUSENAS Tahun2013 dan 2016 Pembimbing : Kurnia Sari, SKM, MSEPeningkatan usia harapan hidup menyebabkan jumlah populasi lansiameningkat. Hal ini berdampak pada lonjakan angka kesakitan lansia danberpengaruh pada tingginya pemanfaatan pelayanan kesehatan rawat jalan olehlansia. Kenaikan ini akan dilihat pada periode sebelum tahun 2013 dan setelahJKN tahun 2016 . Penelitian ini bertujuan menganalisis faktor-faktor yangberhubungan dengan pemanfaatan pelayaan kesehatan di fasilitas rawat jalanoleh lansia. Desain studi penelitian adalah repeated cross-sectional,menggunakan data Susenas 2013 dan 2016 dengan sampel yang memenuhikriteria inklusi sebanyak 25.070 tahun 2013 dan 27.723 tahun 2016 responden. Analisis regresi logistik menunjukkan bahwa sebagian besar variabelyang diteliti memberikan hasil signifikan berhubungan dengan pemanfaatanrawat jalan oleh lansia di tahun 2013 maupun 2016. Variabel status ekonomikuintil memberikan hubungan yang kuat terhadap pemanfaatan rawat jalan olehlansia dimana lansia dalam lansia yang berada pada kuintil 5 berpeluangmenaikkan pemanfaatan rawat jalan sebesar 13 di tahun 2013 dan 12 ditahun 2016. Disarankan bagi lansia di semua kuintil/kategori ekonomi didoronguntuk mengikuti program jaminan kesehatan nasional agar seluruh lansia dapatmengakses layanan kesehatan tanpa hambatan finansial.Kata kunci :lansia; pemanfaatan layanan kesehatan; rawat jalan; susenasABSTRACT Name Tinton Mohammad Akbar Study Program Public HealthTitle Comparison of Outpatient Healthcare Utilization amongElderly with Health Symptoms, Before and After NationalHealth Insurance Period Analysis of National Socio Economic Survey Data Set 2013 and 2016 Counsellor Kurnia Sari, SKM, MSEIncreased life expectancy causes an escalation in the number of elderlypopulation. In return, these will accelarete morbidity among elderly which alsoaffect them to use outpatient services. It is expected that the increasing numberof health insurance ownership 2016 compared to time period before JKNprogram being implemented 2013 will also improve healthcare outpatientutilization. The study aims to identify factors that affecting to the utilization ofoutpatient services. This research was designed using repeated cross sectionaland quantitative approach of secondary data data Susenas 2013and 2016 withthe amount of research samples which fit with inclusive criteria was 25.070respondents in 2013 and 27.723 respondents in 2016. Furthermore, logisticregression analysis model resulted significant in most of variable investigated.The study found that the most significant variables in improving probability touse outpatient services are the quintile 5 richest economic status both in 2013and 2016 by 13 and 12 . It is recommended that the government or the policymakers should promote the expanding of JKN rsquo s coverage toward elderly in alleconomic quintiles as they could access health service without financialbarriers.Key words elderly healthcare utilization outpatient susenas"

"Latar belakang: Pandemi COVID-19 merupakan tantangan bagi dokter spesialis mata di Indonesia. Kondisi ini mengakibatkan terjadinya perubahan pada pola pelayanan kesehatan dan dapat menjadi faktor risiko terjadinya infeksi COVID-19 pada dokter spesialis mata.Tujuan: Menilai dampak pandemi terhadap faktor pola pelayanan kesehatan mata dan hubungannya dengan riwayat terinfeksi COVID-19 pada dokter spesialis mata di IndonesiaMetode: Penelitian menggunakan desain potong lintang dengan survei daring (Google form) pada November 2022.Hasil: Kuesioner terdiri dari 30 pertanyaan yang dikirimkan kepada 1555 responden dengan respon rate 20,97%, sehingga diperoleh 318 responden. Responden umumnya berusia 30-40 tahun dengan pengalaman kerja >10 tahun, dan merupakan dokter mata umum. Terdapat 175 responden yang memiliki riwayat terinfeksi COVID-19 di awal pandemi (Maret 2020 – Desember 2021) dan di masa transisi pandemi (Januari – November 2022). Faktor pola pelayanan kesehatan mata (penggunaan APD, pembatasan jumlah pasien di poliklinik, pembatasan jumlah praktik, pembatasan jumlah operasi mata, konsultasi telemedisin) tidak berhubungan dengan riwayat terinfeksi COVID-19 pada dokter spesialis mata di masa pandemi (p>0,05).Kesimpulan: Terdapat lebih dari separuh jumlah dokter spesialis mata yang pernah terinfeksi COVID-19 selama pandemi. Pembatasan jumlah pasien di poliklinik rawat jalan tidak berhubungan dengan riwayat terinfeksi COVID-19 pada dokter spesialis mata di Indonesia di awal dan masa transisi pandemi.

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Background: The COVID-19 pandemic is a challenge for ophthalmologists in Indonesia. This condition causes a change of eye health services and can be a risk factor for COVID-19 infection in ophthalmologists.

Purpose: To evaluate changes in patterns of eye health services and risk factors related to COVID-19 infection in ophthalmologists

Methods: The design of this study was used a cross-sectional study with an online survey (Google form) in November 2022.

Results: The questionnaire consisted of 30 questions which were sent to 1555 respondents with a response rate of 20.97%, so that 318 respondents were obtained. Respondents are generally aged 30-40 years with work experience >10 years, and work as general ophthalmologists. There were 175 respondents who had a history of being infected with COVID-19 in early pandemic (March 2020 – December 2021) and transition period of pandemic (January – November 2022). Factors in the pattern of eye health services (use of PPE, limiting the number of patients at the polyclinic, limiting the number of practices, limiting the number of eye surgeries, telemedicine consultations) were not associated with a history of COVID-19 infection among ophthalmologists during the pandemic (p>0.05).

Conclusion: More than half of ophthalmologists have been infected with COVID-19 during the pandemic. Limiting the number of patients at the polyclinic was not related to a history of COVID-19 infection among ophthalmologists in Indonesia at the early and transition period of the pandemic."

"Transformasi digital pada fasilitas layanan kesehatan merupakan hal krusial seiring dengan pertambahan kompleksitas layanan. Implementasi enterprise architecture dapat menjadi salah satu cara untuk melakukan transformasi tersebut dengan menyelaraskan strategi organisasi dan kebutuhan teknologi infomasi. Namun demikian, mengimplementasikan enterprise architecture bukan pekerjaan yang mudah bagi pihak fasilitas layanan kesehatan yang kompetensi utamanya adalah pelayanan medis. Penelitian ini berupaya untuk mengidentifikasi faktor pendorong, tantangan, dan strategi optimal untuk implementasi enterprise architecture pada fasilitas layanan kesehatan. Penelurusan literatur sistematis, multiple case study, dan teknik perhitungan fuzzy AHP-TOPSIS digunakan untuk menjawab pertanyaan penelitian ini. Terdapat enam belas informan dari sebelas fasilitas layanan kesehatan terdiri dari rumah sakit tipe A, B, C, dan D yang dilibatkan pada multiple case study. Hasil studi kualitatif tersebut kemudian dilakukan pembobotan menggunakan teknik fuzzy AHP-TOPSIS. Hasil penelitian ini menunjukkan terdapat enam faktor pendorong, lima kategori tantangan, delapan belas tantangan, dan sepuluh strategi implementasi untuk menghadapi tantangan implementasi enterprise architecture pada fasilitas layanan kesehatan di Indonesia.

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Digital transformation for healthcare provider is crucial due to the accelerating complexity of the services. Enterprise architecture can be an option to support the transformation by aligning organization strategy and information technology resource. However, enterprise architecture implementation might be challenging for healthcare providers which mainly focus on the medical service. This study attempts to identify driving factors, challenges, and optimal strategies for overcoming enterprise architecture implementation challenge in healthcare. Systematic literature review, qualitative multiple case study, and fuzzy AHP-TOPSIS technique are used to answer the research questions. Sixteen interviewees from eleven healthcare providers that consist of four types of hospital class are involved in the multiple case study. The qualitative result then prioritized using fuzzy AHP-TOPSIS approach. This study discovered six driving factors, eighteen challenges divided into five categories, and ten optimal implementation strategy to overcome the implementation challenges of enterprise architecture in Indonesia’s healthcare sector.

"

"Kepemilikan jaminan kesehatan merupakan salah satu upaya yang terbukti efektif dalam mengurangi atau menurunkan hambatan akses masyarakat terhadap fasilitas kesehatan, khususnya dalam hal biaya pelayanan. Meskipun provinsi DKI Jakarta merupakan provinsi dengan kepemilikan jaminan kesehatan tertinggi di Indonesia, pemanfaatan pelayanan kesehatan di DKI Jakarta belum maksimal. Tujuan penelitian ini adalah untuk mengetahui hubungan jaminan kesehatan dengan pemanfaatan fasilitas rawat inap formal pada masyarakat di Provinsi DKI Jakarta. Penelitian ini merupakan penelitian observasional dengan desain cross-sectional dan menggunakan pendekatan kuantitatif. Sumber data yang digunakan adalah data Survei Sosial Ekonomi Nasional (Susenas) 2023 wilayah Provinsi DKI Jakarta. Hasil penelitian menunjukkan bahwa hanya 3,3% masyarakat DKI Jakarta yang memanfaatkan layanan rawat inap. Berdasarkan karakteristiknya, kelompok yang paling banyak memanfaatkan layanan rawat inap adalah kelompok yang memiliki jaminan kesehatan ganda (8,2%), berusia lanjut (6,5%), berjenis kelamin perempuan (3,9%), memiliki tingkat pendidikan tinggi (3,5%), berstatus menikah (4,2%), dengan status pekerjaan tidak bekerja (3,9%), memiliki keluhan kesehatan (7,2%) dan bukan perokok (3,8%). Terdapat hubungan yang signifikan antara kepemilikan jaminan kesehatan (p value = <0.001) dengan pemanfaatan layanan rawat inap, dengan kepemilikan jaminan kesehatan ganda dapat meningkatkan peluang pemanfaatan rawat inap sebanyak 7,2 kali dibandingkan kelompok yang tidak memiliki jaminan kesehatan. Hal ini menunjukkan bahwa kepemilikan jaminan kesehatan ganda dapat memberikan akses yang lebih luas dan lebih mudah terhadap pelayanan kesehatan. Hasil penelitian ini menyarankan agar pemerintah mendorong capaian UHC (Universal Health Coverage) dengan meningkatkan kepesertaan JKN, salah satunya dengan melakukan sosialisasi mengenai manfaat kepemilikan jaminan kesehatan, mekanisme penggunaan jaminan kesehatan dan manfaat yang diperoleh. Selain itu, perlu dilakukannya peningkatan kualitas pelayanan yang ada pada fasilitas kesehatan misalnya dengan memastikan ketersediaan obat, perlengkapan alat kesehatan, kepedulian tenaga kesehatan kepada pasien dan lain-lain. Pemerintah bersama BPJS Kesehatan juga perlu memastikan bahwa sasaran peserta Penerima Bantuan Iuran (PBI) BPJS tepat sasaran sehingga dapat meningkatkan akses pelayanan kesehatan kepada kelompok yang paling membutuhkan.

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Health insurance ownership is one of the efforts that has proven effective in reducing or lowering barriers to community access to health facilities, especially in terms of service costs. Although DKI Jakarta province is the province with the highest health insurance ownership in Indonesia, the utilization of health services in DKI Jakarta has not been maximized. The purpose of this study was to determine the relationship between health insurance and the utilization of formal inpatient facilities in the community in DKI Jakarta Province. This study is an observational study with a cross-sectional design and uses a quantitative approach. The data source used was the 2023 National Socio-Economic Survey (Susenas) data for DKI Jakarta Province. The results showed that only 3.3% of DKI Jakarta residents utilized inpatient services. Based on their characteristics, the group that utilized inpatient services the most was the group that had multiple health insurance (8.2%), was elderly (6.5%), female (3.9%), had a high level of education (3.5%), was married (4.2%), with a work status of not working (3.9%), had health complaints (7.2%) and was a non-smoker (3.8%). There was a significant association between health insurance ownership (p value = <0.001) and utilization of inpatient services, with having multiple health insurance coverage increased the odds of inpatient utilization by 7.2 times compared to the uninsured group. This suggests that having multiple health insurance coverage can provide wider and easier access to health services. The results of this study suggest that the government encourages the achievement of UHC (Universal Health Coverage) by increasing JKN membership, one of which is by conducting socialization about the benefits of health insurance ownership, the mechanism for using health insurance and the benefits obtained. In addition, it is necessary to improve the quality of existing services at health facilities, for example by ensuring the availability of drugs, medical equipment, health workers' concern for patients and others. The government and BPJS Kesehatan also need to ensure that the targeting of BPJS Beneficiary Contribution (PBI) participants is right on target so as to increase access to health services to the groups that need it most."