Pemanfaatan Pelayanan Kesehatan dan Jaminan Pemeliharaan Kesehatan (SUSENAS 2001)

Setyowati, Titiek and Lubis, Agustina (2003) Pemanfaatan Pelayanan Kesehatan dan Jaminan Pemeliharaan Kesehatan (SUSENAS 2001). Buletin Penelitian Kesehatan, 31 (4). ISSN 0125-9695

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Abstract

The purpose of the study is to describe variation on health services utilization and on health managed care ownership. Variation by geographic area (region), residence and economic level (quintile household expenditure) is depicted descriptively based on analysis of Health Module data of the 2001 National Social Economic Survey. The result showed that government health facilities such as hospital, public health center (PHC) and subsidiary PHC were relatively more utilized by people in Eastern lndonesir than people in other regions (Java Bali and Sumatera). People of Java and Bali, on the other hand, utilized relatively more private hospitals and medical practitioners. Most people in rural areas preferred to visit health center and health provider practices for treatment of their illnes, while people in urban areas more likely to visit private health serrvices. Generally, most people come from poor households (quintiles 1 and 2) preferred to visit health provider practices, and the rich houeholds (quintiles 4 and 5) to doctor practices. The study also showed that proportion of household members attended health services stated their unsatisfactory more to government health services than private health services. The ownership of managed care insurance was low for only 20%, with the two highest proportion for Askes or health insurance (7%) and kartu sehat or health card (6%). Askes including private insurance such as Astek and Jamsostek were more likely owned by higher economic level (quintile 4 and 5), comversely health cards were more likely owned by lower economic level (quintile 1 and 2). The ownership of health cards was higher for people in Eastern Indonesia than for people in other regions. It was also found, unfortunately, that the health cards intended for poor families were about one fifth of them went to better economic level families (quintile 4 and 5).

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