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DETERMINAN PEMANFAATAN KARTU JAMINAN KESEHATAN NASIONAL (JKN) DI PUSKESMAS PAGURAWAN KABUPATEN BATU BARA
Abstract
In the community whose distance is the closest to the Primary Health Care (PHC), there is still less participation in the National Health Insurance (JKN), and not many people, if they go to the PHC, were lazy to bring their JKN card to the PHC. It is known that the description of the not yet maximal use of the JKN card at the Puskesmas is related to the interest of JKN users themselves. This study, therefore, aims to determine the factors that influence the community in utilizing the JKN card at the Pagurawan PHC, which was held from December to January 2021 with 90 samples taken using an accidental sampling technique. Data collection was carried out using a questionnaire, research analysis using the Chi-Square test. The results showed that the variable that influenced the use of the JKN card was knowledge (p=0.020), distance traveled (p=0.030), household expenditure (p=0.007). However, some variables had no significance namely education (p=0.487), job (p=0.487), attitude variable of health workers (p=0.089), and complaints of illness (p=0.035). The results of the analysis show recommending that health workers conduct more education or outreach to people who have a JKN card to make more use of the JKN card to the PHC.
ABSTRAK
Diketahui bahwa keikutsertaan dalam program Jaminan Kesehatan nasional (JKN) pada masyarakat yang jarak tempuhnya paling terdekat dengan Fasilitas kesehatan terbukti masih belum optimal, ditambah kenyataan bahwa tidak banyak pula masyarakat membawa kartu JKN jika berobat ke Puskesmas. Hal ini menggambarkan belum maksimalnya pemanfaatan kartu JKN di Puskesmas berkaitan dengan minat peserta JKN. Penelitian ini bertujuan mengidentifikasi faktor yang berhubungan dengan pemanfaatan kartu JKN di Puskesmas oleh Masyarakat. Penelitian dilaksanakan pada Desember-Januari 2021 dengan sampel sebanyak 90 responden, dengan pengambilan sampel menggunakan tehnik accidental sampling. Pengumpulan data dilakukan menggunakan kuesioner, analisis penelitian menggunakan uji Chi-Square (α=0.05). Penelitian menemukan bahwa faktor yang memiliki kaitan dengan pemanfaatan kartu JKN adalah pengetahuan (p=0,020), jarak tempuh (p=0,030), pendapatan rumah tangga (p=0,007) dan keluhan sakit (p=0,035). Sedangkan pendidikan (p= 0,487), pekerjaan (p=0,487), dan sikap petugas kesehatan (p=0,089) terbukti tidak signifikan. Hasil analisis studi merekomendasikan para petugas kesehatan untuk melakukan edukasi ataupun sosialisasi yang lebih massif dan terstruktur kepada masayarakat yang memiliki kartu JKN untuk lebih menfaatkan kartu JKN ke Puskesmas.
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DOI: http://dx.doi.org/10.52118/edumasda.v7i1.140
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