An Analysis of the Usage Patterns of Health Services Funded through Capitation and Non-Capitation in Government Owned Primary Healthcare Facilities in The District of Pandeglang

Abstract

Abstract. The National Health Insurance (JKN) is basically a form of managed care, a technique that integrates health costing and service quality through cost control and quality control. In that concept, the Puskesmas acts as the government’s primary healthcare facility, its vanguard. The aim of this research is to discover and analyze the healthcare usage patterns funded by capitation and non-capitation in government primary healthcare facilities (FKTP). This was an analytical study utilizing a cross-sectional design. 615 patients visiting the government’s FKTP were involved in this research. The results indicated that 47.3% of patients utilizing the government’s FKTP at Pandeglang district were JKN funded, while 52.7% were not funded by the JKN. 66.7% were funded by capitation methods and 33.3% used non-capitation funding. More JKN recipients access non-capitation healthcare than non-recipients. The factors that are related with the type of healthcare accessed are the patient’s health status, JKN status, and ability to pay. Keywords: JKN, utilization, Pandeglang, capitation