Analysis of Factors Related to the Utilization of the Community Health Center by BPJS Participants in Three Puskesmas in Banjarmasin City, 2020

Abstract

BPJS Kesehatan in providing health services in collaboration with all First Level Health Service Facilities (FKTP) and Advanced Level Health Facilities (FKTL). based on BPJS data, the largest use of BPJS is at the Community Health Centers. However, there are health centers with the lowest use of BPJS in Banjarmasin, namely Banjarmasin Indah and S. Parman Community Health Centers, while Alalak Tengah Community Health Centers, although not the lowest, has decreased the number of patients. This research aims to analyze the factors related to the use of Community Health Centers by BPJS patients at 3 Community Health Centers in Banjarmasin City. This type of research was analytic observational with a cross-sectional design. The population was all patients who visited the Community Health Centers with a consecutive sampling technique of 106 people. The instrument used was a questionnaire, data analysis using Multiple Logistic Regression. The results showed that there was a relationship between the level of knowledge and the utilization of Community Health Centers services (p-value 0,000) and PR of 7,619 (95% CI 3,474-16,710), there was a relationship between the facilities and the utilization of Community Health Centers services (p-value 0,000) and PR of 3,920 (CI 1,972- 7,792). There is a relationship between infrastructure and the utilization of Community Health Centers services (p-value 0.001) and PR of 2,611 (95% CI 1,539-4,430). There is a relationship between infrastructure and the utilization of Community Health Centers services (p-value 0,000) and a PR value of 7.045 (CI 3,208-15,474). There is a relationship between knowledge, facilities, infrastructure, easy access to health centers with the utilization of Community Health Centers services (p-value 0,000) and the exponential Beta value (Exp B) = 22,999 (CI 4,463-118,526). There is a relationship between knowledge, facilities, infrastructure and ease of access with the use of Community Health Centers by BPJS patients in 3 Community Health Centers in Banjarmasin City.