Perception Towards Illness and Health Care System: A Survey among Heart Disease Patients in Public Hospital in Yogyakarta Province

Abstract

Introduction: Heart disease is still a major concern in the Indonesian health sector. Wrong perceptions of heart disease are a significant barrier to preventing and controlling heart disease. This study aims to determine the illness and health care system perception in heart disease patients at Government Hospital Daerah Istimewa Yogyakarta. Method: This study was analytic observational with a cross-sectional design with sampling using a convenience sampling technique. Data collection used a questionnaire method with direct interviews with patients. Data analysis used Kolmogorov-Smirnov and Chi-Square tests. Result: The results obtained 108 patients consisting of 51 men and 57 women. Based on the Kolmogorov-Smirnov test, 88.89% of patients had a good perception of illness, and 56.48% had a good perception of the healthcare system. Chi-Square test analysis showed sociodemographic variables associated with illness perception were total family income monthly (p=0.000) and duration of heart disease (p=0.021). In contrast, the perception of the health care system is related to the variables of age (p=0.001) and educational status (p=0.002). Conclusion: The heart disease patients in Government Hospital Daerah Istimewa Yogyakarta have an excellent perception of illness and the healthcare system. Patients' perceptions will increase if patient knowledge and hospital service quality are improved.