POLICY TO ACCELERATE PRIMARY HEALTH CARE USAGE IN EAST JAVA: WHO IS THE TARGET?

Abstract

Primary Health Care usage is a indicator to evaluating healthcare system performance. The study analyzes the target for accelerating Primary Health Care usage among adults in East Java, Indonesia. This study employed secondary data from the 2018 Indonesian Basic Health Survey which analyzed 68,747 respondents. In addition to Primary Health Care usage as a dependent variable, the study uses residence, age, gender, marital, education, employment, wealth, health insurance, and time travel as independent variables. The study used binary logistic regression in the final step. Adults living in urban areas have a possibility of 1.064 times than those living in rural areas to use Primary Health Care. Age correlated with immediate healthcare usage, and females have a better opportunity for direct healthcare usage. According to marital status, divorced/widowed have a chance of 2.070 times than never in a union to use PHC. Employment and wealth status correlated with immediate healthcare usage. According to health insurance ownership, government-run insurance has the highest chance to use PHC. The ≤ 10 minutes is a protective factor for adults to use Primary Health Care. The novelty of this manuscript is the identification of the characteristics of the community who access the health services, so that the government can develop an appropriate program for the community. The target for policy acceleration of Primary Health Care usage among adults in East Java has nine characteristics: lives in rural areas, old, male, divorced/widowed, well educated, employed, the poorest, uninsured, and have time travel more than 10 minutes. Keywords: Primary Health Care, Healthcare Evaluation, Healthcare Access, Public Health DOI： https://doi.org/10.35741/issn.0258-2724.58.1.26