克鲁加哈拉潘计划参与者利用初级保健的易感因素、使能因素和需求因素的相关性

Sendhi Tristanti Puspitasari, Roesdiyanto, Dita Maulidya Rizka
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引用次数: 0

摘要

简介:“希望之路”计划是一项旨在通过有条件现金援助减少贫困人口脆弱性的计划,以满足家庭需求,如获得保健和教育服务、免疫接种和家庭营养保障。PKH参与者享有医疗保险设施,特别是在Penerima Bantuan Iuran (PBI),以获得医疗服务。2019年PBI参与者总数达到28.81%,医疗保健利用率仅为13.34%。初步研究表明,并非所有PKH参与者都有KIS并使用保健服务。本研究旨在探讨主题村PKH参与者利用肯德尔凯瑞普初级卫生保健服务的易感因素、使能因素和需求因素的相关性。方法:本研究采用分析观察和横断面研究方法,研究对象为甘榜兰平旺吉、甘榜瓦尔纳瓦尔尼焦地潘和甘榜特里迪的所有PKH参与者。数据分析采用逻辑回归和相关检验。结果:分析结果表明:教育程度(β = 1.689)、就业状况(β = 1.466)等诱发因素存在显著相关;有利因素,如医疗保险(β = 3.045)、获得医疗保健(β = 2.819);需求是对肯达尔克瑞普初级卫生保健的疾病感知(β = 2.767)。结论:基于Nagelkerke决定系数,健康保险和可及性是影响肯德尔凯瑞普初级卫生保健利用的主导因素,相关强度为公平,相关方向为正。
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CORRELATION OF PREDISPOSING, ENABLING, AND NEED FACTOR OF PROGRAM KELUARGA HARAPAN PARTICIPANTS TOWARD UTILIZING PRIMARY HEALTHCARE
Introduction: Program Keluarga Harapan (PKH) is a program aimed to reduce the vulnerability of the poor through conditional cash assistance for household need such as access to health and education services, immunization, and family nutrition fulfillment. PKH participants are given health insurance (KIS) facility, especially in Penerima Bantuan Iuran (PBI), to access health services. Total PBI participants in 2019 reached 28.81% with healthcare utilization only 13.34%. Preliminary studies showed that not all PKH participants have KIS and use health services. The aim of the study is to find out the correlation of predisposing, enabling, and need factors of PKH participants in the Thematic Village toward utilizing health services in Kendalkerep Primary Healthcare. Methods: This study is an analytic-observational study and cross-sectional approach with subjects all of PKH participants in Kampoeng Lampion Wangi, Kampung Warna Warni Jodipan, and Kampung Tridi. Data are analyzed by logistic regression and correlational test. Result: Results of analysis show that there is significant correlations of predisposing factor such as education (β = 1.689), employment status (β = 1.466); enabling factor such as health insurance (β = 3.045), access to healthcare (β = 2.819); and need is a perception of illness (β = 2.767) toward Kendalkerep Primary Healthcare by PKH Thematic Village participants. Conclusion: Based on Nagelkerke determination coefficient, health insurance and access is a dominant factor which affects the utilization Kendalkerep Primary Healthcare of 46% with correlational strength fair and correlational direction positive.
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