PEMANFAATAN PELAYANAN KESEHATAN DAN JAMINAN PEMELIHARAAN KESEHATAN

PEMANFAATAN PELAYANAN KESEHATAN DAN JAMINAN
PEMELIHARAAN KESEHATAN
( SIJSENAS 2001)
Titiek setyowatil dan Agustina ~,ubis'
UTILIZATION OF HEALTH SERVICES AND MANAGED CARE INSCIRA,VCE
Abstruct. The purpo.\c) oj tlre .\turly is to &.scribe vuriatiorr or1 Iieultlr .seravic.e.\ ~itllizutiorrL U I ~
on Irecllth rlztrnuged cure ow riership. Vuriutioir h~ geobry(zp11ic urea (region), rrsitlence crrrd
ecorronric lc.vc4 (clurntilc~hou.\elroltl expenditure) is depicted tle~crlptivelvh~rsetlorr unu1v.si.s oj
Health Moclule el~rtaof the 2001 Nutionul Social Econonzic Survey. The re.s'strlt .\liotr*crl tlrtrt
governnierit Ireultlr fuci1itie.s SSZICIIUS hospital, public health c4rtrter(PHC) uncl .\ubsicliur?, PHC
were relatzvelv rrzore utilized by people in Eastern Indonesia than people in ot/rer regions
(Juvu B ~ l ~itzd
i S~11~1ateru).
People qfJuva und Bali, on the other hr~ntl,utilizeel relativel)~niore
priv~rte 11o.sprtal.s trr~tlnzt?tliccrl pructitioners. Most people it1 rlrrvzl urc)n.s pr~ferre(1to visit
Ir rulth provider practices .for treatnrrrrt of' their il1~1e.s.s.)z,lrile people it/
hcaltlr ccrr tru tr~~el
rlrhtrn c~r-eusriror-c. lrkelv to visit private health .sen~ict.s.Generullv, rlzost pc)ople c.omt) fronz
poot. Irou.srlroltl.\ (yrrlntiles 1 ~~tzcl
2) preferred to visit heulth provitler pructices, trntl the rich
hororholls (c/uintile.s 4 arrrl 5) to doctor pructices. The stuclv ~ l l s oshovvetl thut proportiorr of

Irouselrold rirernhers uttencled heellth services stated their unsutisfucton~nrow to govc~rtrrrrent
Iie~lltliser-vice~thun private lreulth services. The ownel-.ship of nzanuged cure insrrrunc.e wu.5
low fir o n l y 20%. with the two highest proportion for Askes or health i~r.stlnrnc.e(7%) rind
kartu sehat or ireultl? cure1 (6%). Askes irzcluding private ir~~s~imrice
.\zrch rrs Astek cnrd
Ju/nsosteli ~ v r r~rol-c
e
likel~io~z~rletl
hv higher econorrzic Iel~el(tlrrintilc..\ 4 LI rrcl 5 ) (,or1~~cv-.sc~l~,
lrealth ccrr.tl.\ \r.cre rrrore liliell, owlreel by lower economic level (qrrirrtilc':, 1 (rritl 2 ) The
in otlrer
ol~vrer.slrip of hetrlth c.~lrtl.suvw higher fi)r people in Eu.ster*n frrclorre.sitr thtrrr for. j?c)opI~~
r,egiorr.\. 11 \t~r.strlso folrntl, urrfortrurutelv, thut the hecllth c*~rrcI.sintc~rrclerlfor. poor. /~rnrilic~.\
ere ~lhorllorre fifth of tlrerli ~ ~ ' e rtoi tbetter economicolevel jtirrri1ie.s (clirirrtrYc 4 orrrl 5).
Kq~~t'orrl:
lre~rltlrservice.^, health, ~itiliztltion,r~zurrugerlcure irr.surtrnce

Reforniasi di bidang kesehatan telah
menetapkan Visi Pembangunan Kesehatan
yang dinyatakan dalam "Indonesia Sehat

2010". Visi yang ingin dicapai melalui
penibanguuan kesehatan tersebut adalah
masyarakat, bai~gsa dan ilegara yang ditandai oleh penduduhnya hidup dalam
lingkungan dan berpcrilaku liidup sehat,
niemiliki keman~puan untuk rnenjangkau
pelayanan kesehatan yang bermutu secara
adil dan merata serta ineniiliki derajat kesehatan yang setinggi tingginyal'

' Puslitbang Ekologi I