Factors Affecting Community Participation in the Use of Health Services in Primary Care
Main
Wanda Aulia Oktapianti*
Nadya Ulfa Tanjung
Rapotan Hasibuan
The main problem in this study is the low participation of the community in utilizing health services at the Bandar Baru Health Center, Deli Serdang Regency, even though facilities and programs are available. Barriers such as difficult access to transportation, low ownership of health insurance, and inappropriate perceptions of the disease are the main inhibiting factors. The purpose of this research is to examine the various factors that impact the involvement of the community in utilizing health services at the health center. Utilizing a quantitative approach with a cross-sectional framework, the study gathered a sample of 96 participants using accidental sampling methods. The collected data underwent analysis through the chi-square test to determine the association between independent and dependent variables. The findings indicated a notable correlation between accessibility (p=0.001), ownership of health insurance (p=0.031), and perception of diseases (p=0.014) with the utilization of health services. Conversely, factors such as age, gender, education, occupation, and the presence of health professionals did not display a significant relationship (p>0.05). The implications of this study indicate the importance of community-based interventions to improve physical and financial access to health services and public health education. These interventions need to involve cross-sectors and consider local cultural factors so that the use of health services becomes more equitable and sustainable.
Abd Rijal Lapodi, Herlien Sinay, Sunik Cahyawati, & Dhiya Permata Puluhatumena. (2023). Faktor-Faktor Yang Mempengaruhi Pemanfaatan Pelayanan Kesehatan Di Klinik Sikes Lanud Pattimura Ambon. USADA NUSANTARA : Jurnal Kesehatan Tradisional, 2(1 SE-Articles), 162–175. https://doi.org/10.47861/usd.v2i1.648
Aridah, Farisni, T. N., Reynaldi, F., & Darmawan. (2022). Faktor yang Berhubungan dengan Pemanfaatan Pelayanan Kesehatan pada Masyarakat Desa Paya Baro Ranto Panyang Kecamatan Meureubo Kabupaten Aceh Barat. Jurmakemas: Jurnal Mahasiswa Kesehatan Masyarakat, 2(2).
Fitriani, L., Nur, A. A., Rahayu, R., Jinan, R., Selviana, R. E., Rahman, F., & Laily, N. (2021). Keputusan Pemilihan Pelayanan Pengobatan Ditinjau dari Karakteristik Individu dan Aksesibilitas. Jurnal Penelitian Dan Pengembangan Kesehatan Masyarakat Indonesia, 2(1), 67–75. https://doi.org/10.15294/jppkmi.v2i1.47366
Harju, E., Speierer, A., Jungo, K. T., Levati, S., Baggio, S., Tancredi, S., Noor, N., Rodondi, P.-Y., Cullati, S., Imboden, M., Keidel, D., Witzig, M., Frank, I., Kohler, P., Kahlert, C., Crivelli, L., Amati, R., Albanese, E., Kaufmann, M., … Chocano-Bedoya, P. (2023). Changes in Healthcare Utilization During the COVID-19 Pandemic and Potential Causes—A Cohort Study From Switzerland. International Journal of Public Health, 68. https://doi.org/10.3389/ijph.2023.1606010
Hilmi, I. L., Salman, S., Sholih, M. G., Ratnasari, D., & Septiani, D. (2022). Penyukia (Penyuluhan Dan Edukasi Kesehatan Ibu Dan Anak) Pada Puskesmas Rawamerta Karawang. JOURNAL OF SUSTAINABLE COMMUNITY SERVICE, 2(4), 214–222. https://doi.org/10.55047/jscs.v2i4.638
Ilyas, Y. (2003). Mengenal asuransi kesehatan: review utilisasi,manajemen klaim dan fraud: kecurangan asuransi kesehatan. Universitas Indonesia.
Maidar, A. A., & Hasana, S. N. (2022). Hubungan Mutu Pelayanan Kesehatan Dengan Kepuasan Pasien Di Puskesmas Batoh Kota Banda Aceh Tahun 2022. Journal of Health and Medical Science, 2(1), 93–105. https://doi.org/10.51178/jhms.v2i1.1023
Nurmailah, Ginting, C. N., & Liena. (2025). Analysis of the Role of Patient Trust in Improving Health Equity: Case Study at the General Hospital in Aceh Province. Proceeding of The International Conference of Inovation, Science, Technology, Education, Children, and Health, 5(1), 12–22. https://doi.org/10.62951/icistech.v5i1.159
Rosenstock, I. M. (1966). Why People Use Health Services. The Milbank Memorial Fund Quarterly, 44(3), 94. https://doi.org/10.2307/3348967
Saprianti, L., Ikdafila, I., Khaeriah, Darwis, N., Arni, & Hasan, M. (2024). Hubungan Pengetahuan dan Aksesibilitas dengan Pemenafaatan Pelayanan Kesehatan pada Masyarakat Nelayan di Desa Barangmamase. Innovative: Journal of Social Science Researchf Social Science Research, 4(6). https://doi.org/10.31004/innovative.v4i6.16476
Sinarsari, N. M., & Sutana, I. G. (2021). Seni Mendeteksi Penyakit Melalui Lidah Dalam Budaya Pengobatan Tradisional Tiongkok. Jurnal Yoga Dan Kesehatan, 4(1). https://doi.org/10.25078/jyk.v4i1.225
Statistics of Deli Serdang Regency. (2019). Jumlah Desa/Kelurahan Yang Memiliki Sarana Kesehatan Menurut Kecamatan di Kabupaten Deli Serdang, 2011. Statistics of Deli Serdang Regency.
Statistics of Deli Serdang Regency. (2024). Sibolangit District in Figures 2024. Statistics of Deli Serdang Regency.
Tegegn, B. D., & Negeri, K. G. (2022). Assessment of utilization of health care services and the associated factors among adult fee-waiver beneficiaries in Hawassa, southern Ethiopia: A community based cross sectional study. Journal of Public Health Research, 11(4). https://doi.org/10.1177/22799036221139940
Tunnizha, B. M., Haeruddin, H., Arman, A., Andi Asrina, & Yusriani, Y. (2022). Faktor-Faktor yang Berhubungan dengan Partisipasi Masyarakat dalam Pemanfaatan Layanan Promosi Kesehatan di Daerah Pegunungan Enrekang. In Journal of Muslim Community Health (Vol. 4, Issues 3 SE-, pp. 143–156). https://doi.org/10.52103/jmch.v4i3.1139
Vionalita, G. (2020). Metodologi Penelitian Kuantitatif. Universitas Esa Unggul.
Wenang, S., Schaefers, J., Afdal, A., Gufron, A., Geyer, S., Dewanto, I., & Haier, J. (2021). Availability and Accessibility of Primary Care for the Remote, Rural, and Poor Population of Indonesia. Frontiers in Public Health, 9. https://doi.org/10.3389/fpubh.2021.721886
Wiasa, I. N. D. (2022). Jaminan Kesehatan Nasional yang Berkeadilan Menuju Kesejahteraan Sosial. CV. Feniks Muda Sejahtera.
Widiyastuty, F., Suryawati, C., & Arso, S. P. (2023). Pemanfaatan Pelayanan Puskesmas oleh Masyarakat di Daerah Perbatasan Kecamatan Entikong. Jurnal Manajemen Kesehatan Indonesia, 11(1), 64–78. https://doi.org/10.14710/jmki.11.1.2023.64-78
Yulianti, E., Musthofa, S. B., & Indraswari, R. (2021). Pengaruh Aksesibilitas Terhadap Praktik Antenatal Care Pada Ibu Hamil Di Wilayah Kerja Puskesmas Bulu Kabupaten Temanggung 2020. Jurnal Kesehatan Masyarakat, 9(1). https://doi.org/10.14710/jkm.v9i1.28529
Yunizar, A., & Nasution, N. H. (2020). Faktor-Faktor yang Berhubungan dengan Pemanfaatan BPJS di Desa Pargarutan Tonga Kecamatan Angkola Timur Tahun 2019. Jurnal Kesehatan Ilmiah Indonesia (Indonesian Health Scientific Journal), 5(1), 61–70. https://doi.org/10.51933/health.v5i1.238
