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30 July 2024
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30 December 2024
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Abstract

Diabetes mellitus is a catastrophic disease that burdens the financing of the National Health Insurance or Jaminan Kesehatan Nasional Program, and sufferers continue to increase. Specific participant segments still widely use access for participants with diabetes mellitus to utilise health services at advanced-level referral health facilities. Various factors also influence access to health services at advanced-level referral health facilities. This research aims to analyse utilisation based on membership type and examine the factors that affect the utilisation of advanced outpatient services by JKN participants with DM. This research uses secondary data from the 2022 DM contextual BPJS Health sample data. The data was analysed univariately, bivariately, and multivariately with the Zero Inflated Negative Binomial regression model. The results of statistical tests showed that in outpatient care, age, type of participant, gender, treatment class, and province of participants were significantly different in terms of health service utilisation. The influence of the type of participation in the JKN program significantly affects the utilisation of services in outpatient care; the utilisation of non-recipients of contribution assistance participants is 1.16 times greater than that of the recipient of contribution assistance participants in outpatient care.

Keywords

Utilization of health services outpatient national health insurance participants diabetes mellitus sample data

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How to Cite
Nugraha, E. C., Pujiyanto, P., & Permanasari, V. Y. . (2024). Utilisation of Hospital Outpatient Services by Diabetes Mellitus Sufferers, Analysis of BPJS Kesehatan Sample Data. Jurnal Jaminan Kesehatan Nasional, 4(2), 144–159. https://doi.org/10.53756/jjkn.v4i2.258
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References

  1. Alkhawaldeh, A., Albashtawy, M., Rayan, A., Abdalrahim, A., Musa, A., Eshah, N., Khait, A. A., Qaddumi, J., Khraisat, O., & Albashtawy, S. (2023). Application and Use of Andersen’s Behavioral Model as Theoretical Framework: A Systematic Literature Review from 2012–2021. Iranian Journal of Public Health, 52(7), 1346–1354. https://doi.org/10.18502/ijph.v52i7.13236
  2. Awang, F. I. (2022). Faktor-Faktor Yang Mempengaruhi Pemanfaatan Pelayanan Rumah Sakit Untuk Pasien Diabetes Melitus Tipe 2. Universitas Gadjah Mada.
  3. Peraturan BPJS Kesehatan No 2, 151 Peraturan BPJS Kesehatan No 2 Tahun 2019 tentang Pelaksanaan Skrining Riwayat Kesehatan Dan Pelayanan Penapisan Atau Skrining Kesehatan Tertentu Serta Peningkatan Kesehatan Bagi Peserta Penderita Penyakit Kronis Dalam Program Jaminan Kesehatan 10 (2019).
  4. Dewan Jaminan Sosial Nasional. (2022). Statistik JKN 2016-2021. In Dewan Jaminan Sosial Nasional.
  5. Kemenkes RI. (2018). Laporan Nasional RKD2018 FINAL.pdf. In Badan Penelitian dan Pengembangan Kesehatan (p. 674). http://labdata.litbang.kemkes.go.id/images/download/laporan/RKD/2018/Laporan_Nasional_RKD2018_FINAL.pdf
  6. Pedoman Nasional Pelayanan Kedokteran Tata Laksana Diabetes Melitus Tipe 2 Dewasa, Pub. L. No. HK 0107 Menkes 603 2020, 10 54 (2020). https://yankes.kemkes.go.id/unduhan/fileunduhan_1610340996_61925.pdf
  7. Kesehatan, BPJS. (2022). Pembiayaan Diabetes Melitus BPJS Kesehatan Tahun 2022.
  8. Rahem, A., Athiyah, U., & Setiawan, C. D. (2021). The influence of healthcare insurance and social security (BPJS) participation on therapeutic success in diabetes mellitus patients at primary healthcare centres in Madura. Tropical Journal of Natural Product Research, 5(1), 71–76. https://doi.org/10.26538/tjnpr/v5i1.8
  9. Ramadhani, N. S., & Siagian, T. H. (2022). Determinan Status Pemanfaatan Jaminan Kesehatan pada Pekerja Informal di Provinsi Lampung Tahun 2020. Seminar Nasional Official Statistics, 2022(1), 1063–1072. https://doi.org/10.34123/semnasoffstat.v2022i1.1337
  10. Rumengan, D. S. S., & Umboh, G. D. K. (2015). Faktor-Faktor yang Berhubungan dengan Pemanfaatan Pelayanan Kesehatan Pada Peserta BPJS Kesehatan di Puskesmas Paniki Bawah Kecamatan Mapanget Kota Manado. JIKMU, Suplemen, 5, 88–100. https://ejournal.unsrat.ac.id/v3/index.php/jikmu/article/view/7180
  11. Soewondo, P., Johar, M., & Pujisubekti, R. (2021). Akses Pelayanan Kesehatan Keluarga Berstatus Ekonomi Rendah di Era JKN. Jurnal Ekonomi Dan Pembangunan Indonesia, 21(1), 108–124. https://doi.org/10.21002/jepi.2021.08
  12. Solida, A., Noerjoedianto, D., Mekarisce, A. A., & Widiastuti, F. (2021). Pola Belanja Kesehatan Katastropik Peserta Jaminan Kesehatan Nasional di Kota Jambi. Jurnal Kebijakan Kesehatan Indonesia: JKKI, 10(04), 209–215. https://jurnal.ugm.ac.id/jkki/article/view/68736
  13. Sun, H., Saeedi, P., Karuranga, S., Pinkepank, M., Ogurtsova, K., Duncan, B. B., Stein, C., Basit, A., Chan, J. C. N., Mbanya, J. C., Pavkov, M. E., Ramachandaran, A., Wild, S. H., James, S., Herman, W. H., Zhang, P., Bommer, C., Kuo, S., Boyko, E. J., & Magliano, D. J. (2022). IDF Diabetes Atlas: Global, regional, and country-level diabetes prevalence estimates for 2021 and projections for 2045. Diabetes Research and Clinical Practice, 183, 109119. https://doi.org/10.1016/j.diabres.2021.109119
  14. Wulandari, R. D., Laksono, A. D., Nantabah, Z. K., Rohmah, N., & Zuardin, Z. (2022). Hospital utilization in Indonesia in 2018: Do urban-rural disparities exist? BMC Health Services Research, 22(1), 1–11. https://doi.org/10.1186/s12913-022-07896-5
  15. Yoharani, M., Noerjoedianto, D., & Wardiah, R. (2022). Determinan Pemanfaatan Pelayanan Kesehatan pada Peserta Jaminan Kesehatan Nasional (JKN) Kelompok PBI di Kota Jambi Tahun 2021. Jik Jurnal Ilmu Kesehatan, 6(2), 294. https://doi.org/10.33757/jik.v6i2.550