ANALISIS FAKTOR-FAKTOR PENGGUNAAN BPJS PADA PELAYANAN KESEHATAN PESERTA BPJS DI PUSKEMAS LAPANDEWA KABUPATEN BUTON SELATAN
DOI:
https://doi.org/10.51878/healthy.v6i1.16474Keywords:
BPJS Kesehatan; Penggunaan Pelayanan KesehatanAbstract
The National Health Insurance (JKN) program administered by the Social Security Agency for Health (BPJS Kesehatan) aims to provide equitable healthcare access for the entire population. However, high enrollment rates have not been fully matched by optimal utilization of primary healthcare facilities. This study aims to analyze the factors associated with healthcare service utilization among BPJS participants at the Lapandewa Public Health Center, South Buton Regency. The study employed an observational quantitative analytical method with a cross-sectional approach. The study population encompassed all registered BPJS participants within the Lapandewa Public Health Center working area, yielding a sample size of 97 respondents calculated using the Slovin formula and selected via purposive sampling. Data were analyzed using univariate, bivariate (chi-square test), and multivariate (multiple logistic regression) procedures. The bivariate analysis revealed that participant attitude (p = 0.000) and family support (p = 0.000) were significantly associated with healthcare utilization, whereas household income (p = 0.321) and BPJS membership category (p = 0.500) showed no significant association. The multivariate model confirmed that attitude (p = 0.001; Exp(B) = 119.318) and family support (p = 0.031; Exp(B) = 15.909) were independent dominant predictors of healthcare utilization. In conclusion, fostering positive attitudes and strengthening family involvement are essential to optimize primary healthcare utilization.
References
Abdullah, N. N., Azzani, M., Mohamad, M., Ismail, Z., Jamil, A. T., Isa, M. A. H. M., Yasin, S. M., Suddin, L. S., Ibrahim, K., Selamat, M. I., Azhar, Z. I., Ismail, N., Saman, M. S. A., Wee, C. X., Samsudin, E. Z., Muzaini, K., Yaacob, S. S., Roslan, D., & Ruzlin, A. N. M. (2026). Family functionality and its association with non-communicable diseases among urban adults in Selangor, Malaysia: A cross-sectional study. BMJ Open, 16(2), Article e102586. https://doi.org/10.1136/bmjopen-2025-102586
Aliyah, S. N. (2025). Dukungan keluarga dalam kepatuhan minum obat anti hipertensi. Galenical: Jurnal Kedokteran dan Kesehatan Mahasiswa Malikussaleh, 4(6), 1–12. https://doi.org/10.29103/jkkmm.v4i6.24133
Ariesta, S. A. H., Haryeti, P., & Astuti, A. P. K. (2025). Hubungan dukungan keluarga dengan tingkat kecemasan pasien gagal ginjal kronik di hemodialisa RSUD Umar Wirahadikusumah [Skripsi/Karya ilmiah, Universitas Pendidikan Indonesia]. Repository Universitas Pendidikan Indonesia.
Badan Pusat Statistik. (2024). Kabupaten Buton Selatan dalam angka 2024. Badan Pusat Statistik Kabupaten Buton Selatan.
BPJS Kesehatan. (2024). Laporan kinerja pemanfaatan fasilitas kesehatan tingkat pertama di Kabupaten Buton Selatan. Kantor Cabang BPJS Kesehatan Baubau.
Fauk, N. K., Mwanri, L., Hawke, K., & Ward, P. (2022). Traditional human immunodeficiency virus treatment and family and social influence as barriers to accessing HIV care services in Belu, Indonesia. PLOS ONE, 17(7), Article e0264462. https://doi.org/10.1371/journal.pone.0264462
Giri, D. D., Sary, L., & Perdana, A. A. (2022). Faktor yang berhubungan dengan komitmen pencegahan penularan tuberkulosis paru. Jurnal Kesehatan, 13(1), 39–47. https://doi.org/10.26630/jk.v13i1.2822
Hasanah, U., Rahman, I. S., Tsalitsah, I. M., & Fauzia, F. A. (2023). Pendampingan psikososial pada pasien dengan penyakit kronis di Yayasan Kanker Indonesia. Aksiologiya: Jurnal Pengabdian Kepada Masyarakat, 7(1), 1–10. https://doi.org/10.30651/aks.v7i1.17247
Herlinawati, H., Banowati, L., & Nurhasan, H. D. (2024). Determinan pemanfaatan pelayanan kesehatan oleh peserta BPJS. Healthcare: Jurnal Kesehatan, 13(1), 59–73. https://doi.org/10.35568/healthcare.v13i1.4421
Inangon, R. (2023). Pengawasan bagi Badan Penyelenggara Jaminan Sosial (BPJS) Kesehatan dilihat dari hukum administrasi negara. Lex Administratum, 11(3), 1–12.
Lamongi, D. P., Korompis, G. E. C., & Mandagi, C. K. F. (2025). Hubungan antara status kepesertaan BPJS dengan persepsi mutu pelayanan kesehatan. Jurnal Kesehatan Tambusai, 6(3), 9789–9799. https://doi.org/10.31004/jkt.v6i3.31245
Lestari, D., Wijayanti, R., & Sari, N. (2021). Pengaruh pengetahuan dan sikap peserta JKN terhadap pemanfaatan pelayanan kesehatan di puskesmas. Jurnal Ilmiah Kesehatan, 13(3), 200–210. https://doi.org/10.35952/jik.v13i3.218
Lestari, D. W. D., Ferine, M., Hidayah, A. N., Muhaimin, A., & Wicaksono, R. B. (2023). Peran keluarga dalam mendukung pasien dengan penyakit terminal: Pelajaran dari Banyumas – Jawa Tengah. Medical and Health Journal, 2(1), 181–190. https://doi.org/10.20884/1.mhj.2022.2.1.7559
Li, J., Cheng, L., Tu, L., Wang, X., Wei, Y., Shen, F., Wang, J., & Chen, B. (2026). Connotation and mechanism of family support for patients with chronic diseases under the perspective of health promotion–a scoping review of reviews. Journal of Multidisciplinary Healthcare, 1–17. https://doi.org/10.2147/jmdh.s575094
Li, L., Fu, L., Li, H., Liu, T., & Sun, J. (2024). Emerging trends and patterns in healthcare-seeking behavior: A systematic review. Medicine, 103(8), Article e37272. https://doi.org/10.1097/MD.0000000000037272
Meulman, I., Uiters, E., Cloin, M., & de Korte, W. (2024). Systematic review of individual-level, community-level, and healthcare system-level factors contributing to socioeconomic differences in healthcare utilisation in OECD countries with universal health coverage. BMJ Open, 14(3), Article e080559. https://doi.org/10.1136/bmjopen-2023-080559
Notoatmodjo, S. (2020). Metodologi penelitian kesehatan. Rineka Cipta.
Nugroho, S. T., Ahsan, A., Kusuma, D., & Nadjib, M. (2023). Income disparity and healthcare utilization: Lessons from Indonesia's National Health Insurance claim data. Asian Pacific Journal of Cancer Prevention, 24(10), 3397–3402. https://doi.org/10.31557/APJCP.2023.24.10.3397
Putra, G., & Martini. (2025a). Peran dukungan keluarga terhadap kepatuhan minum obat pada pasien hipertensi: Studi kualitatif. Zenodo. https://doi.org/10.5281/zenodo.18752342
Putra, G., & Martini. (2025b). Peran dukungan keluarga terhadap kepatuhan minum obat pada pasien hipertensi: Studi kualitatif. Zenodo. https://doi.org/10.5281/zenodo.18752343
Rahmawati, D. (2020). Hubungan pendidikan dan usia peserta dengan tingkat pemanfaatan BPJS Kesehatan di puskesmas. Jurnal Kesehatan Masyarakat Indonesia, 17(4), 175–183. https://doi.org/10.26714/jkmi.17.4.2020.175-183
Soesanto, E. (2021). Hubungan dukungan keluarga dengan upaya perawatan kesehatan lanjut usia hipertensi dimasa pandemi COVID-19. Jurnal Keperawatan dan Kesehatan Masyarakat Cendekia Utama, 10(2), 170–181. https://doi.org/10.31596/jcu.v10i2.763
Sukardi, S. I. S. (2024). Analisis pelaksanaan fungsi fasilitas kesehatan tingkat pertama program jaminan kesehatan nasional. Jurnal Pahlawan, 7(1), 11–22. https://doi.org/10.36555/pahlawan.v7i1.2341
Sumpeno, S. J., Raniah, S., & Gurning, F. P. (2025). Faktor-faktor yang mempengaruhi pemanfaatan BPJS pada pelayanan kesehatan di puskesmas: Literature review. Jurnal Kesehatan Tambusai, 8(7), 4706–4712. https://doi.org/10.56338/jks.v8i7.8278
Swarjana, I. K. (2018). Metodologi penelitian kesehatan: Tuntunan praktis pembuatan proposal uji statistik. Prenada Media.
Widayanti, A. W., Green, J., Heydon, S., & Norris, P. (2020). Health-seeking behavior of people in Indonesia: A narrative review. Journal of Epidemiology and Global Health, 10(1), 6–15. https://doi.org/10.2991/jegh.k.200102.001
Yusuf, M., Rahman, A., & Noor, H. (2019). Faktor-faktor yang berhubungan dengan pemanfaatan JKN-KIS di wilayah kerja Puskesmas Pulau Tanjung Kabupaten Tanah Bumbu. Jurnal Publikasi Kesehatan Masyarakat Indonesia, 6(2), 55–63. https://doi.org/10.20527/jpkmi.v6i2.7812
