Efektifitas pembangunan dua rumah sakit umum daerah di kabupaten Seruyan propinsi Kalimantan Tengah tahun 2007
Date
2014
Authors
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Publisher
Pusat Kebijakan dan Manajemen Kesehatan, Universitas Gadjah Mada, Yogyakarta, ID
Abstract
Background: In the current era of regional autonomy, local
goverments have wider scope of authority in making their
policies according to their capacities and their needs. To improve
access to health care and equitable health service, the
Goverment of Seruyan District made a policy to build two
District Hospitals. This policy was made due to the area of
Seruyan District that is very widespread. In its implementation,
this policy has been confronted with many obstacles, among
other is limited human resources and funding, and low utilization
of health facilities and services by community.
Objective: To determine the extent of utilization of the two
hospitals and to determine the factors corresponding to the
utilization of the two District Hospitals in Seruyan Districy.
Metodhs: This study is a descriptive study with a qualitive
approach supported by a quantitive approach. Hospital
utilization data are obtained by examining the available data in
both District Hospitals in Seruyan District and two other
hospitals in the neighboring district, and also by interviewing
some people in Seruyan District. Samples are determined using
two stage cluster sampling. To further investigate the issue of
hospital utilization, in-depth interviews are conducted both with
people using the hospitals and with people not using the
hospitals in Seruyan District. The data will be quantitatively
analyzed and further explore qualitatively.
Results: The result findings show that there is a correlation
between the distances of home and hospital and seeking
treatment at the hospital, there is a correlation between the
means of transportation to the hospital and seeking treatment
at the hospital, there is a correlation between travel time to the
hospital and seeking treatment at the hospital, there is a
correlation between the ease of transportation to the hospital
and seeking treatment at the hospital, there is a correlation
between cost of transportation to the hospital and seeking
treatment at the hospital, there is no correlation between the
expenses and seeking treatment at the hospital, and there is a
correlation between people’s knowledge and seeking treatment
at the hospital.
Conclusion: In terms of its utilization and manpower, the
construction of two hospitals in Seruyan District is ineffective.
However, factors correlating with hospital utilization are
distance, transportation, travel time, ease of transportation,
transportation cost dan knowledge, and government should
pay attention to these factors to improve utilization.
Description
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Journal Article (peer-reviewed)
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Keywords
ACCESS TO HEALTH SERVICES, INDONESIA--SERUYAN, PHYSICAL INFRASTRUCTURE, GOVERNANCE, HOSPITALS, BUILDINGS, HOSPITAL UTILIZATION, PATIENT ADMISSION, TRANSPORT COSTS, SOCIAL DETERMINANTS OF HEALTH, HEALTH FINANCING, COMMUNITY HEALTH
Citation
Abbas, B., & Trisnantoro, L. (2014). Efektifitas pembangunan dua rumah sakit umum daerah di kabupaten Seruyan propinsi Kalimantan Tengah tahun 2007. Jurnal Kebijakan Kesehatan Indonesia, 3(1): 31-36.