UTILISASI PELAYANAN KESEHATAN: PROBLEM ANTARA PEMERATAAN DAN EFISIENSI (Studi di Wilayah Pedesaan Kabupaten Purworejo)

https://doi.org/10.22146/jp.11836

Ambar Widaningrum(1*)

(1) Gadjah Mada University
(*) Corresponding Author

Abstract


Undoubtly, an accessible and adequate basic health service is priority for poverty reduction and more equitable development. Underutilization of health services is still a major concern for policy makers and constitutes the prime barrier to the large scale success of health programs. Information on the determinants and patterns of health care use can identify problems in organization and delivery that may result in underutilization. Based on the research findings in rural Purworejo, delivering services for the rural and poor people are in conflict with the objective to generate revenue. Many potential beneficiaries never get to adequate health services, because of the multiple non-financial constraints either from the demand side or the supply side. In order to enhance equitable utilization of public health services, strong commitment to apply investment in accessibility is certainly needed.


Keywords


populasi, kebijakan, kesehatan, pelayanan kesehatan, purworejo

Full Text:

PDF


References

Airey, T. 1989. “The impact of road construction on hospital in patient catchment in Meru District of Kenya”, Social Science and Medicine (29): 95.

Aurbach, L.S. 1982. “Childbirth in Tunisia: Implication of decision making model”, Social Science and Medicine(23): 1499.

Barlow, Robin dan F. Diop. 1995. “Increasing the utilization of cost effective health services through changes in demand”, Health Policy and Planning, 10(3): 284-295.

Badan Pusat Statistik. 2001. Indikator Kesejahteraan Rakyat 2000.Jakarta.

———————. 1999 (b). Laporan Kemajuan Program Penanggulangan Dampak Krisis Ekonomi Terhadap Kesehatan.Draft, 7 Oktober.

Departemen Kesehatan RI. 1988. Informasi Pembangunan Kesehatan di Indonesia. Jakarta.

———————. 2001. Profil Kesehatan Indonesia tahun 2000. Jakarta.

Chernichovsky D. and Meesok A.A. 1986 Utilization of health services in Indonesia. Social Science and Medicine(23): 611-620.

Frankerberg, E. and D. Thomas. 2000. Women’s Health and Pregnancy Outcomes: Does Access to Services Make a Diffrence ?. Santa Monica: RAND. Labor and Population Program. Working Paper Series 00-04.

Freund, Peter E.S., & M.B. McGuire.1995. Health, Illness and The Social Body: A Critical Sociology. 2nd ed., New York: Prentice Hall.

Ham, Chris.1993. “Power in health services”, in Michael Hill (editor) The policy Process: A Reader, Hertfordshire: Harvester Wheatsheaf, pp. 180-194.

James, Ann, 1994. Managing to Care: Public Service and the Market. London: Longman.

Kabupaten Purworejo. Dinas Kesehatan. 2000. Profil Kesehatan Kabupaten Purworejo tahun 2000.

Kim-Farley, Robert J. 1996. “Government and Private Cooperation in Health Services: an International Perspective”. Regional Health Forum,1(2): 23-31.

King, Nigel.1996 “Qualitative research interview”, in Cassell C dan G. Simon (editor) Qualitative Methods in Organizational Research, Newbury Park: Sage Publication.

Le Grand, J, Proper C., and Robinson R. 1992. The Economic of Social Problems.London: Macmillan Press.

Lieberman, A.S dan P. Marzoeki.2000. Health Strategy in a Post-Crisis, Decentralizing Indonesia. Washington: Human Development Sector Unit East Asia and Pacific Region Document of the World Bank. Report No. 21318.

Mechanic, David. 1992. “Health and illness behavior and the patientpractitioner relationship”. Social Science and Medicine, 34(12): 1345-1350.

Nadjib, Mardiati. 1999. Pemerataan Akses Pelayanan Rawat Jalan di Berbagai Wilayah Indonesia. Disertasi Doktor. Program Pasca Sarjana UI.

Newbrander W, and G. Rosenthal.1997. “Quality Care Issues in Health Sector Reform”, in Newbrander W. (editor), Private Health Sector Growth in Asia: Issues and Implications. London: John Wiley and Sons.

Newhouse JP. 1992. “Medical care cost: How much welfare loss?” Journal of Economic Perspectives, 6(3): 3-21.

Raghupathy, Shobana. 1996. The Role of heatlh Services on Utilization Behavior in the Philippines. Rhode Island: Population Studies and Training Center, Brown University. Working Paper Series 96-12.

Russell, Steven. 1996. “Ability to pay for health care: concept and evidence”, in Health Policy and Planning, 11(3): 219-237.

SMERU. 1999. Preliminary Analysis of February. SUSENAS sub-sample. Jakarta.

Timyan, J, et al. 1993. “Access to care: more than a problem of distance”, in Koblinsky M, J. Timyan, and J. Gay, The Health of Women: the Global Perspective. Boulder: Westview Press, pp. 217-234.

Turshen, Meredeth. 1989. The Politics of Public Health. London: Zed Books.

Wagstaff and Van E. Doorslear. 1993. “Equity o finance and delivery of health care: Concepts and Definitions”, in Wagstaff, Doorslear and Rutten (Editor) Equity on the Finance and Delivery of Health Care: an International Perspectives. New York: Oxford University Press.

World Bank. 1993. World Development Report 1993: Investing in Health. New York: Oxford University Press.

World Health Organization. 2000. World Health Report 2000, Health System: Improving Performance. Geneva.



DOI: https://doi.org/10.22146/jp.11836

Article Metrics

Abstract views : 4254 | views : 14498

Refbacks

  • There are currently no refbacks.


Copyright (c) 2016 Jurnal Populasi




Copyright of Jurnal Populasi ISSN 0853-6202 (PRINT), ISSN: 2476-941X (ONLINE).


Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

 

Populasi Indexed by:

  ROAD  

web
analytics View My Stats