Electronic Theses and Dissertation

Latar Belakang: Utilisasi pelayanan kesehatan merupakan indikator penting dalam menilai akses dan kualitas pelayanan kesehatan. Pemanfaatan layanan Poliklinik Spesialis Penyakit Dalam di Klinik Utama Kasehat Walafiat masih belum optimal meskipun akses layanan relatif memadai. Berbagai faktor diduga memengaruhi pemanfaatan layanan kesehatan, antara lain keyakinan kesehatan terhadap layanan spesialis, pendukung akses pelayanan, dan kebutuhan pelayanan kesehatan. Tujuan: Penelitian ini bertujuan untuk menganalisis pengaruh Keyakinan Kesehatan terhadap Layanan Spesialis, Pendukung Akses Pelayanan, dan Kebutuhan Pelayanan Kesehatan terhadap utilisasi layanan Poliklinik Spesialis Penyakit Dalam di Klinik Utama Kasehat Walafiat Aceh Besar. Metode: Penelitian ini menggunakan pendekatan kuantitatif dengan desain cross-sectional. Sampel penelitian berjumlah 300 responden yang dipilih menggunakan teknik pengambilan sampel sesuai kriteria penelitian. Data dikumpulkan menggunakan kuesioner yang telah diuji validitas dan reliabilitasnya, kemudian dianalisis menggunakan analisis deskriptif dan regresi logistik biner sederhana. Hasil: Hasil penelitian menunjukkan bahwa sebanyak 179 responden (59,7%) memanfaatkan layanan, sedangkan 121 responden (40,3%) tidak memanfaatkan layanan. Kepercayaan Kesehatan terhadap Layanan Spesialis berpengaruh signifikan terhadap utilisasi layanan (p = 0,002; OR = 1,076; PR = 1,03). Pendukung akses pelayanan, juga berpengaruh signifikan (p < 0,001; OR = 1,046; PR = 1,02), dan kebutuhan pelayanan kesehatan berpengaruh signifikan (p = 0,016; OR = 1,091; PR = 1,03). Kesimpulan: Keyakinan Kesehatan terhadap Layanan Spesialis, Pendukung Akses Pelayanan, dan Kebutuhan Pelayanan Kesehatan berpengaruh signifikan terhadap utilisasi layanan Poliklinik Spesialis Penyakit Dalam. Kebutuhan Pelayanan Kesehatan merupakan faktor yang paling langsung berhubungan dengan pemanfaatan layanan kesehatan. Oleh karena itu, diperlukan upaya peningkatan edukasi kesehatan, kemudahan akses pelayanan, serta deteksi dini kebutuhan kesehatan untuk meningkatkan utilisasi layanan secara optimal.


Kata Kunci: Utilisasi layanan, Kepercayaan Kesehatan terhadap Layanan Spesialis, Kebutuhan Pelayanan Kesehatan, Kebutuhan Pelayanan Kesehatan, pelayanan kesehatan.

Background: Health service utilization is an important indicator for assessing access to and quality of health care services. The utilization of Internal Medicine Specialist Polyclinic services at Kasehat Walafiat Primary Clinic remains suboptimal despite relatively adequate service accessibility. Several factors are presumed to influence health service utilization, including health beliefs toward specialist services, enabling access factors, and health care needs. Objective: This study aimed to analyze the influence of Health Beliefs toward Specialist Services, Enabling Access Factors, and Health Care Needs on the utilization of Internal Medicine Specialist Polyclinic services at Kasehat Walafiat Primary Clinic, Aceh Besar. Methods: This study employed a quantitative approach with a cross-sectional design. The study sample consisted of 300 respondents selected according to the established sampling criteria. Data were collected using a questionnaire that had been tested for validity and reliability. Data were analyzed using descriptive analysis and simple binary logistic regression. Results: The results showed that 179 respondents (59.7%) utilized the services, while 121 respondents (40.3%) did not. Health Beliefs toward Specialist Services had a significant effect on service utilization (p = 0.002; OR = 1.076; PR = 1.03). Enabling Access Factors also had a significant effect on service utilization (p < 0.001; OR = 1.046; PR = 1.02), and Health Care Needs significantly influenced service utilization (p = 0.016; OR = 1.091; PR = 1.03). Conclusion: Health Beliefs toward Specialist Services, Enabling Access Factors, and Health Care Needs significantly influenced the utilization of Internal Medicine Specialist Polyclinic services. Health Care Needs were the factor most directly associated with health service utilization. Therefore, efforts to improve health education, facilitate access to health services, and strengthen early detection of health care needs are necessary to optimize service utilization. Keywords: Health service utilization, health beliefs toward specialist services, enabling access factors, health care needs, health services.