臺灣博碩士論文加值系統

Health service which provide by primary health care is accepted as the model
for delivering basic health to people base upon house hold as small unit of
community. Cross sectional study using data taken from third wave of Indonesia
Family Life Survey (IFLS) in 2000, this study examined to understand
determinant of Indonesian Primary Health Care (especially Community Health
Center or Puskesmas) utilization among Indonesian people.
Objective: To assess the effects of health need, enabling factors, and
predisposing factors and to assess determinant on Community Health Center
(Puskesmas) utilization by Indonesian people.
Study Design: Logistic regression and Poisson regression analysis is use to
estimate the qualitative determinant of Community Health Center (Puskesmas)
utilization with cross-sectional data.
Data: Data will be taken from third wave of Indonesia Family Life Survey
(IFLS) in 2000. This survey comprises totally 10,435 house holds, 43,649
individuals, representing 13 provinces and approximately 83 % of Indonesian
population.
Result: The needs for care, enabling (income, employment, health insurance,
travel time and cost, waiting time) and predisposing factors (age, gender,
education, residence and region) were associated with primary health care
utilization. Overall, 35 % of Indonesian respondents entered the primary health
care in the past 4 weeks, making an average of 1.39 visits.
Conclusions: Access to primary health care for Indonesian remains a major
problem, significantly affected by structural and predisposing factors. Policy
solutions that address the health service needs of the improving health services
and community participation will largely benefit for Indonesian.

Health service which provide by primary health care is accepted as the model
for delivering basic health to people base upon house hold as small unit of
community. Cross sectional study using data taken from third wave of Indonesia
Family Life Survey (IFLS) in 2000, this study examined to understand
determinant of Indonesian Primary Health Care (especially Community Health
Center or Puskesmas) utilization among Indonesian people.
Objective: To assess the effects of health need, enabling factors, and
predisposing factors and to assess determinant on Community Health Center
(Puskesmas) utilization by Indonesian people.
Study Design: Logistic regression and Poisson regression analysis is use to
estimate the qualitative determinant of Community Health Center (Puskesmas)
utilization with cross-sectional data.
Data: Data will be taken from third wave of Indonesia Family Life Survey
(IFLS) in 2000. This survey comprises totally 10,435 house holds, 43,649
individuals, representing 13 provinces and approximately 83 % of Indonesian
population.
Result: The needs for care, enabling (income, employment, health insurance,
travel time and cost, waiting time) and predisposing factors (age, gender,
education, residence and region) were associated with primary health care
utilization. Overall, 35 % of Indonesian respondents entered the primary health
care in the past 4 weeks, making an average of 1.39 visits.
Conclusions: Access to primary health care for Indonesian remains a major
problem, significantly affected by structural and predisposing factors. Policy
solutions that address the health service needs of the improving health services
and community participation will largely benefit for Indonesian.

TABLE OF CONTENTS
Title …….…………...………………………………………………...… i
Approval ……………………………………………………………...... ii
Dedication …………………………………………………………..… iii
Table of Contents ……………………...……………………………..… iv
List of Tables …………………….…………………………………..… v
List of Figures …………..…………………………………………..… vi
Acknowledgment ……………………………………………………..... vii
Abstract ……..………………………………………………………..… ix
Introduction …………………………………………………………..… 1
A. Overview of Indonesia ………..……………………………..… 1
B. Problem Statement …………………………………………..… 4
C. Aim & Objectives …………………………………………..… 4
D. Significant of the Study ……...……………………………..… 5
Literature Review …………………………………………………..… 6
A. Primary Health Care ………………………………………..… 6
B. Indonesia Primary Health Care …………..………………… 8
C. Health Care Seeking Behaviors:
Utilization Of The System …………………………………..… 10
D. Previous Study ………………..……………………………..… 15
Methodology ..……………………………………………………..… 18
A. Study Framework & Hypotheses ...…………………………..… 18
B. Study Design …….…………………………………………..… 19
C. Sample …………………………………………………..… 20
D. Operational Definition …………..…………………………..… 20
E. Analyses Techniques ……………….………………………..… 23
Result ….……………………………………………………………….. 24
A. Respondents Characteristics …………….…………………….. 24
B. Community Health Care
Utilization and Health Need …………….…………………….. 28
C. Community Health Care
Utilization and Enabling Factors ………………...…………….. 30
D. Community Health Care
Utilization & Predisposing Factors …………………………….. 32
E. Number of Visit ………...…………………………………….. 33
Discussion …………………………………………………………….. 36
Conclusions …...………………………………………………….. 39
Policy Implications …………...………………………………….. 39
References ……………………………………………………………... 41

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