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card. Analysis data technique used in this research is
inferential statistic analysis, using coefficient
contingency. Relational analysis result between
occupation type and insurance card utilization shows
significancy number of 0.022. This proves that there
is a relation between occupation type and insurance
card utilization.
4 DISCUSSION
Citizens who have used insurance card 66.7 % work
as farmers while 82.3% of those who have not used
the facility are also farmers. Signification result of
0.022 shows a relation between occupation type and
insurance card utilization. The lack of insurance card
use by farmers is influenced by their job.
Occupations have an impact to one’s knowledge.
Work environment allows someone to get
experience and knowledge whether directly or
indirectly. For instance, someone who works in
health industry certainly will understand how to take
care of health in their environment better
(Notoatmodjo, 2010).
Based on the research of Londo (2017), it can be
concluded that there isi relationship between age and
occupation with utilization of Community Health
Center Service.
According to Health Minister Policy Republic of
Indonesia Number 28 Year 2014, Donation Fee
Recipient of the Health Care is the poor people.
This
matches with the research result which shows that
most of the respondents are farmers who have
insurance card type of Donation Fee Recipient. This
also explains that farmers in Slaharwotan Village do
not always own their own field; most of them are
farm workers. Besides, the citizens with insurance
card feel more comfortable visiting the midwife to
get health services, than visiting the Community
Health Centre. The distance between the village and
the Community Health Centre is approximately 5
kilometres away and the lack of public
transportation contributes to the low factor of
insurance card utilization.
Nadjib & Pujiayanto (2002) show that health
service utilization is influenced by many factors,
mostly are geography (distance), social-economy
(ability to pay), high rate of the services, gender
inequality, culture (belief, sick perception), and
service quality (medicine availability, open hours,
and others)
Behaviour is triggered by antecedent (something
that precedes behaviour and causally related to it)
and followed by consequences (behaviour result to
the individual) which add or reduce the chance of
repetition (Wati, 2015). In this case, insurance card
utilization can be caused by one’s occupation.
One of the ways to increase the access,
especially for farmers who need health services, is
by using Mobile Community Health Centre.
However, Mobile Community Health Centre
(Puskesmas Keliling) must be able to receive
payment by using insurance card. As Permenkes No
75 Year 2014 on Community Health Centre Article
40 Sub-section 5 which mentions that Mobile
Community Health Centre provides mobile health
services, to increase the range and the service quality
for the areas which have not been covered by the
main Community Health Centre (Ministry of Health
Republic of Indonesia, 2014).
5 CONCLUSION
The lack of insurance card use by farmers is
influenced by their job. Most of the citizens who did
not make use of insurance card were farmers who
had to visit the midwives and paid in cash in order to
get the health services they needed. Therefore, the
existence of Mobile Community Health Centre that
accepts insurance card will be helpful. It is
suggested that insurance collaborates with local
midwives to find insurance card owners who have
not made use of the card and puts forward a
dissemination regarding the benefits of paying by
insurance card for the card owners, especially
farmers which are categorized as mid-low class
financially.
REFERENCES
Londo, Jenry P; Tucunan, Andriasa AT; Maramis,
Franckie R.R.., 2017. Hubungan Antara
Karakteristik Peserta BPJS Kesehatan Dengan
Pemanfaatan Pelayanan Puskesmas Di Wilayah
Kerja Puskesmas Tahuna Barat. [Cited 2017 25
December]. Available from:
https://ejournalhealth.com/index.php/kesmas/articl
e/view/408
Ministry of Health Republic of Indonesia., 2013. National
Social Security SOCIALIZATION BOOK (JKN) in the
National Social Security System. Indonesia: Minister
of Health Republic of Indonesia.
Ministry of Health Republic of Indonesia., 2014
Regulation of the Minister of Health Republic of
Indonesia No 75 Tahun 2014 about Center of Public
Health. Indonesia: Minister of Health Republic of
Indonesia.
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