Nasrun Pakaya, Hartono Hadjarati, Widy Susanti Abdulkadir, Edy Dharma Putra Duhe, H Oktia Woro Kasmini, Irwan Budiono
Health problems in Indonesia today include the low health status of the community, among others, marked by high maternal mortality rates and infant mortality rates. On the other hand, health service is vital in determining health, influenced by geographical, economic, and social aspects. The study aims to analyze the relationship between health service access factors and the determination of family health services in suburban communities in Java and outside Java. The method uses a quantitative approach and is supported by qualitative data. The instrument consists of a questionnaire related to access to health services (geographic access, economic access, social access) and the choice of health services. The population is families in the suburban areas of Semarang and Gorontalo. Samples were taken using the accidental sampling technique, as many as 100 families. The data was analyzed with univariate, bivariate, and multivariate analysis. The study obtained significant differences in health services decision determination between the suburban communities of Semarang (Java) and Gorontalo (Outside Java), with a t-value of 4.284 and a sig value of 0.000. The difference lies in economic access. The health services decision determination in suburban families in Java is more oriented towards choosing medical services such as hospitals and community health centers. In other lands, many families still rely on traditional medicine as health services. © 2024, Universitas Negeri Semarang. All rights reserved.
Fakultas Olahraga dan Kesehatan, Universitas Negeri Gorontalo, Indonesia; Fakultas Kedokteran, Universitas Negeri Semarang, Indonesia
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