The The Determinant Factors Related to the Utilization of BPJS Health Services in Dental and Mouth Polyclinic at RSAL Dr. Soedibjo Sardadi Lantamal X Jayapura

Background: Determinants are factors that influence individuals in utilizing health services. Utilization of health services is the utilization of health services by the community. National Health Insurance (JKN) with the Health Insurance Provider Body (BPJS Health) program has the task of organizing national health insurance for all Indonesians. One of the services is dental health, in this case dental care. BPJS Health will guarantee dental health costs as long as participants follow the applicable procedures and medical procedures in accordance with medical indications. Research Objectives: To identify the determinant factors that influence the utilization of the BPJS Health services on dental and oral health services at RSAL Dr. Soedibjo Sardadi Lantamal X Jayapura. Research method: The research method used in this study was observational analytic with a cross-sectional study approach. A sample of 105 patients was taken using purposive sampling from 667 patients. The study was conducted in December 2017. Statistical tests used in this study were univariate, bivariate, and multivariate analysis. Data obtained by using questionnaires and interviews. Results: Bivariate analysis showed several determinant factors affecting the utilization of BPJS Health services in Dental and Mouth Polyclinic at RSAL Dr. Soedibjo Sardadi Lantamal X Jayapura were occupation (p = 0.0001; RP = 4.157; 95% CI = 1.752-9.863), family income (p = 0.006; RP = 3.385; 95% CI = 1.463-7.831), perception about dental health condition (p = 0.001; RP = 13.959; 95% CI = 1.786-109.129), health facility (p = 0.002; RP = 6.048; 95% CI = 1.931–18.939), doctor’s service (p = 0.023; RP = 4.414; 95% CI = 1.230–15.842), ease of information (p = 0.014; RP = 3.530; 95% CI = 1.373-9.077), cost service (p = 0.028; RP = 5.385; 95% CI = 1.165-24.896), cost bearer (p < 0.001; RP = 8.023; 95% CI = 3.201-20.113), and accessibility (p = 0.038; RP = 2.568; 95% CI = 1.129-5.841), while age (p = 0.1456; RP = 1.980; 95% CI = 0.845-4.639), education level (p = 0.189; RP = 2.439; 95% CI = 0.690-8.617), and paramedic service (p = 0.082; RP = 2.487 ); 95% CI = 0.968-6.390) were not influencing to the utilization of BPJS Health services. Multivariate logistic regression showed four dominant determinant factors that influence the utilization of BPJS Health services; they are family income, perception about dental health condition, health facility and cost bearer