Pemanfaatan Jaminan Pemeliharaan Kesehatan Masyarakat (JPKM) oleh Keluarga Miskin di Kabupaten Klaten: Utilization of Managed Care by Poor Family in Klaten District

Managed care for poor families was a program performed by Government of Klaten to improve health status of poor families and to enhance the coverage of insured population in Klaten district. The purpose of the study is to explore the related factors to utilization of managed care for poor familes, reasons for not utilizing the services by poor families, the level of satisfaction to health care package, the level of willingness to pay their own premium and relationship between the level of satisfaction to health care package and the level of willingness to pay their own premium. This study combined quantitative and qualitatif methods with cross sectional survey design. The sample size was 251 persons. Standardized questionnaire, tested for their validity and reliability questionnare was used to collect the data. Descriptive statistics, logistic regression and Chi-Square were use in SPSS 10.0 for windows program to analyze the data. Statistical results showed that there were no relationships between age, sex, marital status, religion, education, expenditure, distance to health service, transportation facility, time to acces health service and the utilization of managed care for poor families. There was relationship between knowledge toward the benefit of managed care and the utilization of managed care. Factors influencing the utilization of managed care for poor families were perception of good health by respondents, lack of knowledge about benefit of managed care, failure to bring the required card when visited health care, visiting private health care when sick, buying drug on drug store when sick, having JPS-BK card, or Askes card, afraid of complex bureaucracy, embarrassed of pay nothing when visiting PPKKS, forgot having managed care for poor family card, had to leave job when visiting at morning, loosing managed care for poor family card and managed care for poor family card had not received yet. 67,57% of the communities had high satisfaction toward managed care utilization and 64,86% of the communities had high level of willingness to pay their own premium. It was concluded that Knowledge toward benefit of managed care influenced utilization and the level of previous satisfaction to health care package related to willingness to pay their own premium. Keywords: managed care �utilization � satisfaction �willingness to pa