The effect of acrreditation status and health insurance on satisfaction of community health centres service quality in Ngawi, East Java, Indonesia

Indonesia's healthcare system is in progress, and has tried to make many improvements in its healthcare delivery system and has brought out many reforms. Several studies show the relationship between patient satisfaction and quality of health services, but none sufficiently analyze the association between acrreditation status and health insurance with satisfaction among patients. This study aimed to investigate the effect of acrreditation status and health insurance on satisfaction of quality in Community Health Care services (PUSKESMAS) in Ngawi, East Java. We conducted a cross-sectional study in all community health care services in Ngawi, East Java. A total 200 outpatients selected by simple random sampling. We analyze the association of community health care accreditation status, and health insurance adjusted with age, education level, and income of respondents with the satisfaction of quality of care from community health care services using multivariate logistic regression by STATA 16. Respondents visited accredited community health care (aOR= 1.60; 95% CI= 1.13 to 2.27; p<0.07) have higher odds of satisfaction with the quality of care in community health care services compared to respondents visited non-accredited community health care and with age less than 35 years, respectively