| Summary: | Background: The local regulation of Gunung Kidul district No. 7 of 2007 on
the retribution of healthcare in public healthcare centers establishes the
healthcare rate of Rp. 5,000. The change in the local head (regent) in 2007
caused the change in the stipulation of the regulation on the retribution of the
healthcare service based on the circular of the new regent that the retribution of
the healthcare in the primary health is abolished or free. In 2011 a local
regulation of Gunungkidul Number 16 of 2011 has been reenacted by applying
Rp. 9.500,- as Puskesmas retribution. The increase in the healthcare service rate
was in one hand considered as normal to adjust to the existing condition, while in
other hand the increase in the retribution would cause different perception of the
people using the healthcare service of the clinics. Concerning with the problem, it
was interesting to study the perception of the people using the primary health on
the change in the healthcare service rate in the primary health Semanu 1 of
Gunung Kidul district.
Objective: It aimed at examining the perception of the people on the change
in the healthcare service rate in the primary health Semanu 1 of Gunung Kidul
district.
Methode: It was an analytic study with quantitative method supported by
qualitative method. It used cross-sectional design. Its subjects were the general
patients without health insurance in 3 villages, which were Semanu, Ngeposari
and Dadapayu, while there were 95 respondents. The instruments of the study
were questionnaire and guided interview. The quantitative data was analyzed
using univariat and bivariate methods.
Results: There were more respondents with the perception of the need for
the healthcare service (78.9%) compare to the need for the healthcare service
(21.1%). There was not any significant difference between the respondents who
agreed and did not agree with the perception of the need for the healthcare
service (p > 0.05). There were more respondents with the perception that they
were able to pay the rate (81.1%) and not able to pay it (18.1%). There was a
significant difference between the respondents who agreed and did not agree
with the perception of being able to pay the rate (p < 0.05). There were more
respondents with the perception that the quality of the healthcare service in the
primary health was not good (53.7%) compare to good (46.3%). There was not
any significant difference of the quality of the healthcare service delivered by the
primary health between the respondents who agreed the change in the
healthcare service rate and those who did not agree it (p > 0.05).
Conclusion: The perception of the need for the healthcare service in the l
primary health, the perception of the ability to pay and the perception of the
quality of the healthcare service delivered by the clinic on the change of the
healthcare service rate could indicate that in general they agreed the change in
the rate.
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