| Summary: | Background: In the Kulon Progo Regency, Social Askes Participants can choose
Primary Health Care or family physicians as first level provider (PPK I).
Participants decision is influenced by the providers characteristics.
Objective: This study aims to investigate the characteristics of services that
influence Social Askes Participants to choose PPK I.
Methods: This study is a qualitative research, case study approach. Location of
the study is Puskesmas Galur I in Kulon Progo Regency. The respondents were 7
primary health care patients, 7 family physicians patients, 2 family physicians,
team of Non Communicable Diseases Control (PTM) Puskesmas Galur I and
Head of Health Development, Health Department of Kulon Progo Regency.
Respondents were selected by inclusion criteria. The research instrument was indepth
interviews with an interview guide and Focus Group Discussion (FGD).
Triangulation method is used to test the validity of the data. Data analysis using
transcripts, coding of data is done manually, presentation of data, analysis and
conclusions.
Results: Patients choose primary health care for services integration and owned
clinic team approach in terms of out of hours services, nutrition consultation and
services laboratorium, whereas patients choosing a family doctor because of the
ability as a case manager, are short waiting times, physician contact person
available, access financial, information access, effective patient doctor
communication, pharmacy services, referral rates are low, the club hypertension
and diabetes as a form of peer group.
Conclusion: Integrated primary health care and family physicians supported by
PT Askes and Health Department policies, can meet better case managers.
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