Preventive Medicine and Health Care Reimbursement: A Necessary but Not Sufficient Condition for Wider Access to Preventive Health Services

The use of preventive health services is a long-term health investment due to its potential to help individuals to take care of their health. This study aimed to explore the availability and performance of health services in primary health care (PHC) in the domain of general practice (GP), pediatrics, and gynecology, as well as to analyze the influence of sociodemographic and health determinants on the utilization of preventive health services. This descriptive study used data from the National Health Insurance Fund and the Statistical Office of the Serbia for 2015 and included 149 independent PHC units. The relationship between the utilization of preventive services and sociodemographic and health characteristics of the population was analyzed by bivariate and multivariate linear regression models. The higher health expenditure per capita and noncommunicable diseases mortality rate were, the more preventive health services were provided by a chosen GP. Children with a higher completion rate of primary school (p = 0.024), higher health expenditure (p = 0.017), and higher life expectancy at birth (p = 0.041) had more preventive health services. The fertility rate was positively associated with the number of preventive health services per 1000 women (p = 0.033). Our findings should serve as a starting point for where efforts should be made to achieve better health outcomes.

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Perceptions of Internship Doctors on Promotive and Preventive Health Services in Puskesmas (Community and Primary Health Care Center)

Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) ◽

10.22146/rpcpe.33880 ◽

2018 ◽

Vol 1 (2) ◽

pp. 16

Author(s):

Mariatul Fadillah ◽

Murwani Emasrissa Latifah

Keyword(s):

Health Care ◽

Primary Health Care ◽

Health Services ◽

Health Care Services ◽

Preventive Health Services ◽

Preventive Services ◽

Preventive Health ◽

Care Services ◽

Primary Health ◽

Primary Health Care Centers

Background: Health care services are any efforts that are self-administered or done jointly within an organization to maintain and improve health, prevent and cure diseases and restore the health of individuals, families, groups and/or communities. Promotional and preventive services are conducted by individuals or groups in improving health and preventing the occurrence of outcomes unwanted by the community. Community Primary Health Care Centers (Puskesmas) are primary health care centers for the community which serve as the location of the new family doctors internship program in Indonesia.Objectives: The purpose of this study is to investigate the perception of internship doctors on the promotion and preventive services at the Puskesmas where they are placed for internship.Methods: This research is a quantitative analytical study with cross-sectional research design through the distribution of a questionnaire in the form of a Google survey form to all internship doctors in 571 Puskesmas in Indonesia. The questionnaire contains a list of questions that have been categorized according to the parent theory used, namely the Lawrence Green theory. The samples obtained in this study included 218 internship doctors.Results: From this study it was found that as many as 130 people (59.6%) of intern doctors who conducted promotive and preventive health services at Puskesmas came from State Universities. As many as 86 people (39.4%) of interns who conducted promotive and preventive health services at Puskesmas were 25 years old, with 143 (65.6%) females and 184 people (84.4%) unmarried. From the results of logistic regression analysis of Awareness Level, Knowledge Level, Time, Potential Revenue and Government Support, all factors have significant influence on the internship doctors’ perceptions on the promotive and preventive health care services (p<0.05).Conclusion: In this research, there are profiles and factors that significantly influence the internship doctor’s perceptions on health promotion and preventive services at Puskesmas.

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