Factors associated with the operation of websites of small hospitals and medical and dental clinics in Korea: A cross-sectional analysis of health insurance administrative data (Preprint)

2021 ◽  
Author(s):  
Young-Taek Park ◽  
Kwang Gi Kim ◽  
Young Jae Kim
Keyword(s):  
Health Insurance ◽  
Administrative Data ◽  
Critical Role ◽  
Secondary Data ◽  
Outcome Variable ◽  
Subway Station ◽  
Cross Sectional ◽  
Factors Associated ◽  
Dental Clinics ◽  
Operation Status

BACKGROUND Websites of hospitals and clinics play a critical role in delivering important clinical information between medical providers and patients. However, there have been few studies on its adoption. OBJECTIVE The objective of this study is to investigate the factors associated with the operation status of websites of medical facilities, defined by whether the facility has a website. METHODS A cross-sectional study design using secondary data was employed to investigate 1,519 hospitals (small hospitals with 30–100 beds), 33,043 medical clinics, and 18,240 dental clinics as of 2020. The study used the health insurance administrative data. The main outcome variable was the operation status of the website and independent variables were the location of study subjects, size of facilities, and advanced diagnostics medical equipment. The study used a logistic regression using SAS 9.4 version. RESULTS The percentage of small hospitals, clinics, and dental clinics with websites was 26.4%, 9.0%, and 6.6%, respectively. Several factors were significantly associated with running the websites: the years of operation (odds ratio [OR] 1.081,95% CI 1.064-1.098, P<.0001), number of physicians (OR 1.025; 95% CI 1.002-1.048, P=.030), and having a subway station near the hospital (OR 2.816; 95% CI 2.004-3.957, P<0.0001). The operation of the websites was related with the location of the facility, years of operation, number of physicians or dentists, having a subway station, and the number of clinics or dental clinics within the local areas in both clinics and dental clinics (P<.005). CONCLUSIONS This study showed that the proportion of small hospitals with websites was much higher than that of medical and dental clinics. However, the overall proportion was still low. Several facility-related and environmental factors were critically associated with website operations, but more factors affected small clinics and dental clinics.

scholarly journals Prevalence and factors associated with sepsis and septic shock in oncological patients in intensive therapy

2022 ◽  
Vol 75 (1) ◽  
Author(s):  
Miriam Maria Mota Silva ◽  
Danielle Samara Tavares de Oliveira-Figueiredo ◽  
Adilma da Cunha Cavalcanti
Keyword(s):  
Septic Shock ◽  
Cancer Patients ◽  
Intensive Therapy ◽  
Secondary Data ◽  
Outcome Variable ◽  
Invasive Procedures ◽  
Cross Sectional ◽  
Primary Tumor Site ◽  
Factors Associated ◽  
Sepsis And Septic Shock

ABSTRACT Objectives: to analyze factors associated with sepsis and septic shock in cancer patients in the Intensive Care Unit. Methods: cross-sectional, retrospective study with a quantitative approach, with a sample of 239 patients in an oncology hospital. Secondary data from medical records were used. The outcome variable was “presence of sepsis and/or septic shock”; and exposures: sex, length of stay, origin, use of invasive procedures and primary tumor site. Descriptive, bivariate analyzes and multiple logistic regression models were performed. Results: the prevalence of sepsis was 95% CI: 14.7-24.7 and septic shock of 95% CI: 37.7-50.3. In the multiple analysis, sepsis and/or septic shock were associated with hospital stay longer than seven days, being from the Emergency Department, presence of invasive procedures and hematological site. Conclusions: sepsis and/or septic shock in cancer patients were associated with clinical characteristics and health care factors.

scholarly journals Violence and discrimination among Ugandan residents during the COVID-19 lockdown

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Elizabeth Katana ◽  
Bob Omoda Amodan ◽  
Lilian Bulage ◽  
Alex R. Ario ◽  
Joseph Nelson Siewe Fodjo ◽  
...  
Keyword(s):  
Law Enforcement ◽  
Control Measures ◽  
Sub Saharan Africa ◽  
World Health ◽  
Vulnerable Groups ◽  
Transport Systems ◽  
Outcome Variable ◽  
Cross Sectional ◽  
Factors Associated ◽  
The Past

Abstract Background In March 2020, the World Health Organization (WHO) declared COVID-19 a pandemic. Many countries in Sub-Saharan Africa, Uganda inclusive, implemented lockdowns, curfew, banning of both private and public transport systems, and mass gatherings to minimize spread. Social control measures for COVID-19 are reported to increase violence and discrimination globally, including in Uganda as some may be difficult to implement resulting in the heavy deployment of law enforcement. Media reports indicated that cases of violence and discrimination had increased in Uganda’s communities following the lockdown. We estimated the incidence and factors associated with experiencing violence and discrimination among Ugandans during the COVID-19 lockdown to inform control and prevention measures. Methods In April 2020, we conducted a secondary analysis of cross-sectional data under the International Citizen Project (ICP) to assess adherence to public health measures and their impact on the COVID-19 outbreak in Uganda. We analyzed data on violence and discrimination from the ICP study. We performed descriptive statistics for all the participants’ characteristics and created a binary outcome variable called experiencing violence and/or discrimination. We performed logistic regression analysis to identify the factors associated with experiencing violence and discrimination. Results Of the 1726 ICP study participants, 1051 (58.8%) were males, 841 (48.7%) were currently living with a spouse or partner, and 376 (21.8%) had physically attended work for more than 3 days in the past week. Overall, 145 (8.4%) experienced any form of violence and/or discrimination by any perpetrator, and 46 (31.7%) of the 145 reported that it was perpetrated by a law enforcement officer. Factors associated with experiencing violence or discrimination were: being male (AOR = 1.60 CI:1.10–2.33), having attended work physically for more than 3 days in the past week (AOR = 1.52 CI:1.03–2.23), and inability to access social or essential health services since the epidemic started (AOR = 3.10 CI:2.14–4.50). Conclusion A substantial proportion of Ugandan residents experienced violence and/or discrimination during the COVID-19 lockdown, mostly perpetrated by law enforcement officers. We recommend mitigation of the collateral impact of lockdowns with interventions that focus on improving policing quality, ensuring continuity of essential services, and strengthening support systems for vulnerable groups including males.

scholarly journals Faktor-faktor yang berhubungan dengan pemberian air susu ibu eksklusif di Kabupaten Sleman

2017 ◽  
Vol 33 (8) ◽  
pp. 391
Author(s):  
Safitri Dwicahyani ◽  
Yayi Suryo Prabandari
Keyword(s):  
Health Insurance ◽  
Exclusive Breastfeeding ◽  
Maternal Education ◽  
Secondary Data ◽  
Cross Sectional Study ◽  
Dominant Factor ◽  
Cross Sectional ◽  
Lactating Mothers ◽  
Health Promotion Programs ◽  
To Receive

Determinants of exclusive breastfeeding in SlemanPurposeThe purpose of this paper was to determine the factors associated with the exclusive provision of breast milk in Sleman.MethodsA cross-sectional study was conducted using secondary data derived from HDSS Sleman Cycles I and II. The sample in this study were 218 mothers with children aged 7 to <24 months.ResultsThe ownership of health insurance and the use of bottles and pacifiers were significantly associated with exclusive breastfeeding. Maternal age, maternal education, and maternal occupation were not significantly associated with exclusive breastfeeding. Mothers with health insurance are 2.14 times more likely to exclusively breastfeed than those without health insurance. Infants who never use bottles, and pacifiers before the age of 6 months are 5.14 times more likely to receive exclusive breastfeeding than those who used bottles / dots before the age of 6 months.ConclusionThe use of bottles, and pacifiers is the most dominant factor associated with exclusive breastfeeding. Coverage of health insurance, especially in pregnant and lactating mothers and effective health promotion programs related to exclusive breastfeeding needs to be improved. HDSS Sleman needs to analyze the data more in-depth on exclusive breast-feeding.

scholarly journals Does the Formal Financial Sector Enhance Small Business Employment Generation in Nepal: Evidence from Cross-Sectional Data

2021 ◽  
Vol 8 (2) ◽  
pp. 155-164
Author(s):  
Dipendra Karki ◽  
Sushmita Upreti ◽  
Udbodh Bhandari ◽  
Sharad Rajbhandari ◽  
Niranjan Devkota ◽  
...  
Keyword(s):  
Small Business ◽  
Small Businesses ◽  
Financial Support ◽  
Descriptive Analysis ◽  
Critical Role ◽  
Secondary Data ◽  
Financial Sector ◽  
Cross Sectional ◽  
Employment Generation

Small business enterprises are widely recognized as a driving force of economic growth and development in any nation. Empirical evidence has shown that they contribute to job creation, help to alleviate poverty, and increase a nation’s level of productivity. In the exponential increase of small businesses, the role of the financial sector is crucial. This paper aims to identify the role of formal financial support in small business employment generation in Bouddhanath, Kathmandu. The study adopted a descriptive research design. Purposive sampling was used to select 285 business owners. A structured questionnaire was designed to collect their responses. Primary and secondary data was employed to analyze user status. Data analysis was performed with the help of descriptive analysis and a financial support index. The results showed that financial support plays a critical role in the enhancement of the small business sector, allowing businesses to create employment opportunities which further helps to maintain the Nepalese economy. The major challenges to the growth of small businesses in Nepal lie in securing initial funding and overreliance on credit. In addition, the ability to afford quality staff has an equally strong effect on the success of small businesses. Business growth clearly depends on the role of the formal financial sector to achieve the desired outcomes.

scholarly journals Factors associated with elevated consumption of alcohol in older adults—comparison between China and Norway: the CLHLS and the HUNT Study

BMJ Open ◽  
2019 ◽  
Vol 9 (8) ◽  
pp. e028646 ◽  
Author(s):  
Juan Li ◽  
Bei Wu ◽  
Kjerstin Tevik ◽  
Steinar Krokstad ◽  
AS Helvik
Keyword(s):  
Public Health ◽  
Older Adults ◽  
Alcohol Consumption ◽  
Rural Areas ◽  
Secondary Data ◽  
Primary Objective ◽  
Health Study ◽  
Cross Sectional ◽  
Chinese Sample ◽  
Factors Associated

ObjectivesThe primary objective was to investigate the prevalence and factors associated with elevated alcohol consumption among older adults 65 years and above in China and Norway. The secondary objective was to compare the prevalence and factors in the two countries.DesignA secondary data analysis was conducted using two large cross-sectional studies (Chinese Longitudinal Healthy Longevity Survey data in 2008–2009 and Nord-Trøndelag Health Study data in 2006–2008).ParticipantsA total of 3223 (weighted) Chinese older adults and 6210 Norwegian older adults who responded drinking alcohol were included in the analysis.Outcome measuresThe dependent variable was elevated alcohol consumption, which was calculated as a ratio of those with elevated drinking among current drinkers. Multivariable logistic regression was used to test the dependent variable.ResultsThe prevalence of elevated alcohol consumption among current drinkers for the Chinese and Norwegian samples were 78.3% (weighted) and 5.1%, respectively. Being male was related to a higher likelihood of elevated alcohol consumption in both Chinese and Norwegian samples (OR=2.729, 95% CI 2.124 to 3.506, OR=2.638, 95% CI 1.942 to 3.585). Being older, with higher levels of education and a living spouse or partner were less likely to have elevated drinking in the Chinese sample (OR=0.497, 95% CI 0.312 to 0.794, OR=0.411, 95% CI 0.260 to 0.649, OR=0.533, 95% CI 0.417 to 0.682, respectively). Among Norwegian older adults, a higher level of education was related to higher likelihood of elevated drinking (OR=1.503, 95% CI 1.092 to 2.069, OR=3.020, 95% CI 2.185 to 4.175). Living in rural areas and higher life satisfaction were related to lower likelihood of elevated drinking in the Norwegian sample (OR=0.739, 95% CI 0.554 to 0.984, OR=0.844, 95% CI 0.729 to 0.977, respectively).ConclusionsThe elevated alcohol consumption patterns were strikingly different between China and Norway in regards to prevalence and socioeconomic distribution. To develop and implement culturally appropriate public health policies regarding alcohol in the future, public health policy makers and professionals need to be aware of the cultural differences and consider the demographic, social and economic characteristics of their intended population.

scholarly journals Correlates of Patients’ Preference for Therapeutic Injections in a Major Regional Referral Hospital in Ghana: Implications for Policy and Clinical Practice

SAGE Open ◽  
2018 ◽  
Vol 8 (4) ◽  
pp. 215824401880458
Author(s):  
Robert Kaba Alhassan ◽  
Bismark Appiah Adu-Gyamfi ◽  
Agbolosu Oliver ◽  
Bright Ayensu ◽  
Gbekor Awoenam ◽  
...  
Keyword(s):  
Regional Hospital ◽  
Oral Medication ◽  
Outcome Variable ◽  
Health Providers ◽  
Probit Regression ◽  
Hospital Data ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Poor Countries ◽  
Factors Associated

Abuse of injections, particularly in resource poor countries, remains a challenge evident in the increasing preference for therapeutic injections over oral medication. Objective of this study is to explore factors associated with patients’ preference for therapeutic injection over oral medication in the Volta Regional Hospital, Ho in Ghana. The study is a cross-sectional survey conducted among 200 patients accessing care in Volta Regional Hospital. Data were analyzed using STATA statistical software for data analysis. Univariate probit regression was used to ascertain factors associated with patients’ preference for therapeutic injections over oral medication (main outcome variable of interest). It was found that 74% of the 200 respondents preferred injection to oral medication. More outpatients preferred injectable medication over oral ( p = .041); 86% of the respondents said they never experienced complication related to injectable medication. Patients who perceived injection as more efficacious were more likely to opt for it over oral medication (coefficient = 2.22; SE = 0.33; p < .05). It is concluded that patients’ preference for injectable medication over oral remains high in Ghana, and this preference is significantly associated with patients’ perceptions on superiority of injections over oral medication. There is the need to intensify health education for clients and in-service trainings for health providers to control abuse of therapeutic injections and promote patient safety.

scholarly journals Factor associated with self-reported work-related musculoskeletal disorders in Brazilian adults

2017 ◽  
Vol 51 (suppl 1) ◽  
Author(s):  
Ada Ávila Assunção ◽  
Mery Natali Silva Abreu
Keyword(s):  
Logistic Models ◽  
Population Based ◽  
Brazilian Population ◽  
Outcome Variable ◽  
Cross Sectional ◽  
Significance Level ◽  
Explanatory Variables ◽  
Factors Associated ◽  
Work Related ◽  
And Gender

ABSTRACT OBJECTIVE To describe the prevalence of work-related musculoskeletal disorder (WMSD) and analyze the factors associated with this outcome in the Brazilian population. METHODS In this cross-sectional, population-based study, we use data from the National Survey on Health (PNS) of 2013. The sample was composed of 60,202 Brazilians aged 18 years or older. The outcome variable was the occurrence of self-reported WMSD. Sociodemographic and occupational characteristics, personal resources, and health conditions were investigated as explanatory variables. Analyses were performed with the software Stata 12.0 and considered the weighting imposed by the sampling design of the study. Then, univariate and multivariate binary logistic models were carried out, considering a significance level of 5%. RESULTS The results obtained indicated that the prevalence of WMSD in the Brazilian population was of 2.5%, ranging from 0.2% (Acre) to 4.2% (Santa Catarina). The factors associated with a greater chance of occurrence of WMSD were: female sex (OR = 2.33; 95%CI 1.72–3.15); be temporarily away from work (OR = 2.44; 95%CI 1.41–4.23); be exposed to noise at the workplace (OR = 2.16; 95%CI 1.68–2.77); seniority equal to or greater than 4.5 years at the current job (OR = 1.37; 95%CI 1.09–1.72); participate in volunteer work (OR = 1.65; 95%CI 1.25–2.17); report medical diagnosis of arthritis or rheumatism (OR = 2.40; 95%CI 1.68–3.44); and depression (OR = 2.48; 95%CI 1.86–3.31). On the other hand, factors associated with less chance of WMSD were: not having a partner (OR = 0.73; 95%CI 0.37–0.71) and working in an open environment (OR = 0.51; 95%CI 0.37–0.71). CONCLUSIONS The associated factors and the prevalence found indicate regional and gender differences. Special attention to comorbidities and environmental noise monitoring would benefit the health of workers in the Country.

scholarly journals The Nottingham Fatigue after Stroke (NotFAST) study: factors associated with severity of fatigue in stroke patients without depression

2017 ◽  
Vol 31 (10) ◽  
pp. 1406-1415 ◽  
Author(s):  
Avril Drummond ◽  
Louise Hawkins ◽  
Nikola Sprigg ◽  
Nick S Ward ◽  
Amit Mistri ◽  
...  
Keyword(s):  
Fatigue Severity Scale ◽  
Outcome Variable ◽  
Severity Scale ◽  
Cross Sectional ◽  
Mobility Index ◽  
Factors Associated ◽  
Post Stroke ◽  
Brief Assessment ◽  
Fatigue Severity ◽  
Anxiety Index

Objective: To identify factors associated with post-stroke fatigue in a sample of stroke survivors without depression. Design: Cross-sectional cohort study. Setting: Recruitment was from four stroke units in the UK. Subjects: Participants were assessed within four to six weeks of first stroke; those with high levels of depressive symptoms (score ⩾7 Brief Assessment Schedule Depression Cards) were excluded. Main measures: Participants were assessed after stroke on the Fatigue Severity Scale of the Fatigue Assessment Inventory, the Rivermead Mobility Index, Nottingham Extended Activities of Daily Living scale, Beck Anxiety Index, Sleep Hygiene Index, 6m walk test, and measures of cognitive ability. Results: Of the 371 participants recruited, 103 were excluded and 268 were assessed. Of the latter, the mean age was 67.7 years (SD 13.5) and 168 (63%) were men. The National Institutes of Health Stroke Scale mean score was 4.96 (SD 4.12). Post-stroke fatigue was reported by 115 (43%) of participants, with 71 (62%) reporting this to be a new symptom since their stroke. Multivariate analysis using the Fatigue Severity Scale as the outcome variable found pre-stroke fatigue, having a spouse/partner, lower Rivermead Mobility Index score, and higher scores on both the Brief Assessment Schedule Depression Cards and Beck Anxiety Index were independently associated with post-stroke fatigue, accounting for approximately 47% of the variance in Fatigue Severity Scale scores. Conclusions: Pre-stroke fatigue, lower mood, and poorer mobility were associated with post-stroke fatigue.

scholarly journals FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEIKUTSERTAAN MENJADI PESERTA JAMINAN KESEHATAN NASIONAL (JKN) DI WILAYAH PUSKESMAS KEMBANG SERI BENGKULU TENGAH

2019 ◽  
Vol 26 (2) ◽  
pp. 39-52
Author(s):  
Vike Pebri Giena ◽  
Nikki Sulastry ◽  
Buyung Keraman
Keyword(s):  
Public Health ◽  
Health Insurance ◽  
Social Security ◽  
Significant Relationship ◽  
Education Level ◽  
Chi Square ◽  
Cross Sectional ◽  
Factors Associated ◽  
The Social ◽  
Contingency Coefficient

The Factors Associated with Participation of Being Member of National Health Insurance in Working Area of Kembang Seri Public Health Center      Bengkulu TengahABSTRAKJaminan Kesehatan Nasional (JKN) merupakan bagian dari Sistem Jaminan Sosial Nasional (SJSN) yang diselenggarakan oleh Badan Penyelenggara Jaminan Sosial (BPJS) dengan tujuan untuk memenuhi kebutuhan dasar kesehatan masyarakat yang layak yang diberikan kepada setiap orang yang telah membayar iuran atau iurannya dibayar oleh Pemerintah. Tujuan penelitian ini adalah untuk mempelajari faktor-faktor yang berhubungan dengan keikutsertaan menjadi peserta Jaminan Kesehatan Nasional (JKN) di Wilayah Puskesmas Kembang Seri Bengkulu Tengah. Desain penelitian ini adalah Cross Sectional. Populasi dalam penelitian ini adalah seluruh warga yang berada di wilayah Puskesmas Kembang Seri sebanyak 8436 orang. Sampel diambil menggunakan teknik Accidental Sampling berdasarakan kriteria inklusi dan eksklusi besar sampel 96 orang. Teknik analisis data dilakukan dengan analisis univariat dan bivariat dengan uji Chi-Square dan uji Contingency Coefficient. Hasil uji penelitian ini didapatkan 80 orang (83,3%) ikut serta dalam JKN, 16 orang (16,7%) tidak ikut serta dalam JKN, ada hubungan antara tingkat pendidikan dengan keikutsertaan Jaminan Kesehatan Nasional dengan keeratan sedang. Ada hubungan antara pengetahuan dengan keikutsertaan Jaminan Kesehatan Nasional dengan keeratan sedang. Ada hubungan pekerjaan dengan keikutsertaan Jaminan Kesehatan Nasional dengan keeratan sedang. Ada hubungan pendapatan dengan keikutsertaan Jaminan Kesehatan Nasional dengan  keeratan lemah. Diharapkan Badan Penyelenggara Jaminan Sosial (BPJS) untuk meningkatkan pengawasan dan kerjasama dengan pihak Puskesmas guna meningkatkan pengetahuan masyarakat tentang Jaminan Kesehatan Nasional (JKN). Kata Kunci : JKN, pekerjaan, pendapatan, pengetahuan, tingkat pendidikan ABSTRACTNational Health Insurance (JKN) is part of the Social Security System National (SJSN) organized by the Social Security Organizing Agency (BPJS) with the goal of meeting the basic needs of proper public health given to each people who have paid contributions or whose contributions have been paid by the Government.  The aim of this study was to determine factors associated with participation of being member of Nasional Health Insurance in Area of Puskesmas Kembang Seri Bengkulu Tengah. This study used Cross Sectional design. Populasi in this study were all residents in Area of Puskesmas Kembang Seri with the amount of 8436 people. Sampling technique in this study used Accidental Sampling base on inclusion and exclusion criteria with the amount samples of 96 people. Data analysis in this study used univariate analysis and bivariate analysis with Chi-Square test and Contingency Coefficient test. The results of this study found 80 people (83,3%) participated in JKN, 16 people (16,7%) did not participated in JKN, there is significant relationship between education level with participation of being member of Nasional Health Insurance with moderate category relationship. There is significant relationship between knowledge with participation of being member of Nasional Health Insurance with moderate category relationship. There is significant relationship between occupations with participation of being member of Nasional Health Insurance with moderate category relationship. There is significant relationship between incomes with participation of being member of Nasional Health Insurance with weak category relationship. It is expected that the Social Security Organizing Agency (BPJS) will increase supervision and collaboration with the Puskesmas to increase public knowledge about the National Health Insurance (JKN). Keywords: education level, income, JKN, knowledge, occupation

scholarly journals ANALISIS IMPLEMENTASI PROGRAM JAMINAN KESEHATAN NASIONAL BERDASARKAN ANGGOTA KEPESERTAAN BPJS (STUDI DI PUSKESMAS WIYUNG, KOTA SURABAYA TAHUN 2017)

2018 ◽  
Vol 1 (2) ◽  
Author(s):  
Satriya Wijaya
Keyword(s):  
Health Insurance ◽  
Health Center ◽  
Health Care Providers ◽  
Secondary Data ◽  
Care Providers ◽  
Cross Sectional ◽  
Stake Holder ◽  
The Government ◽  
Document Review ◽  
The Impact

Abstrak Pelaksanaan JKN di Indonesia menghadapi berbagai tantangan, dari sisi pemberi layanan kesehatan, pengelola jaminan kesehatan, masyarakat sebagai pengguna, serta pemerintah sebagai regulator program. Berbagai studi telah dilakukan untuk menelaah dampak JKN pada pelayanan kesehatan di Indonesia, namun pemanfaatan hasil studi tersebut untuk menyempurnakan kebijakan masih terbatas. Jenis penelitian ini adalah penelitian deskriptif eksploratif, yang menggunakan metode deskriptif kualitatif serta penelaahan dokumen. Desain penelitian adalah cross-sectional dengan pendekatan retrospektif. Sampel penelitian ini adalah seluruh stakeholder kunci yang berada di wilayah kerja Puskesmas Wiyung yang terkait erat dengan pelaksanaan JKN. Analisa dan pengumpulan data dilakukan untuk memvalidasi: informasi dari institusi responden, indepth interview dengan stake holder kebijakan dan pelaksana program, kemudian cek silang oleh enumerator lapangan ke beberapa responden untuk temuan yang memerlukan, dan refleksi tim dalam bentuk pertemuan validasi data. Informasi yang diperoleh dari hasil indepth interview stake holder kebijakan dan pelaksana program, informasi cek silang dari enumerator lapangan maupun data sekunder akan diintegrasikan dengan informasi kualitatif yang terkumpul. Hasil analisis menunjukkan tidak semua pengunjung Puskesmas Wiyung telah menjadi peserta BPJS. Sistem administrasi dianggap rumit untuk dipahami dengan mudah oleh masyarakat.  Perlu sosialisasi kepada masyarakat tentang kepesertaan BPJS dan penguatan koordinasi dengan pihak BPJS apabila ada masalah anggota kepesertaan pasien BPJS.   Kata kunci: implementasi JKN, program JKN, kepesertaan BPJS Abstract   Implementation of National Health Insurance (JKN) in Indonesia faces various challenges, from the side of health care providers, health insurance managers, the community as users, and the government as the program regulator. Various studies have been conducted to examine the impact of JKN on health services in Indonesia, but the use of the results of these studies to improve policies is still limited. This type of research is explorative descriptive research, which uses qualitative descriptive methods and document review. The study design was cross-sectional with a retrospective approach. The sample of this study is all key stakeholders in the Wiyung Health Center working area which are closely related to JKN implementation. Analysis and data collection were carried out to validate: information from the respondent's institution, in-depth interviews with policy stakeholders and program implementers, then cross-check by field enumerators to several respondents for findings that needed, and team reflection in the form of data validation meetings. Information obtained from the results of an in-depth interview of policy stakeholders and program implementers, cross check information from field enumerators and secondary data will be integrated with qualitative information collected. The results of the analysis showed that not all visitors to the Wiyung Health Center had become BPJS participants. The administrative system is considered complicated to be easily understood by the community. Need to disseminate information to the public about BPJS membership and strengthening coordination with BPJS if there are problems with membership of BPJS patients.  Keywords: implementation of JKN, JKN program, BPJS membership

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