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Abstract

Unwillingness to seek healthcare has been observed in citizens from many countries during the Covid-19 pandemic. Previous studies show that the changes in behavior are due to various reasons such as economic slowdown, loss of health insurance due to termination of employment, and fear of contracting the virus. This behavior may result in worsened health conditions, making a individual more susceptible to the virus. The supply side of health care is one of the things that should be considered in the discussion about access to health care in developing countries. This paper investigates access to the healthcare problem of Indonesians, discusses both the supply side and demand side by looking at the change of behavior due to the patients’ fear of getting treatment during pandemic covid-19. We will serve this purpose through a small-scale survey and offer some insights from a statistical analysis perspective as well. Based on a survey from 588 respondents from the west Indonesia region, this study observes that the respondents’ health condition shows no significant change before and during the Covid-19 pandemic era. On the other hand, the respondents’ frequency of accessing outpatient healthcare proves to be significantly decreasing during the Covid-19 pandemic era, with 23,4% of the respondents stating that they avoid utilizing outpatient healthcare as an effort to avoid the Coronavirus. The frequency of using Kartu Indonesia Sehat to access outpatient healthcare also shows a significant decrease during this pandemic era.

Bahasa Abstract

Pada masa Pandemi Covid-19, masyarakat secara global menunjukkan perilaku enggan mengakses fasilitas kesehatan. Tinjauan literatur menunjukkan bahwa alasan utama dari perilaku tersebut meliputi penurunan aktivitas ekonomi, hilangnya jaminan kesehatan bagi masyarakat yang kehilangan pekerjaan, serta rasa takut yang berlebihan pada penularan virus. Hal ini dapat memperburuk kondisi kesehatan masyarakat. Namun, di Indonesia, terdapat beberapa kasus dimana pihak fasilitas kesehatan turut mempersulit akses layanan kesehatan bagi masyarakat di masa pandemi ini. Studi ini bertujuan untuk mengumpulkan informasi tentang perilaku masyarakat terkait permasalahan akses kesehatan di Indonesia di masa pandemic Covid-19, apakah bersumber dari penyedia fasilitas kesehatan, ataukah terdapat juga faktor rasa takut dari masyarakat. Tujuan tersebut akan dicapai melalui survei skala kecil, dan kami juga akan menawarkan beberapa pandangan berdasarkan uji statistik. Menurut data yang kami peroleh dari 588 responden, hasil analisis menunjukan bahwa tidak ada perubahan keluhan kesehatan yang signifikan pada saat sebelum Covid-19 dan pada saat pandemi Covid-19 terjadi. Namun, frekuensi rawat jalan mengalami penurunan yang signifikan di masa pandemic, dengan 23,4 persen responden beralasan tidak mengakses rawat jalan untuk menghindari penularan Covid-19. Kemudian, frekuensi menggunakan Kartu Indonesia Sehat untuk berobat jalan masyarakat masing-masing mengalami penurunan signifikan di masa pandemi Covid-19.

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