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Abstract

The rate of post-inpatient control visits remains relatively low due to various factors, including accessibility. At Hospital X, 220 of non-Jaminan Kesehatan Nasional (JKN) participants scheduled for post-inpatient control visits between January and March 2025, 71.82% attended, and 28.18% did not. Patients who did not attend control visits were twice as likely to be readmitted. This study aimed to determine the relationship between accessibility and post-inpatient control visits for non-JKN participants at Hospital X. This quantitative study employed an analytical cross-sectional design, with a population of 220 patients and a sample of 142 patients selected using probability sampling. Bivariate and multivariate analyses were performed using the chi-square test and binary logistic regression analysis. The results showed a significant relationship between distance to the hospital (p = 0.000), availability of transportation (p = 0.000), and the condition of service infrastructure (p = 0.000) with post-inpatient control visits among non-JKN participants at Hospital X. The results also showed that the factor with the highest probability of increasing post-inpatient control visits was walking as a mode of transportation, which increased the likelihood by 11.759 times. In conclusion, distance accessibility, transportation availability, and the condition of service infrastructure were significantly associated with post-inpatient control visits among non-JKN participants at Hospital X. The hospital should consider providing telemedicine services for patients who live at a considerable distance. In addition, the hospital could provide free pick-up and drop-off services within a certain radius.

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Bahasa Abstract

Angka kunjungan kontrol pasca rawat inap di rumah sakit masih tergolong rendah dan dipengaruhi oleh berbagai faktor, termasuk aksesibilitas. Di Rumah Sakit X, dari 220 pasien non-Jaminan Kesehatan Nasional (JKN) yang dijadwalkan melakukan kunjungan kontrol pasca rawat inap pada periode Januari–Maret 2025, sebanyak 71,82% pasien hadir, sementara 28,18% tidak hadir. Pasien yang tidak menghadiri kunjungan kontrol memiliki peluang dua kali lebih besar untuk menjalani rawat inap ulang di rumah sakit. Penelitian ini bertujuan untuk mengetahui hubungan aksesibilitas terhadap kunjungan kontrol pasca rawat inap pada pasien non-JKN di Rumah Sakit X. Penelitian ini merupakan penelitian kuantitatif dengan pendekatan analitik dan desain cross-sectional, dengan populasi sebanyak 220 pasien dan sampel sebanyak 142 pasien. Pengambilan sampel dilakukan menggunakan metode probability sampling. Analisis bivariat dan multivariat dilakukan menggunakan uji chi-square dan analisis regresi logistik biner. Hasil penelitian menunjukkan adanya hubungan yang signifikan antara jarak ke rumah sakit (nilai p = 0,000), ketersediaan transportasi (nilai p = 0,000), dan kondisi infrastruktur layanan (nilai p = 0,000) dengan kunjungan kontrol pasca rawat inap pada pasien non-JKN di Rumah Sakit X. Faktor yang memiliki peluang tertinggi dalam meningkatkan kunjungan kontrol pasca rawat inap adalah penggunaan moda transportasi berjalan kaki, dengan peluang sebesar 11,759 kali. Dapat disimpulkan bahwa aksesibilitas jarak, ketersediaan transportasi, dan kondisi infrastruktur layanan memiliki hubungan yang signifikan dengan kunjungan kontrol pasca rawat inap pada pasien non-JKN di Rumah Sakit X. Oleh karena itu, rumah sakit perlu menyediakan layanan telemedicine bagi pasien yang tinggal dengan jarak rumah yang jauh. Selain itu, rumah sakit dapat mempertimbangkan penyediaan layanan antar-jemput gratis dalam radius tertentu.

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