ANALISIS PERBEDAAN FASILITAS KESEHATAN DAN KEPEMILIKAN JKN TAHUN 2024-2025 MENGGUNAKAN REPEATED MEASURES MANOVA

Authors

  • Erlina Ayunda Cahyanti Sains Data, Universitas Pembangunan Nasional Veteran Jawa Timur
  • Violin Chantika Ardianisya Sains Data, Universitas Pembangunan Nasional Veteran Jawa Timur
  • Aurelia Krisnanti Wijaya Sains Data, Universitas Pembangunan Nasional Veteran Jawa Timur
  • Shindi Shella May Wara Sains Data, Universitas Pembangunan Nasional Veteran Jawa Timur
  • Muhammad Nasrudin Sains Data, Universitas Pembangunan Nasional Veteran Jawa Timur

DOI:

https://doi.org/10.29408/eksbar.v3i1.34541

Keywords:

Healthcare Facilities, Indonesia, Multivariate Analysis, Repeated Measures Analysis Of Variance , Social Health Insurance

Abstract

Healthcare facilities and Jaminan Kesehatan Nasional (JKN) program are essential for serving the public and preventing potential health inequities among different social groups. This study analyzes differences in the number of health facilities and JKN coverage in 2024 and 2025 at the provincial level in Indonesia. The variables used include the number of hospitals, community health centers (puskesmas), auxiliary community health centers (puskesmas pembantu), pharmacies, and JKN coverage. The analysis method used was Repeated Measures Multivariate Analysis of Variance (RM MANOVA), which was chosen because it is capable of simultaneously analyzing multiple dependent variables in data measured repeatedly at different time points. This was preceded by assumption tests including the Bartlett test for independence, the Box's M test for covariance matrix homogeneity, and the multivariate normality test. Additionally, paired t-tests were performed to examine differences in each variable individually. The results of the assumption test indicated that the data met the requirements for multivariate analysis. A Wilks’s Lambda value of 0.9784 with a significance level of 0.9060 indicated that there were no significant simultaneous differences in health facility indicators and JKN coverage between 2024 and 2025. However, the paired t-test results showed significant differences in the number of hospitals, pharmacies, and JKN coverage, while no significant differences were found for community health centers (puskesmas) and auxiliary community health centers (puskesmas pembantu). This study provides an overview of changes in health facility development and JKN coverage, serving as a basis for policy-making. 

References

Anderson, B. (2023, July 26). Uji Bartlett untuk homogenitas varians (definisi dan contoh). Statorials. Diambil dari https://statorials.org/id/tes-bartlett/

Arofah, A. N., Noor, V. M. M., Setyawan, F. E. B., & Shihab, D. A. S. (2022). Dampak akibat implementasi program JKN terhadap biaya kesehatan di fasilitas kesehatan tingkat lanjutan. Conference on Public Health and Medical Sciences, 1(1), 246–253. Diambil dari https://comphi.sinergis.org/comphi/article/view/104

Blanca, M. J., Arnau, J., García-Castro, F. J., Alarcón, R., & Bono, R. (2023). Repeated measures ANOVA and adjusted F-tests when sphericity is violated: Which procedure is best? Frontiers in Psychology, 14. https://doi.org/10.3389/fpsyg.2023.1192453

Ganendra, M. V. E. B., Putro, R. A., Athallah, Z. A., Nasrudin, M., & Trimono, T. (2025). Analisis jumlah penduduk tenaga kerja industri di Jawa Timur berdasarkan tahun 2017–2018 dengan menggunakan metode RM MANOVA. Kohesi: Jurnal Sains dan Teknologi, 8(2), 81–90. https://doi.org/10.2238/y311y728

Indraswara, Y. (2021). Peranan penting fasilitas kesehatan masyarakat di Indonesia. OSF Preprints. https://doi.org/10.31219/osf.io/ytn8q

Kementerian Kesehatan Republik Indonesia. (2015). Rencana strategis Kementerian Kesehatan tahun 2015–2019. Jakarta: Kementerian Kesehatan Republik Indonesia. Diambil dari https://ppid.kemkes.go.id/wp-content/uploads/2022/06/Rencana-Strategis-2015-2019.pdf

Misnaniarti, M., Hidayat, B., Pujiyanto, P., Nadjib, M., Thabrany, H., Junadi, P., Besral, B., Purwoko, B., Trihono, T., & Yulaswati, V. (2018). Ketersediaan fasilitas dan tenaga kesehatan dalam mendukung cakupan semesta jaminan kesehatan nasional. Jurnal Penelitian dan Pengembangan Pelayanan Kesehatan, 2(1), 6–16. https://doi.org/10.22435/jpppk.v1i1.425

Rusli, R., Gaffar, S. B., Jasruddin, J., & Ahmad, M. A. (2019). Pengujian normal multivariat dan homoskedastisitas matriks varians-kovarians pada prestasi belajar dan kredit lulus mahasiswa UNM angkatan 2014. Journal of Mathematics Education and Science, 2(1), 1–8. Diambil dari https://usnsj.id/index.php/JME/article/view/2048

Sugiharto, A. D., Hidayat, S., & Rosyidah, R. (2023). Pengaruh kualitas pelayanan dan kepuasan pasien terhadap loyalitas: Analisis di sebuah fasilitas kesehatan tingkat pertama (FKTP) program jaminan kesehatan nasional (JKN). An-Nadaa: Jurnal Kesehatan Masyarakat (e-Journal), 10(2), 118–125. https://doi.org/10.31602/ann.v10i2.10455

Wulandari, D., Sutrisno, S., & Nirwana, M. B. (2021). Mardia’s skewness and kurtosis for assessing normality assumption in multivariate regression. Enthusiastic: International Journal of Applied Statistics and Data Science, 1(1), 1–9. https://doi.org/10.20885/enthusiastic.vol1.iss1.art1

Yuliani, N., Suwartane, I. G. A., Pramestari, D., & Gustina, D. (2025). Analisis paired sample t-test untuk mengukur efektivitas pelatihan digital marketing dalam meningkatkan pemasaran desa wisata. IKRA-ITH Teknologi: Jurnal Sains dan Teknologi, 9(3), 20–31. https://doi.org/10.37817/ikraith-teknologi.v9i3.5337

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Published

2026-06-23