Evaluating Free Healthcare Effectiveness in Bandar Lampung City: A Health Department Study
Abstract
This research aims to evaluate the effectiveness of free healthcare services in the city of Bandar Lampung, with a focus on the performance of the City Health Department. To understand and measure the effectiveness of the services, this research refers to three effectiveness indicators according to Duncan's theory: objectives, integrity, and adaptation. The research was conducted through interviews with informants from the City Health Department, Simpur Inpatient Health Center, and Wayhalim Health Center, including the Head of Health Centers, Head of Free Health Services, Doctors, Pharmacists, and Patients. The research results show diverse perspectives on the achievement of objectives in free healthcare services in Bandar Lampung. Although free healthcare services are well-regulated through a series of regulations, including the Bandar Lampung City Mayor's Regulation, informants stated that the objectives are still in the process of being achieved. Integrity in the services is evident from the close relationship between the City Government and the socialization efforts they have made to support effective integration in free healthcare services. In terms of integration, informants explained that the socialization of the implementation of free healthcare services in the city has been successful. Adaptation in free healthcare services seems to have reached some positive levels. However, there are reports from patients who have had unsatisfactory experiences, especially in emergency situations at the Simpur Inpatient Health Center. The research concludes that free healthcare services in Bandar Lampung have achieved some positive achievements, especially in terms of integration and adaptation. However, there are still areas that need improvement, especially in emergency situations, increasing friendliness, increasing the number of staff, and improving emergency services and infrastructure.
Keywords
Full Text:
PDFReferences
. Akbar, M. F., Dewi, L. K., & Amin, M. (2018). Implementation of Mayor Policy About Free Ambulance Program on Improvement of Health Services In Health Care Development Bandar Lampung (Study At Bandar Lampung City Health Office). Jurnal Ilmu Sosial, 16(3).
. Basri, H. (2017). The Management of Channel Health Campaign and The Audience Attitude. Saburai International Journal of Social Sciences and Development (IJSSD), 1(1), 75–82.
. Behera, B. K., & Prasad, R. (2022). Primary health-care goal and principles. Healthcare Strategies and Planning for Social Inclusion and Development, 221.
. Busse, R., Klazinga, N., Panteli, D., & Quentin, W. (2019). Improving healthcare quality in Europe: characteristics, effectiveness and implementation of different strategies [internet].
. Christopher, A. S., Himmelstein, D. U., Woolhandler, S., & McCormick, D. (2018). The effects of household medical expenditures on income inequality in the United States. American Journal of Public Health, 108(3), 351–354.
. Cormoș, V. C. (2022). The Processes of Adaptation, Assimilation and Integration in the Country of Migration: A Psychosocial Perspective on Place Identity Changes.
. Sustainability, 14(16), 10296. https://doi.org/10.3390/su141610296
. Dartanto, T., Halimatussadiah, A., Rezki, J. F., Nurhasana, R., Siregar, C. H., Bintara, H., Usman, Pramono, W., Sholihah, N. K., & Yuan, E. Z. W. (2020). Why do informal sector workers not pay the premium regularly? Evidence from the National Health Insurance System in Indonesia. Applied Health Economics and Health Policy, 18, 81–
. 96. https://doi.org/10.1007/s40258-019-00518-y
. Harmadi, S., & Irwandy, I. (2018). Technical efficiency of public service hospitals in Indonesia: A data envelopment analysis (DEA). Asian Social Science, 14(6), 1–81.
. Harrell, J. A., & Baker, E. L. (1994). The essential services of public health. Leadership in Public Health, 3(3), 27–30.
. Hartono, R. K. (2017). Equity level of health insurance ownership in Indonesia. Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal), 12(2), 93–
. 100. https://doi.org/10.21109/kesmas.v0i0.1408
. Khullar, D., & Chokshi, D. A. (2018). Health, income, & poverty: Where we are & what could help. Health Affairs, 10(10.1377).
. Le, K. H., La, T. X. P., & Tykkyläinen, M. (2022). Service quality and accessibility of healthcare facilities: digital healthcare potential in Ho Chi Minh City. BMC Health Services Research, 22(1), 1–13.
. Lozano, R., Fullman, N., Mumford, J. E., Kivimäki, M., Meretoja, A., Meretoja, T. J., & Shiri, R. (2020). Measuring universal health coverage based on an index of effective coverage of health services in 204 countries and territories, 1990-2019: a systematic analysis for the global burden of disease study 2019.
. Lutkevich, B. (2022). Definition organizational goals. Techtarget. https://www.techtarget.com/searchcio/definition/organizational-goals
. McQueen, R. B. (2021). Measuring Effectiveness Of Health Service Interventions: Challenges And Potential Solutions. Health Affairs Forefront.https://doi.org/10.1377/forefront.20211209.6
. Mertens, D. M. (2005). Literature review and focusing the research. Research and Evaluation in Education and Psychology, 89–122. http://www.sagepub.com/upm- data/29986_Chapter3.pdf
. Olayemi Jemimah Aransiola. (n.d.). Triangulation in Research: Guide, Types, Examples.
. Formplus. https://www.formpl.us/blog/triangulation-in-research-guide-types-examples
. Organization, P. A. H. (2018). Health indicators: conceptual and operational considerations.
. PAHO Washington (DC).
. Paradis, E., O’Brien, B., Nimmon, L., Bandiera, G., & Martimianakis, M. A. (2016). Design: Selection of data collection methods. Journal of Graduate Medical Education, 8(2), 263–264.
. Physicians, A. A. of F. (2013). Health Care for all: a framework for moving to a primary care-based health care system in the United States.
. Quality of Care. (n.d.). World Health Organization. https://www.who.int/health- topics/quality-of-care#tab=tab_1
. Renjith, V., Yesodharan, R., Noronha, J. A., Ladd, E., & George, A. (2021). Qualitative methods in health care research. International Journal of Preventive Medicine, 12.
. Sahur, A., Ibrahim, M. A., Haning, T., & Hamsinah, H. (2021). Disposition factors in the implementation of the National Health Insurance Program-Healthy Indonesia Card in Makassar City. Journal of Asian Multicultural Research for Social Sciences Study, 2(1), 45–54. https://doi.org/10.47616/jamrsss.v2i1.95
. Services, C. on M. A. to P. H. C. (1993). Access to health care in America. National Academy Press.
. Setiawan, R. (2017). Partisipasi Publik Dalam Program Bantuan Listrik Pedesaan Masyarakat Kabupaten Mesuji. Jurnal e-JKPP. 3 (3): 82–92.
. Stewart, L. (n.d.). Why Researcher Triangulation Matters. ATLAS.Ti. https://atlasti.com/research-hub/researcher-triangulation
. Suter, E., Oelke, N. D., Adair, C. E., & Armitage, G. D. (2009). Ten key principles for successful health systems integration. Healthcare Quarterly (Toronto, Ont.), 13(Spec No), 16.
. Taherdoost, H. (2021). Data Collection Methods and Tools for Research; A Step-by-Step Guide to Choose Data Collection Technique for Academic and Business Research Projects. International Journal of Academic Research in Management (IJARM), 10(1), 10–38.
. Teicher, H. M., & Marchman, P. (2023). Integration as Adaptation: Advancing Research and Practice for Inclusive Climate Receiving Communities. Journal of the American Planning Association, 1–20. https://doi.org/10.1080/01944363.2023.2188242
. Van Weel, C., & Kidd, M. R. (2018). Why strengthening primary health care is essential to achieving universal health coverage. Cmaj, 190(15), E463–E466.
. Wagh, S. (2021). Public health research guide: Primary & secondary data definitions.
. Benedictine Univerity 6p.
. Wolff, B., Mahoney, F., Lohiniva, A. L., & Corkum, M. (2019). Collecting and analyzing
. qualitative data. The CDC Field Epidemiology Manual; Oxford University Press: Oxford, UK; New York, NY, USA, 213–228.
. Yulianti, D., & Meutia, I. F. (2023). Policy Monitoring and Governance: The Cost- Effectiveness of Community-Based Sanitation Programs in Indonesia. Hatfield Graduate Journal of Public Affairs, 7(1), 6.
. Zullig, L. L., & Bosworth, H. B. (2015). Selecting, adapting, and sustaining programs in health care systems. Journal of Multidisciplinary Healthcare, 199–203.
DOI: http://dx.doi.org/10.52155/ijpsat.v55.2.7892
Refbacks
- There are currently no refbacks.
Copyright (c) 2026 Ida Farida

This work is licensed under a Creative Commons Attribution 4.0 International License.

















