Analyzing Healthpreneur Determinants for Low-Socioeconomic Ethnic Families

Authors

DOI:

https://doi.org/10.34306/att.v7i3.679

Keywords:

Access to Health Services, Education, Low-Socioeconomic Status, Healthcare Behavior

Abstract

Access to health services is a critical factor in improving the well-being of low-socioeconomic status families. However, many families in Surakarta face challenges in utilizing healthcare services. The purpose of this study is to explore the relationship between educational level, family economic status, and other demographic factors with their willingness to access health services at RSUD Dr. Moewardi, Surakarta. The purpose of this study is to determine how education, economic status, and demographics influence healthcare-seeking behavior among low-socioeconomic families, with the goal of improving healthcare accessibility and understanding barriers to usage. A quantitative approach was employed, using a Confirmatory Factor Analysis (CFA) model. Data were collected through a structured questionnaire distributed to 116 respondents from low-socioeconomic families in Surakarta, with a focus on education, income, and healthcare-seeking behavior. The data were analyzed using SPSS to identify relationships between variables. The analysis showed significant differences in healthcare access behavior based on educational level, with families possessing higher education levels being more likely to utilize healthcare services. Economic factors were also identified as a strong predictor of healthcare access willingness. The study highlights the importance of addressing educational and economic barriers to improve access to health services for low-socioeconomic families. Policymakers must consider these factors when developing healthcare programs aimed at increasing participation from marginalized groups.

References

Republic of Indonesia, “Law of the republic of indonesia number 36 of 2009 concerning health,” [Online], 2009. [Online]. Available: https://apiycna.org/wp-content/uploads/2014/01/Indonesia_Health-Law-no-36.pdf

I. Restiaty, Z. Maharani, R. Rojali, W. Darmawan, and B. Y. D. Yanti, “Relationship of water temperature and air humidity with aedes sp. manggarai tebet village south jakarta in 2022,” ADI Journal on Recent Innovation, vol. 4, no. 1, pp. 102–109, 2022.

L. P. Sari, S. Sunirah, I. Puspitasari, M. Shoaliha, and M. F. Irwanto, “The relationship between pregnant women’s knowledge about antenatal care and their antenatal visit behavior in the working area public health center bekasi,” Nursing Genius Journal, vol. 2, no. 1, pp. 1–9, 2025.

N. D. Thanh, B. T. M. Anh, C. H. Xiem, P. Q. Anh, P. H. Tien, N. T. P. Thanh, C. H. Quang, V. T. Ha, and P. T. Hung, “Patient satisfaction with healthcare service quality and its associated factors at one polyclinic in hanoi, vietnam,” International Journal of Public Health, vol. 67, p. 1605055, 2022.

A. M. Rahmat, N. N. Noor, I. L. Maria, and G. Davies, “Risk factors for the incidence of drug-resistant tuberculosis in the labuang baji hospital: A healthpreneur perspective,” Aptisi Transactions on Technopreneurship (ATT), vol. 6, no. 3, pp. 468–480, 2024.

R. Bhandari and M. V. A. Sin, “Optimizing digital marketing in hospitality industries,” Startupreneur Bisnis Digital (SABDA Journal), vol. 2, no. 1, 2023.

H. Wang, Q. Kang, S. Mou, X. Nie, Z. Chen, and T. Wu, “How does the spatial accessibility of medical resources change during a public health crisis? a perspective based on residents’ healthcare preferences,” Journal of Urban Management, vol. 14, no. 1, pp. 232–246, 2025.

H. Nurhaeni, A. Delhi, O. P. M. Daeli, S. A. Anjani, and N. A. Yusuf, “Optimizing electrical energy use through ai: An integrated approach for efficiency and sustainability,” International Transactions on Artificial Intelligence, vol. 2, no. 2, pp. 106–113, 2024.

G. Moghbeli, S. Gardashkhani, and A. Soheili, “Public image of nursing: an integrative review of challenges and solutions,” BMC nursing, vol. 24, no. 1, p. 573, 2025.

M. Basabih and I. Widhakuswara, “Has regional hospital autonomy achieved its goals? lessons learned from indonesia: A systematic review,” Kesmas, vol. 20, no. 3, pp. 174–184, 2025.

R. Sivaraman, M.-H. Lin, M. I. C. Vargas, S. I. S. Al-Hawary, U. Rahardja, F. A. H. Al-Khafaji, E. V. Golubtsova, and L. Li, “Multi-objective hybrid system development: To increase the performance of diesel/photovoltaic/wind/battery system.” Mathematical Modelling of Engineering Problems, vol. 11, no. 3, 2024.

A. Sutarman, J. Williams, D. Wilson, and F. B. Ismail, “A model-driven approach to developing scalable educational software for adaptive learning environments,” International Transactions on Education Technology (ITEE), vol. 3, no. 1, pp. 9–16, 2024.

P. H. Sebong, J. Pardosi, R. E. Goldman, A. P. Suryo, I. A. Susianto, and A. Meliala, “Identifying physician public health competencies to address healthcare needs in underserved, border, and outer island areas of indonesia: a rapid assessment,” Teaching and Learning in Medicine, vol. 37, no. 3, pp. 363–374, 2025.

N. Lachlan and O. Smith, “Determining factors for startup success in indonesia: Perspective of young entrepreneurs,” Startupreneur Business Digital (SABDA Journal), vol. 3, no. 2, pp. 115–122, 2024.

D. S. T. Lestari and M. U. Quddoos, “The influence of market research, consumer behavior and word of mouth communication for sustainable marketing of electric vehicle in indonesia,” Multidisciplinary Indonesian Center Journal (MICJO), vol. 2, no. 2, pp. 2247–2257, 2025.

A. W. Kusuma, Y. Jumaryadi, A. Fitriani et al., “Examining the joint effects of air quality, socioeconomic factors on indonesian health,” Aptisi Transactions on Technopreneurship (ATT), vol. 5, no. 2sp, pp. 186–195, 2023.

L. P. Su-Kubricht, H.-M. Chen, S. Guo, and R. B. Miller, “Towards culturally sensitive care: Addressing challenges in asian and asian american mental health services,” Contemporary Family Therapy, vol. 47, no. 2, pp. 202–215, 2025.

D. Hidayati, A. Andriyansah, G. P. Cesna, A. Y. Fauzi, D. Apriliasari, and U. Rahardja, “Building efficient iot systems with edge computing integration,” International Journal of Cyber and IT Service Management, vol. 4, no. 2, pp. 72–79, 2024.

S. Murtyas, K. N. Handayani, K. Sho, and A. Hagishima, “Exploring pro-environmental behaviors and health-oriented mindsets in urban slum upgrading projects: A case study of surakarta city, indonesia,” Urban Science, vol. 9, no. 4, p. 131, 2025.

S. I. Al-Hawary, J. R. N. Alvarez, A. Ali, A. K. Tripathi, U. Rahardja, I. H. Al-Kharsan, R. M. Romero-Parra, H. A. Marhoon, V. John, and W. Hussian, “Multiobjective optimization of a hybrid electricity generation system based on waste energy of internal combustion engine and solar system for sustainable environment,” Chemosphere, vol. 336, p. 139269, 2023.

J. W. Creswell and J. D. Creswell, Research Design: Qualitative, Quantitative, and Mixed Methods Approaches, 6th ed. Thousand Oaks, CA: SAGE Publications, 2022.

M. Eriksson, L. R. Sundberg, A. Santosa, H. Lindgren, N. Ng, and K. Lindvall, “Health behavioural change–the influence of social-ecological factors and health identity,” International journal of qualitative studies on health and well-being, vol. 20, no. 1, p. 2458309, 2025.

T. Williams, E. Kallas, E. Garcia, A. Fitzroy, and P. Sithole, “International business expansion strategies: A data-driven approach with ibm spss,” APTISI Transactions on Management, vol. 8, no. 2, pp. 131–138, 2024.

R. Rafiuddin, I. Irham, N. Nurjihadin, S. Syarifuddin, and F. A. G. Rahmat, “Cfa in sem by lisrel-assisted to test the construct validity of the performance of the sanrobone elementary school principal in south sulawesi province,” MSJ: Majority Science Journal, vol. 3, no. 1, pp. 30–40, 2025.

A. Faturahman, S. Rahayu, S. Wijaya, Y. P. A. Sanjaya et al., “Information decentralization in the digital era: Analysis of the influence of blockchain technology on e-journal applications using smartpls,” Blockchain Frontier Technology, vol. 4, no. 1, pp. 7–14, 2024.

X. Lin, O. Sivarak, T.-H. Chou, Y.-T. Lin, U. Rahardja, A. Ruangkanjanases, Y.-C. Lin, and S.-C. Chen, “Exploring the effect of team-environment fit in the relationship between team personality, job satisfaction, and performance,” Frontiers in Public Health, vol. 10, p. 897482, 2022.

S. Yilmaz, M. Ates¸, and P. Abay, “Adaptation and psychometric assessment of the turkish version of the perceived access to health care questionnaire: validity and reliability analysis,” in Healthcare, vol. 13, no. 4. MDPI, 2025, p. 370.

B. Rawat, N. Mehra, A. S. Bist, M. Yusup, and Y. P. A. Sanjaya, “Quantum computing and ai: Impacts & possibilities,” ADI Journal on Recent Innovation, vol. 3, no. 2, pp. 202–207, 2022.

J. E. Gaskin, P. B. Lowry, W. Rosengren, and P. T. Fife, “Essential validation criteria for rigorous covariance-based structural equation modelling,” Information Systems Journal, 2025.

J. Siswanto, V. A. Goeltom, I. N. Hikam, E. A. Lisangan, and A. Fitriani, “Market trend analysis and data-based decision making in increasing business competitiveness,” Sundara Advanced Research on Artificial Intelligence, vol. 1, no. 1, pp. 1–8, 2025.

A. Jafarnezhad, H. G. Maralani, A. Sahraian, and J. Hassanzadeh, “Comparison of common methods of extraction and rotation in exploratory factor analysis to validate the addiction potential questionnaire of 12-18-year-old iranian children,” Acta Medica Iranica, pp. 31–40, 2025.

P. Costa, J. Ferdiansyah, and H. D. Ariessanti, “Integrating artificial intelligence for autonomous navigation in robotics,” International Transactions on Artificial Intelligence, vol. 3, no. 1, pp. 64–75, 2024.

P. H¨unermund and B. Louw, “On the nuisance of control variables in causal regression analysis,” Organizational Research Methods, vol. 28, no. 1, pp. 138–151, 2025.

R. Royani, S. D. Maulina, S. Sugiyono, R. W. Anugrah, and B. Callula, “Recent developments in healthcare through machine learning and artificial intelligence,” IAIC Transactions on Sustainable Digital Innovation (ITSDI), vol. 6, no. 1, pp. 86–94, 2024.

S. Martinez, J. C. Rodr´ıguez, and S. Lestari, “Exploring digital circular economy principles in educational institutions,” International Transactions on Education Technology (ITEE), vol. 3, no. 1, pp. 17–25, 2024.

Z. Fauziah, N. P. Anggraini, Y. P. A. Sanjaya, and T. Ramadhan, “Enhancing cybersecurity information sharing: A secure and decentralized approach with four-node ipfs,” International Journal of Cyber and IT Service Management, vol. 3, no. 2, pp. 153–159, 2023.

B. Rawat, A. S. Bist, D. Supriyanti, V. Elmanda, and S. N. Sari, “Ai and nanotechnology for healthcare: A survey,” Aptisi Transactions on Management (ATM), vol. 7, no. 1, pp. 86–91, 2023.

K. N. Mahon, L. M. Harris-Lane, A. King, M. Bobele, A. Churchill, P. Cornish, B. Goguen, S. N. Garland, A. Jaouich, and J. A. Rash, “Evaluating provider training in stepped care 2.0 and one-at-a-time services among mental health and addiction providers,” International Journal of Mental Health Systems, vol. 19, no. 1, p. 29, 2025.

Z. Shams-Ghahfarokhi, “Challenges in health and technological literacy of older adults: a qualitative study in isfahan,” BMC geriatrics, vol. 25, no. 1, p. 247, 2025.

A. Ruangkanjanases, A. Khan, O. Sivarak, U. Rahardja, and S.-C. Chen, “Modeling the consumers’ flow experience in e-commerce: The integration of ecm and tam with the antecedents of flow experience,” Sage Open, vol. 14, no. 2, p. 21582440241258595, 2024.

M. M. H. Emon and T. Khan, “The mediating role of attitude towards the technology in shaping artificial intelligence usage among professionals,” Telematics and Informatics Reports, vol. 17, p. 100188, 2025.

T. Pujiati, H. Setiyowati, B. Rawat, N. P. L. Santoso, and M. G. Ilham, “Exploring the role of artificial intelligence in enhancing environmental health: Utaut2 analysis,” Sundara Advanced Research on Artificial Intelligence, vol. 1, no. 1, pp. 37–46, 2025.

S. Ullah, N. Ullah, A. Tariq, S. Panezai, P. Tahir, and B. Khan, “Spatial assessment of the availability of healthcare facilities at district level in balochistan using gis: identifying gaps and way forward,” Spatial Information Research, vol. 33, no. 2, p. 8, 2025.

Y. Huang, S. Li, B. Lin, S. Ma, J. Guo, and C. Wang, “Early detection of college students’ psychological problems based on decision tree model,” Frontiers in Psychology, vol. 13, p. 946998, 2022.

Q. Aini, H. D. Purnomo, I. Setyawan, D. Manongga, U. Rahardja, I. Sembiring, S. Maulana et al., “The effect of perceived costs on blockchain adoption intention: an empirical study,” in 2023 11th International Conference on Cyber and IT Service Management (CITSM). IEEE, 2023, pp. 1–6.

P. Andino-Gonz´alez, A. Vega-Mu˜noz, G. Salazar-Sep´ulveda, N. Contreras-Barraza, N. Lay, and M. Gil-Mar´ın, “Systematic review of studies using confirmatory factor analysis for measuring management skills in sustainable organizational development,” Sustainability, vol. 17, no. 6, p. 2373, 2025.

M. Yusup, E. Sukmawati, R. Ramadhan, M. I. Suhaepi, S. Zebua, and N. Amallia, “Blockchain technology for cashless investments and transactions in digital era with swot approach,” Blockchain Frontier Technology, vol. 2, no. 1, pp. 17–23, 2022.

A. Cucchi and M. W. Qoronfleh, “Cultural perspective on religion, spirituality and mental health,” Frontiers in Psychology, vol. 16, p. 1568861, 2025.

L. Zhou, A. Zhang, Y. Zhang, Y. Chen, E. Ge, J. Du, Z. Hu, R. Mace, and Y. Zhan, “Prevalence of mental health in relation to religious practices in a contemporary small-scale older amdo tibetans,” PLOS Mental Health, vol. 2, no. 1, p. e0000099, 2025.

E. Gkintoni, S. P. Vassilopoulos, and G. Nikolaou, “Next-generation cognitive-behavioral therapy for depression: Integrating digital tools, teletherapy, and personalization for enhanced mental health outcomes,” Medicina, vol. 61, no. 3, p. 431, 2025.

A. Searby, D. Burr, R. Carolin, and A. Hutchinson, “Barriers and facilitators to mental health service integration: a scoping review,” International Journal of Mental Health Nursing, vol. 34, no. 1, p. e13449, 2025.

Y. Song, M. Wu, and H. Feng, “Influencing factors of patients’ behavior of healthcare seeking: a meta- analysis in china,” Frontiers in Public Health, vol. 13, p. 1583075, 2025.

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Published

2025-09-30

How to Cite

Jayanagara, O., & Patricia, A. (2025). Analyzing Healthpreneur Determinants for Low-Socioeconomic Ethnic Families. Aptisi Transactions on Technopreneurship (ATT), 7(3), 738−750. https://doi.org/10.34306/att.v7i3.679

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