Dari Niat hingga Pemanfaatan: Model-Model Teoretis yang Menjelaskan Perilaku Konsumen dalam Penggunaan Layanan Kesehatan

Penulis

  • Muhammad Zaini Politeknik Unggulan Kalimantan

DOI:

https://doi.org/10.63004/hrji.v4i5.1270

Kata Kunci:

Health Belief Model, Technology Acceptance Model, heory of Planned Behavior, Unified Theory of Acceptance and Use of Technology

Abstrak

Keputusan masyarakat dalam mengakses fasilitas kesehatan seperti rumah sakit, puskesmas, apotek, dan klinik tidak bersifat spontan, melainkan melewati serangkaian proses pertimbangan kognitif yang melibatkan persepsi risiko, kepercayaan, norma sosial, dan ketersediaan sumber daya. Kajian ini bertujuan untuk mengidentifikasi dan memetakan model-model teoretis yang paling banyak digunakan dalam penelitian tentang niat dan perilaku konsumen dalam penggunaan layanan kesehatan. Metode yang digunakan adalah studi literatur sistematis terhadap artikel-artikel penelitian dari database Scopus, PubMed, dan Google Scholar yang diterbitkan antara tahun 2010 hingga 2024, dengan kriteria inklusi artikel berindeks, berbahasa Inggris atau Indonesia, yang membahas model atau teori terkait niat dan perilaku penggunaan layanan kesehatan. Hasil kajian menunjukkan terdapat lima model yang dominan digunakan, yaitu: (1) Theory of Reasoned Action (TRA), (2) Theory of Planned Behavior (TPB), (3) Health Belief Model (HBM), (4) Technology Acceptance Model (TAM), dan (5) Unified Theory of Acceptance and Use of Technology (UTAUT/UTAUT2). Setiap model memiliki konstruk utama, kekuatan, dan keterbatasan yang berbeda dalam menjelaskan perilaku penggunaan layanan kesehatan. Pemilihan model perlu disesuaikan dengan konteks penelitian, populasi, dan jenis layanan kesehatan yang dikaji. Perkembangan terbaru menunjukkan kecenderungan penggunaan model terintegrasi dengan penambahan faktor kontekstual seperti kepercayaan dan kualitas layanan untuk meningkatkan daya prediksi perilaku penggunaan layanan kesehatan digital.

Unduhan

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Referensi

Abraham, C., & Sheeran, P. (2005). The health belief model. In M. Conner & P. Norman (Eds.), Predicting health behaviour (2nd ed., pp. 28–80). Open University Press.

Ajzen, I. (1991). The theory of planned behavior. Organizational Behavior and Human Decision Processes, 50(2), 179–211. https://doi.org/10.1016/0749-5978(91)90020-T

Ajzen, I. (2002). Perceived behavioral control, self-efficacy, locus of control, and the theory of planned behavior. Journal of Applied Social Psychology, 32(4), 665–683. https://doi.org/10.1111/j.1559-1816.2002.tb00236.x

Ajzen, I. (2012). The theory of planned behavior. In P. A. M. Van Lange, A. W. Kruglanski, & E. T. Higgins (Eds.), Handbook of theories of social psychology (pp. 438–459). Lawrence Erlbaum Associates. https://doi.org/10.4135/9781446249215.n22

Ajzen, I., & Fishbein, M. (1980). Understanding attitudes and predicting social behavior. Prentice-Hall.

Akritidi, D., Gallos, P., Koufi, V., & Malamateniou, F. (2022). Using an extended technology acceptance model to evaluate digital health services. Studies in Health Technology and Informatics, 295, 530–533. https://doi.org/10.3233/SHTI220782

Akthar, N., Nayak, S., & Pai, Y. P. (2024). A cross-sectional study on exploring the antecedents of patient's revisit intention: Mediating role of trust in the hospital among patients in India. F1000Research, 12, 75. https://doi.org/10.12688/f1000research.128220.3

Albarracín, D., Johnson, B. T., Fishbein, M., & Muellerleile, P. A. (2001). Theories of reasoned action and planned behavior as models of condom use: A meta-analysis. Psychological Bulletin, 127(1), 142–161. https://doi.org/10.1037/0033-2909.127.1.142

Bastani, P., Javanbakht, M., & Ravangard, R. (2019). Predicting the potential patients' intention to select healthcare service providers: Application of structural equation modeling based on the Theory of Planned Behavior. The Open Public Health Journal, 12, 472–482. https://doi.org/10.2174/1874944501912010472

Becker, M. H. (Ed.). (1974). The health belief model and personal health behavior. Health Education Monographs, 2(4), 324–508.

Breslin, G., Shannon, S., Ferguson, K., Devlin, S., Haughey, T. J., & Prentice, G. (2018). Predicting athlete mental health stigma using the Theory of Reasoned Action framework. Journal of Clinical Sport Psychology, 13(1), 1–23. https://doi.org/10.1123/jcsp.2017-0055

Carpenter, C. J. (2010). A meta-analysis of the effectiveness of health belief model variables in predicting behavior. Health Communication, 25(8), 661–669. https://doi.org/10.1080/10410236.2010.521906

Champion, V. L. (1993). Instrument refinement for breast cancer screening behaviors. Nursing Research, 42(3), 139–143.

Conner, M., & Armitage, C. J. (1998). Extending the theory of planned behavior: A review and avenues for further research. Journal of Applied Social Psychology, 28(15), 1429–1464. https://doi.org/10.1111/j.1559-1816.1998.tb01685.x

Davis, F. D. (1989). Perceived usefulness, perceived ease of use, and user acceptance of information technology. MIS Quarterly, 13(3), 319–340. https://doi.org/10.2307/249008

Fishbein, M., & Ajzen, I. (1975). Belief, attitude, intention, and behavior: An introduction to theory and research. Addison-Wesley.

Hagger, M. S., Hamilton, K., & Cameron, L. D. (2024). Progress on Theory of Planned Behavior research: Commentary and future directions. Journal of Behavioral Medicine. https://doi.org/10.1007/s10865-024-00545-8

Haleem, A., Javaid, M., Singh, R. P., & Suman, R. (2021). Telemedicine for healthcare: Capabilities, features, barriers, and applications. Sensors International, 2, 100117. https://doi.org/10.1016/j.sintl.2021.100117

Holden, R. J., & Karsh, B.-T. (2010). The technology acceptance model: Its past and its future in health care. Journal of Biomedical Informatics, 43(1), 159–172. https://doi.org/10.1016/j.jbi.2009.07.002

Jansen, A., Smith, P., & Brown, T. (2025). Determinants of healthcare technology adoption using integrated UTAUT-TTF model. Journal of Medical Internet Research, 27, e64524. https://doi.org/10.2196/64524

Janz, N. K., & Becker, M. H. (1984). The health belief model: A decade later. Health Education Quarterly, 11(1), 1–47. https://doi.org/10.1177/109019818401100101

Lee, S., Ramasamy, S., & Subbarao, P. (2025). Understanding psychosocial barriers to healthcare technology adoption. Healthcare, 13(3), 250. https://doi.org/10.3390/healthcare13030250

Li, L., Fu, L., Li, H., Liu, T., & Sun, J. (2024). Emerging trends and patterns in healthcare-seeking behavior: A systematic review. Medicine, 103(8), e37272. https://doi.org/10.1097/MD.0000000000037272

Marbouh, D., Simsekler, M. C. E., Salah, K., Jayaraman, R., & Ellahham, S. (2022). A blockchain-based regulatory framework for mHealth. Data, 7(12), 177. https://doi.org/10.3390/data7120177

McEachan, R. R. C., Conner, M., Taylor, N. J., & Lawton, R. J. (2011). Prospective prediction of health-related behaviors with the Theory of Planned Behavior: A meta-analysis. Health Psychology Review, 5(2), 97–144. https://doi.org/10.1080/17437199.2010.521684

Napitupulu, D., Yacub, R., & Putra, A. (2021). Factor influencing of telehealth acceptance during COVID-19 outbreak: Extending UTAUT model. International Journal of Information and Education Systems, 14(3), 267–281.

Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., Chou, R., Glanville, J., Grimshaw, J. M., Hróbjartsson, A., Lalu, M. M., Li, T., Loder, E. W., Mayo-Wilson, E., McDonald, S., … Moher, D. (2021). The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. BMJ, 372, n71. https://doi.org/10.1136/bmj.n71

Reza, W., & Jabnabillah, F. (2023). Structural equation modeling (SEM) analysis based on UTAUT2 theory on e-commerce adoption. Jurnal Pijar MIPA, 18(2). https://doi.org/10.29303/jpm.v18i2.4804

Rosenstock, I. M. (1974). Historical origins of the health belief model. Health Education Monographs, 2(4), 328–335.

Rosenstock, I. M., Strecher, V. J., & Becker, M. H. (1988). Social learning theory and the health belief model. Health Education Quarterly, 15(2), 175–183. https://doi.org/10.1177/109019818801500203

Sheppard, B. H., Hartwick, J., & Warshaw, P. R. (1988). The theory of reasoned action: A meta-analysis of past research with recommendations for modifications and future research. Journal of Consumer Research, 15(3), 325–343.

Shitu, K., Adugna, A., Kassie, A., & Handebo, S. (2022). Application of Health Belief Model for the assessment of COVID-19 preventive behavior and its determinants among students: A structural equation modeling analysis. PLOS ONE, 17(3), e0263568. https://doi.org/10.1371/journal.pone.0263568

Sniehotta, F. F., Presseau, J., & Araújo-Soares, V. (2014). Time to retire the theory of planned behaviour. Health Psychology Review, 8(1), 1–7. https://doi.org/10.1080/17437199.2013.869840

StatPearls. (2024). The Health Belief Model of behavior change. NCBI Bookshelf. https://www.ncbi.nlm.nih.gov/books/NBK606120/

Venkatesh, V., Morris, M. G., Davis, G. B., & Davis, F. D. (2003). User acceptance of information technology: Toward a unified view. MIS Quarterly, 27(3), 425–478. https://doi.org/10.2307/30036540

Venkatesh, V., Thong, J. Y. L., & Xu, X. (2012). Consumer acceptance and use of information technology: Extending the unified theory of acceptance and use of technology. MIS Quarterly, 36(1), 157–178. https://doi.org/10.2307/41410412

Yu, C.-W., Chao, C.-M., Chang, C.-F., Chen, R.-J., Chen, P.-C., & Liu, Y.-X. (2021). Exploring behavioral intention to use a mobile health education website: An extension of the UTAUT 2 model. SAGE Open Medicine. https://doi.org/10.1177/21582440211055721

Zhao, D., Chen, S., Jin, S., Chen, L., Zheng, C., Wang, X., & Huang, Y. (2023). Predictors of referral behaviour and intention amongst physicians in a medical consortium based on the theory of planned behaviour: A cross-sectional study in China. Frontiers in Public Health, 11, 1159207. https://doi.org/10.3389/fpubh.2023.1159207

Zhao, J., Li, B., Sun, J., Zeng, X., & Zheng, J. (2025). Determinants of chronic disease patients' intention to use Internet diagnosis and treatment services: Based on the UTAUT2 model. Frontiers in Digital Health, 7, 1543428. https://doi.org/10.3389/fdgth.2025.1543428

Unduhan

Diterbitkan

29-06-2026

Cara Mengutip

Zaini, M. (2026). Dari Niat hingga Pemanfaatan: Model-Model Teoretis yang Menjelaskan Perilaku Konsumen dalam Penggunaan Layanan Kesehatan. Health Research Journal of Indonesia, 4(5), 1346–1354. https://doi.org/10.63004/hrji.v4i5.1270