Policy to expand hospital utilization in disadvantaged areas in Indonesia: who should be the target?

BMC Public Health

Research

Hario Megatsari¹  Agung Dwi Laksono²  Leny Latifah²  Hadi Ashar²  Felly Philipus Senewe² 

[1] Faculty of Public Health, Universitas Airlangga, Surabaya, Indonesia;National Research and Innovation Agency, Republic of Indonesia, Jakarta, Indonesia;

关键词: Disadvantaged areas;    Hospital utilization;    Healthcare evaluation;    Healthcare access;    Public health;   

DOI  :  10.1186/s12889-022-14656-x

 received in 2022-05-08, accepted in 2022-11-17,  发布年份 2022

来源: Springer

【 摘 要 】

BackgroundThe disadvantaged areas are one of the government’s focuses in accelerating development in Indonesia, including the health sector. The study aims to determine the target for expanding hospital utilization in disadvantaged areas in Indonesia.MethodsThe study employed the 2018 Indonesian Basic Health Survey data. This cross-sectional study analyzed 42,644 respondents. The study used nine independent variables: residence, age, gender, marital, education, employment, wealth, insurance, and travel time, in addition to hospital utilization, as a dependent variable. The study employed binary logistic regression to evaluate the data.ResultsThe results found that average hospital utilization in disadvantaged areas in Indonesia in 2018 was 3.7%. Urban areas are 1.045 times more likely than rural areas to utilize the hospital (95% CI 1.032–1.058). The study also found age has a relationship with hospital utilization. Females are 1.656 times more likely than males to use the hospital (95% CI 1.639–1.673). Moreover, the study found marital status has a relationship with hospital utilization. The higher the education level, the higher the hospital utilization. Employed individuals have a 0.748 possibility to use the hospital compared with those unemployed (95% CI 0.740–0.757). Wealthy individuals have more chances of using the hospital than poor individuals. Individuals with all insurance types are more likely to utilize the hospital than those uninsured. Individuals with travel times of ≤ 1 h are 2.510 more likely to use the hospital than those with > 1 h (95% CI 2.483–2.537).ConclusionThe specific targets to accelerate the increase in hospital utilization in disadvantaged areas in Indonesia are living in a rural area, being male, never in a union, having no education, being employed, being the poorest, uninsured, and having a travel time of > 1 h. The government should make a policy addressing the problem based on the research findings.

【 授权许可】

CC BY   
© The Author(s) 2023

【 图 表 】

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