Author:
Wulandari Ratna Dwi,Laksono Agung Dwi,Nantabah Zainul Khaqiqi,Rohmah Nikmatur,Zuardin Zuardin
Abstract
Abstract
Background
The government must ensure equality in health services access, minimizing existing disparities between urban and rural areas. The referral system in Indonesia is conceptually sound. However, there are still problems of uneven service access, and there is an accumulation of patients in certain hospitals. The study aims to analyze the urban–rural disparities in hospital utilization in Indonesia.
Methods
The study used secondary data from the 2018 Indonesian Basic Health Survey. This cross-sectional study gathered 629,370 respondents through stratification and multistage random sampling. In addition to the kind of home and hospital utilization, the study looked at age, gender, marital status, education, occupation, wealth, and health insurance as control factors. The research employed multinomial logistic regression to evaluate the data in the final step.
Results
According to the findings, someone who lives in an urban region has 1.493 times higher odds of using outpatient hospital services than someone in a rural area (AOR 1.493; 95% CI 1.489–1.498). Meanwhile, someone who lives in an urban region has 1.075 times higher odds of using an inpatient facility hospital than someone who lives in a rural one (AOR 1.075; 95% CI 1.073–1.077). Furthermore, someone living in an urban region has 1.208 times higher odds than someone who lives in a rural area using outpatient and inpatient hospital services simultaneously (AOR 1.208; 95% CI 1.204–1.212).
Conclusion
The study concluded there were urban–rural disparities in hospital utilization in Indonesia.
Publisher
Springer Science and Business Media LLC
Reference63 articles.
1. Manyazewal T. Using the World Health Organization health system building blocks through survey of healthcare professionals to determine the performance of public healthcare facilities. Arch Public Heal. 2017;75(1):50.
2. Kamau KJ, Osuga BO, Njuguna RS. Challenges Facing Implementation Of Referral System For Quality Health Care Services In Kiambu County, Kenya. Heal Res Policy Syst. 2017;4(1):48.
3. The Republik of Indonesia. Law Number 36 Year 2009 concerning Health [Internet]. Indonesia: Kementerian Kesehatan RI; 2009. p. 1–111 (https://infeksiemerging.kemkes.go.id/download/UU_36_2009_Kesehatan.pdf).
4. Ministry of National Development Planning/National Development Planning Agency. Strengthening the Health Service System (Penguatan Sistem Pelayanan Kesehatan) [Internet]. Jakarta; 2019. Available from: https://www.bappenas.go.id/files/5715/9339/2399/FA_Preview_HSR_Book09.pdf
5. Directorate of Referral Health Services, Ministry of Health of the Republic of Indonesia. Preparation of Referral Health Service Facilities in the National Health Insurance (Penyiapan Fasilitas Pelayanan Kesehatan Rujukan dalam Jaminan Kesehatan Nasional). Jakarta: Ministry of Health of the Republic of Indonesia; 2017.
Cited by
11 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献