Regional disparities in hospital utilisation in Indonesia: a cross-sectional analysis data from the 2018 Indonesian Basic Health Survey

Laksono, Agung Dwi; Wulandari, Ratna Dwi; Rohmah, Nikmatur; Rukmini, Rukmini; Tumaji, Tumaji

doi:10.1136/bmjopen-2022-064532

Cited by 9 publications

(6 citation statements)

References 41 publications

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“…49 Moreover, access to health services is hampered by the unequal distribution of health services in Indonesia, which tends to be more advanced in the western regions. 50 , 51 This is particularly pertinent for the people of eastern Indonesia. On the other hand, this presents an opportunity for western Indonesian health services to develop medical tourism services for eastern Indonesians.…”

Section: Discussionmentioning

confidence: 99%

Exploring the Potential of a Multi-Level Approach to Advance the Development of the Medical Tourism Industry in Indonesia

Supriadi,

Al Aufa,

Nurfikri

et al. 2024

Health�Serv�Insights

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Nowadays, the global medical tourism market size has grown quite rapidly, with a projected increase of 21.1% between 2021 and 2028. This study aimed to explore barriers and potential strategies for the development of medical tourism in Indonesia. A qualitative case study design was employed, where 8 respondents were selected using an expert sampling method from various groups according to the helix framework, including academics, government, professional organizations, the private sector, and the media. Data was collected through document analysis and in-depth interviews, and was analyzed manually using an inductive thematic content analysis approach. Limitations to the development of Indonesian medical tourism are related to regulations concerning medical tourism, the number of health services, distribution, supporting resources, public trust, and competition. At the institutional level, the challenges comprise services and products, hospital facilities, supporting facilities, and marketing processes. Furthermore, at the micro level, the low competency of both health and non-health workers persist as an obstacle. The potential strategy at the macro level include the development of robust marketing and branding strategies, health infrastructure, and resources. At the institutional level, it was necessary to develop related products and services provided, improve quality, and focus on branding and marketing strategies. Additionally, improving human resource skills was needed at the micro level.

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Section: Discussionmentioning

confidence: 99%

Exploring the Potential of a Multi-Level Approach to Advance the Development of the Medical Tourism Industry in Indonesia

Supriadi,

Al Aufa,

Nurfikri

et al. 2024

Health�Serv�Insights

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“…But there are significant variations in hospital utilization among different regions, which could contribute to inaccurate estimates of cancer incidence rates. 46 Vietnam is also confronted with similar issues as Indonesia. Besides economic development and healthcare disparities, the lack of healthcare policies and resources contributes to inaccurate cancer data in Vietnam.…”

Section: Discussionmentioning

confidence: 99%

“…Currently, cancer registration is mainly conducted by hospital‐based cancer registries in Indonesia. But there are significant variations in hospital utilization among different regions, which could contribute to inaccurate estimates of cancer incidence rates 46 . Vietnam is also confronted with similar issues as Indonesia.…”

Section: Discussionmentioning

confidence: 99%

Differences in the incidence and mortality of digestive cancer between Global Cancer Observatory 2020 and Global Burden of Disease 2019

Yu,

Bai,

Zhou

et al. 2023

Intl Journal of Cancer

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The burden of digestive cancers is increasing worldwide. The Global Cancer Observatory (GLOBOCAN) 2020 and the Global Burden of Disease (GBD) 2019 are two primary cancer databases, which have a significant impact on policy formulation and resource allocation. We aim to compare the incidence and mortality of digestive cancers between them. Digestive cancer (esophageal, stomach, colorectal, liver, gallbladder and pancreatic cancer) incidence was obtained from the Cancer Today and GBD 2019 result tool. The top five countries with the most or minor difference between GLOBOCAN 2020 and GBD 2019 in age‐standardized incidence rates (ASIRs) of digestive cancers were identified. A systematic search on the incidence of specific digestive cancer in selected countries from PubMed and Embase was conducted, and 20 of 281 publications were included. The most significant differences in digestive cancers incidence were commonly found in Asian countries (70%), particularly Indonesia, Vietnam and Myanmar, located in Southeast Asia. The ASIRs for most digestive cancers, except liver cancer, in GLOBOCAN 2020 were higher than those in GBD 2019. Gallbladder cancer had the highest average ratio, followed by liver cancer. The most commonly used standard population was Segi's standard population, followed by the World Health Organization standard population. The data sources nor the processing methods of GLOBOCAN 2020 and GBD 2019 were not similar. Low‐ and middle‐income countries without population‐based cancer registries were more likely to have selection bias in data collection and amplify regional variations of etiological factors. Better judgments on the quality of cancer data can be made.

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“…The study supports previous studies that reported disparities in the utilization of primary health among regions in rural Indonesia. Regions in western Indonesia tend to have better utilization of Puskesmas in rural areas [ 8 , 20 , 21 ].…”

Section: Discussionmentioning

confidence: 99%

Regional differences in primary healthcare utilization in Java Region—Indonesia

et al. 2023

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Background Policymakers must understand primary healthcare utilization disparity to minimize the gap because they must seek fair service for every citizen. The study analyzes regional differences in primary healthcare utilization in Java Region-Indonesia. Methods The cross-sectional research analyzes secondary data from the 2018 Indonesian Basic Health Survey. The study setting represented Java Region-Indonesia, and the participants were adults 15 years or more. The survey explores 629,370 respondents. The study used primary healthcare utilization as an outcome variable and province as the exposure variable. Moreover, the study employed eight control variables (residence, age, gender, education, marital, employment, wealth, and insurance). The study evaluated data using binary logistic regression in the final step. Results People in Jakarta are 1.472 times more likely to utilize primary healthcare than those in Banten (AOR 1.472; 95% CI 1.332–1.627). People in Yogyakarta are 1.267 times more likely to use primary healthcare than those in Banten (AOR 1.267; 95% CI 1.112–1.444). In addition, people in East Java are 15% less likely to utilize primary healthcare than those in Banten (AOR 0.851; 95% CI 0.783–0.924). Meanwhile, direct healthcare utilization was the same between West Java, Central Java, and Banten Province. They are sequentially starting from the minor primary healthcare utilization: East Java, Central Java, Banten, West Java, Yogyakarta, and Jakarta. Conclusion Disparities between regions exist in the Java Region-Indonesia. They are sequentially starting from the minor primary healthcare utilization: East Java, Central Java, Banten, West Java, Yogyakarta, and Jakarta.

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Regional disparities in hospital utilisation in Indonesia: a cross-sectional analysis data from the 2018 Indonesian Basic Health Survey

Cited by 9 publications

References 41 publications

Exploring the Potential of a Multi-Level Approach to Advance the Development of the Medical Tourism Industry in Indonesia

Exploring the Potential of a Multi-Level Approach to Advance the Development of the Medical Tourism Industry in Indonesia

Differences in the incidence and mortality of digestive cancer between Global Cancer Observatory 2020 and Global Burden of Disease 2019

Regional differences in primary healthcare utilization in Java Region—Indonesia

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