National Health Insurance Role in Hospital Utilisation in Disadvantaged Areas: Evidence from Indonesia.

IF 1.1 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Malaysian Journal of Medical Sciences Pub Date : 2024-12-01 Epub Date: 2024-12-31 DOI:10.21315/mjms2024.31.6.16

Ratna Dwi Wulandari, Leny Latifah, Agung Dwi Laksono, Wahyu Pudji Nugraheni, Tati Suryati, Tety Rachmawati, Diah Yunitawati, Rofingatul Mubasyiroh, Irfan Ardani, Asep Kusnali

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Abstract

Background: The Indonesian government policy regarding obtaining universal coverage through National Health Insurance (NHI) is expected to increase public access to health service facilities, including in disadvantaged areas. This study analysed the role of NHI in hospital utilisation in underprivileged areas of Indonesia.

Methods: Data from the 2023 National Socioeconomic Survey were used in this cross-sectional study that included 130,331 participants. Hospital utilisation was the dependent variable and NHI membership was the independent variable. Residence, age, sex, marital status, education, occupation, and wealth status were control factors. A multinomial logistic regression was employed in the final stage for data evaluation.

Results: In 2023, the hospital utilisation rate in Indonesia's disadvantaged regions was 1.5% and the percentage of NHI members was 74.5%. People with an NHI membership were 3.01 times more likely to utilise the hospital than those without [95% confidence interval (CI) 2.58-3.50]. Seven control variables related to hospital utilisation were identified, namely, residence type, age, sex, marital status, education level, employment status, and wealth status.

Conclusion: This study concluded that NHI membership influenced hospital utilisation in disadvantaged areas of Indonesia. Individuals with NHI membership were three times more likely to visit hospitals.

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国家健康保险在弱势地区医院利用中的作用：来自印度尼西亚的证据。

背景：印度尼西亚政府关于通过国民健康保险（NHI）实现全民覆盖的政策预计将增加公众获得卫生服务设施的机会，包括在贫困地区。本研究分析了国家医疗保险在印度尼西亚贫困地区医院利用中的作用。方法：这项横断面研究使用了来自2023年全国社会经济调查的数据，包括130,331名参与者。医院使用率为因变量，国民健康保险会员为自变量。居住地、年龄、性别、婚姻状况、教育程度、职业、财富状况为控制因素。在最后阶段采用多项逻辑回归进行数据评估。结果：2023年，印尼贫困地区医院使用率为1.5%，全民健康保险参保比例为74.5%。拥有国民健康保险会员资格的人利用医院的可能性是没有的人的3.01倍[95%置信区间（CI） 2.58-3.50]。确定了与医院利用相关的七个控制变量，即居住类型、年龄、性别、婚姻状况、教育程度、就业状况和财富状况。结论：本研究的结论是，国家健康保险会员影响医院利用在印尼的弱势地区。拥有国民健康保险会员资格的人去医院的可能性是普通人的三倍。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Malaysian Journal of Medical Sciences MEDICINE, RESEARCH & EXPERIMENTAL-

CiteScore

2.70

自引率

0.00%

发文量

审稿时长

9 weeks

期刊介绍： The Malaysian Journal of Medical Sciences (MJMS) is a peer-reviewed, open-access, fully online journal that is published at least six times a year. The journal’s scope encompasses all aspects of medical sciences including biomedical, allied health, clinical and social sciences. We accept high quality papers from basic to translational research especially from low & middle income countries, as classified by the United Nations & World Bank (https://datahelpdesk.worldbank.org/knowledgebase/ articles/906519), with the aim that published research will benefit back the bottom billion population from these countries. Manuscripts submitted from developed or high income countries to MJMS must contain data and information that will benefit the socio-health and bio-medical sciences of these low and middle income countries. The MJMS editorial board consists of internationally regarded clinicians and scientists from low and middle income countries.