Urban and Rural Disparities in Hospital Utilization among Indonesian Adults

Equal access to healthcare facilities, patient's satisfaction, and respect for the desire of the patient were recognized as the basic principles of each of the health care system. Each person must be given the opportunity to access health services in accordance with the requirements of their he...

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Bibliographic Details
Published inIranian journal of public health Vol. 48; no. 2; pp. 247 - 255
Main Authors Laksono, Agung Dwi, Wulandari, Ratna Dwi, Soedirham, Oedojo
Format Journal Article
LanguageEnglish
Published Iran Tehran University of Medical Sciences 01.02.2019
Subjects
Adults
Disparities
Health care
Health care facilities
Hospital utilization
Indonesia
Original
Patients
Polls & surveys
Random sampling
Regression analysis
Rural areas
Statistical sampling
Urban areas
Urban-rural
Utilization
Urban-rural
Disparities
Hospital utilization
Indonesia
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Summary:Equal access to healthcare facilities, patient's satisfaction, and respect for the desire of the patient were recognized as the basic principles of each of the health care system. Each person must be given the opportunity to access health services in accordance with the requirements of their health. We aimed to prove the existence of disparities hospital utilization based on the category of urban-rural areas. The research used the 2013 Indonesian Basic Health Survey (RKD) as analysis material, that was designed a cross-sectional survey. With the multi-stage cluster random sampling method, 722,329 respondents were obtained. Data were analyzed using Multinomial Logistic Regression tests. The results showed adults living in urban were likely to use hospital outpatient facilities 1.246 times higher than adults living in rural areas (OR 1.246; 95% CI 1.026 - 1.030). The likelihood of utilizing at the same time outpatient and inpatient facilities at 1.134 times higher in adults living in urban than those in rural areas (OR 1.134; 95% CI 1.025 - 1.255). While for the category of hospital inpatient utilization, there was no significant difference. There was a disparity in hospital utilization between urban-rural areas. Urban show better utilization than rural areas in outpatient and at the same time the use of inpatient care.
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ISSN:2251-6085
2251-6093
DOI:10.18502/ijph.v48i2.819