Original Article

Factors Related to Hospital Inpatients among the Poor in Indonesia

Abstract

Background: The poor are vulnerable when they fall seriously ill and require hospitalization. The study aimed to analyze the factors related to hospital inpatients among the poor in Indonesia.

Methods: We analysed the 2018 Indonesian Basic Health Survey data. This cross-sectional study examined 233778 respondents through stratification and multistage random sampling. We used seven independent variables age, gender, marital status, education, employment, and health insurance, in addition to the hospital inpatient, as a dependent variable. We employed binary logistic regression to evaluate the data.

Results: The poor in urban areas were 1.315 times more likely to be hospital inpatients than those in rural areas (95%CI 1.249-1.385). Age, gender, and marital status were related to the hospital inpatients. The better the education level, the higher the hospital inpatient proportion. Meanwhile, the employed were 40% less likely than the unemployed to be hospital inpatients (95%CI 0.565-0.634). Furthermore, the insured were 3.513 times more likely than the uninsured to be hospital inpatients (95%CI 3.264-3.780).

Conclusion: Seven variables were related to hospital inpatients among the poor in Indonesia: residence, age, gender, marital status, education, employment, and health insurance. Health insurance was the main factor associated with hospital inpatients among low-income people. The government must increase the subsidy quota for the poor's participation in National Health Insurance.

1. Jakarta Health Office (Indonesia). Indonesia - Jakarta Health Profile 2020. Jakarta, Indonesia: Jakarta Health Office (Indonesia), 2021.
2. Xin Y, Ren X (2023). Determinants of province-based health service utilization according to Andersen’ s Behavioral Model: a population-based spatial panel modeling study. BMC Public Health, 23(1):985.
3. Jones RP (2020). A Pragmatic Method to Compare Hospital Bed Provision between Countries and Regions: Beds in the States of Australia. Int J Health Plann Manage, 35(3):746–59.
4. Laksono AD, Nantabah ZK, Wulandari RD, Khoiri A, Tahangnacca M (2022). Barriers to Expanding the National Health Insurance Membership in Indonesia: Who Should the Target? J Prim Care Community Health, 13:21501319221111112.
5. Mahmudiono T, Laksono AD (2021). Disparity in the hospitals utilization among regions in Indonesia. Open Access Maced J Med Sci, 9(E):1461–6.
6. Putri NK, Laksono AD (2022). Predictors of childbirth services in Indonesia. Int J Public Health Sci, 11(2):566–73.
7. Wulandari RD, Qomarrudin MB, Supriyanto S, Laksono AD (2019). Socioeconomic Disparities in Hospital Utilization among Elderly People in Indonesia. Indian J Public Health Res Dev, 10(11):1800–4.
8. Beeknoo N, Jones R (2016). A Simple Method to Forecast Future Bed Requirements: A Pragmatic Alternative to Queuing Theory. Br J Med Med Res, 18(4):1–20.
9. Hu B, Peng D, Zhang Y, Yu J (2020). Rural Population Aging and the Hospital Utilization in Cities: The Rise of Medical Tourism in China. Int J Environ Res Public Health, 17(13):4790.
10. Wulandari RD, Laksono AD, Nantabah ZK, Rohmah N, Zuardin Z (2022). Hospital utilization in Indonesia in 2018: do urban-rural disparities exist? BMC Health Serv Res, 22(1):491.
11. Laksono AD, Megatsari H, Senewe FP, Latifah L, Ashar H (2023). Policy to expand hospital utilization in disadvantaged areas in Indonesia: who should be the target? BMC Public Health, 23(1):12.
12. Rukmini R, Handajani A, Paramita A, Andarwati P, Laksono AD (2022). Non-Communicable Diseases among the Elderly in Indonesia in 2018. Indian J Forensic Med Toxicol, 16(1):1026–36.
13. Wulandari RD, Laksono AD (2019). Urban-Rural Disparity: The Utilization of Primary Health Care Center Among Elderly in East Java, Indonesia. Journal Administrasi Kesehatan Indonesia, 7(2):147–54.
14. Laksono AD, Rukmini R, Tumaji T, Ipa M, Wulandari RD (2022). National Health Insurance Membership among Urban Poor Societies in Indonesia in 2019: Are They Protected? Economies, 10(8):Article number 196.
15. Laksono AD, Wulandari RD, Efendi F (2020). Determinants of hospital utilisation among urban poor societies in Indonesia. Int J Innov Creat Chang, 12(9):375–87.
16. Laksono AD, Wulandari RD, Soedirham O (2019). Urban and Rural Disparities in Hospital Utilization among Indonesian Adults. Iran J Public Health, 48(2):247–55.
17. The Indonesian MOH (2018). The 2018 Indonesian Basic Health Survey. Jakarta.
18. Wulandari RD, Laksono AD, Mubasyiroh R, Rachmalina R, Ipa M, Rohmah N (2023). Hospital utilization among urban poor in Indonesia in 2018: is government-run insurance effective? BMC Public Health, 23(1):92.
19. Laksono AD, Wulandari RD, Zuardin Z, Nopianto N (2021). The disparities in health insurance ownership of hospital-based birth deliveries in eastern Indonesia. BMC Health Serv Res, 21(1):1261.
20. Harriott RM, Haile ZT, Chertok IRA, Haider MR (2022). Association between place of birth and timely breastfeeding initiation among Cambodian women: a population-based study. Int Breastfeed J, 17(1):54.
21. Costantino G, Id MS, Elli S, Paganuzzi M, Massab D, Montano N, et al (2021). Utility of hospitalization for elderly individuals affected by COVID-19. PLoS One, 16(4):e0250730.
22. Laksono AD, Wulandari RD, Rohmah N, Rukmini R, Tumaji T (2023). Regional disparities in hospital utilisation in Indonesia: a cross-sectional analysis data from the 2018 Indonesian Basic Health Survey. BMJ Open, 13(1):e064532.
23. Laksono AD, Wulandari RD (2020). Predictors of hospital utilization among papuans in Indonesia. Indian J Forensic Med Toxicol, 11(6):2290-2295.
24. Klompmaker JO, Laden F, Browning, M. H, Dominici F, Jimenez MP, Ogletree SS, James P (2022). Associations of greenness, parks, and blue space with neurodegenerative disease hospitalizations among older US adults. JAMA Netw Open, 5(12):e2247664.
25. Shrestha R (2021). Health Insurance for the Poor, Healthcare Use and Health Outcomes in Indonesia. Bull Indones Econ Stud, 57(1):85–110.
26. Megatsari H, Laksono AD, Herwanto YT, Sarweni KP, Geno RAP, Nugraheni E, et al (2021). Does husband/partner matter in reduce women’s risk of worries?: Study of psychosocial burden of covid-19 in indonesia. Indian J Forensic Med Toxicol, 15(1):1101–6.
27. Shimels T, Kassu RA, Bogale G, Bekele M, Getnet M, Getachew A, et al (2021). Magnitude and associated factors of poor medication adherence among diabetic and hypertensive patients visiting public health facilities in Ethiopia during the COVID-19 pandemic. PLoS One, 16(4):e0249222.
28. Wulandari RD, Laksono AD, Prasetyo YB, Nandini N (2022). Socioeconomic Disparities in Hospital Utilization Among Female Workers in Indonesia: A Cross-Sectional Study. J Prim Care Community Health, I3: 21501319211072679.
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IssueVol 53 No 6 (2024) QRcode
SectionOriginal Article(s)
DOI https://doi.org/10.18502/ijph.v53i6.15911
Keywords
Inpatients Poverty Socioeconomic Public health
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Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
Laksono A, Wulandari R, Zuardin Z, Ashar H, Ipa M, Kesuma A. Factors Related to Hospital Inpatients among the Poor in Indonesia. Iran J Public Health. 2024;53(6):1372-1380.