Agung Dwi Laksono, - and Ratna Dwi Wulandari, - and NIKMATUR ROHMAH, - and Rukmini Razak, - and Tumaji Tumaji, - (2023) Regional disparities in hospital utilisation in Indonesia: a cross-sectional analysis data from the 2018 Indonesian Basic Health Survey. BMJ Open, 13 (1). ISSN 2044-6055

	Text (Artikel) 8 Article - Regional Disparities in Hospital Utilisation in Indonesia A Cross-Sect.pdf Download (1MB)
	Text (Korespondensi) 8 Korespondensi regional disparities BMJ Open.pdf Download (2MB)
	Text (Turnitin) 8 Turnitin_Regional Disparities in Hospital Utilisation in Indonesia_ A Cross-Sectional Analysis Data From The 2018 Indonesian Basic Health Survey.pdf Download (3MB)
	Text (Validasi) 8 Validasi dan Penilaian_8_Regional Disparities in Hospital Utilisation in Indonesia.pdf Download (1MB)

Abstract

Objectives Policymakers must ensure that the entire population has equal access to health services, and efforts to minimise inequalities are needed. This study aimed to analyse the regional disparities in hospital utilisation in Indonesia. Design A cross-sectional study analysing secondary data from the 2018 Indonesian Basic Health Survey. Setting National-level survey data from Indonesia. Participants A total of 629 370 participants were included in the study. Intervention We employed no intervention Primary and secondary outcome measures The primary outcome was hospital utilisation. Aside from region, we utilise residence type, age, gender, marital status, educational level, occupation, wealth, insurance and travel time as control variables. We used binary logistic regression in the final analysis Results The respondents in Sumatra were 1.079 times (95% CI 1.073 to 1.085) more likely than those in Papua to use the hospital. Furthermore, compared with the respondents in Papua, those in the Java–Bali region (1.075 times, 95%CI 1.069 to 1.081), Nusa Tenggara (1.106 times, 95%CI 1.099 to 1.113), Sulawesi (1.008 times, 95%CI 1.002 to 1.014) and Kalimantan (1.212 times, 95%CI 1.205 to 1.219) were more likely to use the hospital. However, those in Maluku were less likely than those in Papua to use the hospital (0.827 times, 95%CI 0.820 to 0.835). Six demographic variables (age, gender, marital status, educational level, occupation and wealth) and three other control variables (residence type, insurance and travel time to the hospital) were found to be associated with hospital utilisation

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