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Regional differences in primary healthcare utilization in Java Region—Indonesia

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 analy...

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Autores principales: Wulandari, Ratna Dwi, Laksono, Agung Dwi, Rohmah, Nikmatur, Ashar, Hadi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10042337/
https://www.ncbi.nlm.nih.gov/pubmed/36972247
http://dx.doi.org/10.1371/journal.pone.0283709
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author Wulandari, Ratna Dwi
Laksono, Agung Dwi
Rohmah, Nikmatur
Ashar, Hadi
author_facet Wulandari, Ratna Dwi
Laksono, Agung Dwi
Rohmah, Nikmatur
Ashar, Hadi
author_sort Wulandari, Ratna Dwi
collection PubMed
description 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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spelling pubmed-100423372023-03-28 Regional differences in primary healthcare utilization in Java Region—Indonesia Wulandari, Ratna Dwi Laksono, Agung Dwi Rohmah, Nikmatur Ashar, Hadi PLoS One Research Article 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. Public Library of Science 2023-03-27 /pmc/articles/PMC10042337/ /pubmed/36972247 http://dx.doi.org/10.1371/journal.pone.0283709 Text en © 2023 Wulandari et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Wulandari, Ratna Dwi
Laksono, Agung Dwi
Rohmah, Nikmatur
Ashar, Hadi
Regional differences in primary healthcare utilization in Java Region—Indonesia
title Regional differences in primary healthcare utilization in Java Region—Indonesia
title_full Regional differences in primary healthcare utilization in Java Region—Indonesia
title_fullStr Regional differences in primary healthcare utilization in Java Region—Indonesia
title_full_unstemmed Regional differences in primary healthcare utilization in Java Region—Indonesia
title_short Regional differences in primary healthcare utilization in Java Region—Indonesia
title_sort regional differences in primary healthcare utilization in java region—indonesia
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10042337/
https://www.ncbi.nlm.nih.gov/pubmed/36972247
http://dx.doi.org/10.1371/journal.pone.0283709
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