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Who gets what? utilization of health services in Indonesia
Author(s) -
Gish Oscar,
Malik Ridwan,
Sudharto Paramita
Publication year - 1988
Publication title -
the international journal of health planning and management
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.672
H-Index - 41
eISSN - 1099-1751
pISSN - 0749-6753
DOI - 10.1002/hpm.4740030305
Subject(s) - quarter (canadian coin) , per capita , catchment area , health services , business , population , equity (law) , socioeconomics , health care , geography , civil servants , per capita income , health insurance , environmental health , medicine , economic growth , economics , drainage basin , cartography , archaeology , pathology , politics , political science , law
An evaluation of health service utilization patterns was carried out in five rural districts and a number of urban areas in Indonesia. The study was part of a larger effort to develop economically‐related information about the health care services. Utilization levels were then related to such selected population variables as distance from health facilities, insurance status and income. The annual contact rate, curative plus preventive, with all public sector facilities was found to be 0.8 per capita. The geographic catchment areas of the facilities were also found to be very limited. The insured population (civil servants and their families) used services about four times more frequently, on average, than did the rest of the population. In one provincial study, the top 9 per cent of income earners made up one‐third of all hospital inpatients, one‐half of all hospital outpatients, and one‐quarter of all health centre visitors. The implications of these results for equity and efficiency are discussed.