FACTORS AFFECTING THE UTILIZATION OF HEALTH SERVICES AMONG DIABETICS IN INDONESIA
DOI:
https://doi.org/10.37268/mjphm/vol.23/no.1/art.994Keywords:
Utilization, health services, diabetes mellitus, inpatient, outpatientAbstract
Deaths in Indonesia are mostly caused by diabetes mellitus, a non-communicable disease due to a person's unhealthy lifestyle. The number of health facilities increases annually with the high prevalence of diabetes cases in Indonesia. This study aims to analyze factors affecting the utilization of health services among diabetic people in Indonesia. It was a quantitative study with a cross sectional design, using secondary data of IFLS-5. The theory used was the Andersen's health service utilization model. A multistage random sampling was used to obtain 534 user data that matched the inclusion and exclusion criteria. Data were analyzed using the chi-square analysis and logistic regression. The results showed that the number of respondents who used inpatient services was 16.9%, and that who used outpatient was 44.4%. The variables that were significantly related to the utilization of inpatient and outpatient health services in diabetic people were socio demographic caracteristic, ownership of health insurance, perception of health status, suffering from chronic diseases and daily activities. It is important for policymakers in the health sector must improve financial or economic access to health services, as well as health service equity in all regions.
References
Mahendradhata Y, Trisnantoro L, Listyadewi S, Soewondo P, MArthias T, Harimurti P, et al. The Republic of Indonesia Health System Review. Vol. 7. 2017. 1 p.
WHO. Global Report on Diabetes [Internet]. 2018. Available from: https://www.who.int/health-topics/diabetes
WHO. The Top 10 Causes of Death [Internet]. 2016. Available from: https://www.who.int/news-room/fact-sheets/detail/the-top-10-causes-of-death
Indonesia PE. Konsensus Pengelolaan dan Pencegahan DM Tipe 2 di Indonesia. Jakarta PB Perkeni. 2011;
IDF. About Diabetes Tyype-2 [Internet]. 2019. Available from: https://www.idf.org/aboutdiabetes/type-2-diabetes.html
Rosyada A dkk. Determinan Komplikasi Kronik Diabetes Melitus pada Lanjut Usia Determinan of Diabetes Mellitus Chronic Complications on Elderly. Dep Biostat dan Ilmu Kependud Fak Kesehat Masy Univ Indones. 2013;7:395–401.
Idris H, Hasyim H, Utama F. Analysis of Diabetes Melitus Determinants in Indonesia: a study from The Indonesian Basic Health Research 2013. Sriwij Univ. 2017;
Dou L, Liu X, Zhang T, Wu Y. Health care utilization in older people with cardiovascular disease in China. Int J Equity Health [Internet]. 2015;14(1):1–8. Available from: http://dx.doi.org/10.1186/s12939-015-0190-y
Boachie MK. Preferred primary healthcare provider choice among insured persons in Ashanti region, Ghana. Int J Heal Policy Manag [Internet]. 2016;5(3):155–63. Available from: http://dx.doi.org/10.15171/ijhpm.2015.191
Syamsudin D. Buku Ajar Farmakologi Kardiovaskuler dan Renal. Jakarta Salemba Med. 2011;
Dias SF, Severo M, Barros H. Determinants of health care utilization by immigrants in Portugal. BMC Health Serv Res. 2008;8:1–8.
Li YN, Nong DX, Wei B, Feng QM, Luo HY. The impact of predisposing, enabling, and need factors in utilization of health services among rural residents in Guangxi, China. BMC Health Serv Res [Internet]. 2016;16(1):1–9. Available from: http://dx.doi.org/10.1186/s12913-016-1825-4
Lu L, Zeng J, Zeng Z. What limits the utilization of health services among china labor force? analysis of inequalities in demographic, socio-economic and health status. Int J Equity Health. 2017;16(1):1–7.
Peltzer K, Williams JS, Kowal P, Negin J, Snodgrass JJ, Yawson A, et al. Universal health coverage in emerging economies: Findings on health care utilization by older adults in China, Ghana, India, Mexico, the Russian Federation, and South Africa. Glob Health Action. 2014;7(1).
Thabrany H. Tinjauan akademis tentang asuransi kesehatan nasional. Pus Kaji Ekon Kesehatan, Univ Indones. 2003;135.
Kim HK, Lee M. Factors associated with health services utilization between the years 2010 and 2012 in Korea: Using Andersen’s Behavioral model. Osong Public Heal Res Perspect [Internet]. 2016;7(1):18–25. Available from: http://dx.doi.org/10.1016/j.phrp.2015.11.007
Qian Y, Zhou Z, Yan J, Gao J, Wang Y, Yang X, et al. An economy-ralated equity analysis of health service utilization by women in economically underdeveloped regions of western China. Int J Equity Health. 2017;16(1):1–10.
Notoatmodjo S. Ilmu Perilaku Kesehatan. PT. Rineka Cipta; 2010. 155–157 p.
Notoatmodjo S. Pengantar Pendidikan Kesehatan dan Ilmu Perilaku Kesehatan. Yogyakarta : Andi Offset; 1993.
Djunawan Achmad. Benarkah Subsidi Jaminan Kesehatan MeningkatkanPemanfaatan Pelayanan Kesehatan Primer Oleh Penduduk Miskin Perkotaan. Kebijak Kesehat Indones. 2009;08(01):18–24.
Sparrow R, Suryahadi A, Widyanti W. Social health insurance for the poor: Targeting and impact of Indonesia’s Askeskin programme. Soc Sci Med [Internet]. 2013;96:264–71. Available from: http://dx.doi.org/10.1016/j.socscimed.2012.09.043
Parslow R, Jorm A, Christensen H, Jacomb P. Factors associated with young adults’ obtaining general practitioner services. Aust Health Rev [Internet]. 2002;25(6):109–18. Available from: http://www.embase.com/search/results?subaction=viewrecord&from=export&id=L36483914
Insaf TZ, Jurkowski JM, Alomar L. Sociocultural factors influencing delay in seeking routine health care among latinas: A community-based participatory research study. Ethn Dis. 2010;20(2):148–54.
Brown ER, Davidson PL, Yu H, Wyn R, Andersen RM, Becerra L, et al. Effects of community factors on access to ambulatory care for lower-income adults in large urban communities. Inquiry. 2004;41(1):39–56.
Dalinjong PA, Welaga P, Akazili J, Kwarteng A, Bangha M, Oduro A, et al. The association between health insurance status and utilization of health services in rural Northern Ghana: Evidence from the introduction of the National Health Insurance Scheme. J Heal Popul Nutr. 2017;36(1):1–10.
Abdi Z, Harirchi I, Goharimehr M, Ahmadnezhad E, Alvandi R. Investigating the Effect of Having Health Insurance on the Utilization of Outpatient Services Provided by Physicians Based on the Data of the Utilization of Health Services Survey. Iran J Heal Insur. 2018;1(3):67–71.
Demissie B, Negeri KG. Effect of community-based health insurance on utilization of outpatient health care services in southern ethiopia: A comparative cross-sectional study. Risk Manag Healthc Policy. 2020;13:141–53.
Fu XZ, Wang LK, Sun CQ, Wang DD, He JJ, Tang QX, et al. Inequity in inpatient services utilization: A longitudinal comparative analysis of middle-aged and elderly patients with the chronic non-communicable diseases in China. Int J Equity Health. 2020;19(1):1–17.
Gong CH, Kendig H, He X. Factors predicting health services use among older people in China: An analysis of the China Health and Retirement Longitudinal Study 2013. BMC Health Serv Res [Internet]. 2016;16(1):1–16. Available from: http://dx.doi.org/10.1186/s12913-016-1307-8
Norouzi M. Estimating Smoking Attributable Health Care Costs Using The Canadian Community Health Survey (2012). Univ Ottawa [Internet]. 2014; Available from: https://hsgm.saglik.gov.tr/depo/birimler/saglikli-beslenme-hareketli-hayat-db/Yayinlar/kitaplar/diger-kitaplar/TBSA-Beslenme-Yayini.pdf
Jeon B, Noguchi H, Kwon S, Ito T, Tamiya N. Disability, poverty, and role of the basic livelihood security system on health services utilization among the elderly in South Korea. Soc Sci Med [Internet]. 2017;178:175–83. Available from: http://dx.doi.org/10.1016/j.socscimed.2017.02.013
Rizki *, Putri A, Ilyas Y. the Determinant of Outpatient Health Services Utilization for Elderly Patient in Indonesia (Susenas 2017 Data Analysis). Juli. 2019;4(2):36–41.
