Background The government must ensure equality in health services access, minimizing existing disparities between urban and rural areas. The referral system in Indonesia is conceptually sound. However, there are still problems of uneven service access, and there is an accumulation of patients in certain hospitals. The study aims to analyze the urban–rural disparities in hospital utilization in Indonesia. Methods The study used secondary data from the 2018 Indonesian Basic Health Survey. This cross-sectional study gathered 629,370 respondents through stratification and multistage random sampling. In addition to the kind of home and hospital utilization, the study looked at age, gender, marital status, education, occupation, wealth, and health insurance as control factors. The research employed multinomial logistic regression to evaluate the data in the final step. Results According to the findings, someone who lives in an urban region has 1.493 times higher odds of using outpatient hospital services than someone in a rural area (AOR 1.493; 95% CI 1.489–1.498). Meanwhile, someone who lives in an urban region has 1.075 times higher odds of using an inpatient facility hospital than someone who lives in a rural one (AOR 1.075; 95% CI 1.073–1.077). Furthermore, someone living in an urban region has 1.208 times higher odds than someone who lives in a rural area using outpatient and inpatient hospital services simultaneously (AOR 1.208; 95% CI 1.204–1.212). Conclusion The study concluded there were urban–rural disparities in hospital utilization in Indonesia.
Background Development in Eastern Indonesia tends to be left behind compared to other Indonesian regions, including development in the health sector. The study aimed at analyzing the health insurance ownership disparities in hospital delivery in Eastern Indonesia. Methods The study draws on secondary data from the 2017 Indonesia Demographic and Health Survey. The study population was women aged 15–49 years who had given birth in the last five years in Eastern Indonesia. The study analyzes a weighted sample size of 2299 respondents. The study employed hospital-based birth delivery as a dependent variable. Apart from health insurance ownership, other variables analyzed as independent variables are province, residence type, age group, marital status, education level, employment status, parity, and wealth status. The final stage analysis used binary logistic regression. Results The results showed that insured women were 1.426 times more likely than uninsured women to undergo hospital delivery (AOR 1.426; 95% CI 1.426–1.427). This analysis indicates that having health insurance is a protective factor for women in Eastern Indonesia for hospital delivery. There is still a disparity between insured and uninsured women in hospital-based birth deliveries in eastern Indonesia. Insured women are nearly one and a half times more likely than uninsured women to give birth in a hospital. Conclusion The study concludes that there are health insurance ownership disparities for hospital delivery in eastern Indonesia. Insured women have a better chance than uninsured women for hospital delivery.
The psychological state of a person will be affected when they are diagnosed with cancer and this condition will actually worsen the physical condition of the patient. However, many breast cancer sufferers are able to face this stressful situation positively, and they experience post-traumatic growth. They did a series of coping strategy when they had cancer and some of these strategies were able to influence their post-traumatic growth. The current study aims to investigate and to understand how different coping strategy can affect the level of post-traumatic growth of housewives with cancer. This study used a descriptive-explorative qualitative approach with eight women with breast cancer completed surveys using the Posttraumatic Growth Inventory (Tedeschi& Calhoun). The coping strategy was obtained using an interview. The results of the present study indicate that sufferers performed different coping strategies and this affects their level of post-traumatic growth. Respondents with high post-traumatic growth exercise a problem-focused coping i.e. positive reappraisal and emotion-focused coping strategy, i.e. seeking social support when they first learned about the condition of their disease. Respondents who had low post-traumatic growth, on the other hand, did emotional-focused coping strategies, which isavoidance and distancing when they first learned about the condition of their illness. This study also found several factors that influence patients’ strategy. There are differences in the Coping pattern Strategy used by housewives with breast cancer in terms of differences in levels of post-traumatic growth it has. The pattern of coping strategy that is carried out for the first time by housewives with breast cancer could lead themto be in a variety of post-traumatic growth conditions.
A B S T R A KPenggunaan alasan sakit tentu menjadi hak asasi tersangka agar penahanan dalam proses pidana, khususnya tindak pidana korupsi, dapat ditangguhkan. Tetapi harus ada standar yang jelas tentang jenis penyakit serta tingkat keparahan dalam suatu indikasi medis. Penelitian ini berupaya menjawab beberapa pertanyaan terkait standar minimal penyakit untuk menangguhkan penahanan, dan upaya yang dapat ditempuh KPK dalam menyikapi alasan sakit yang digunakan
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