Socioeconomic Disparities in Hospital Utilization Among Female Workers in Indonesia: A Cross-Sectional Study

Wulandari, Ratna Dwi; Laksono, Agung Dwi; Prasetyo, Yoyok Bekti; Nandini, Nurhasmadiar

doi:10.1177/21501319211072679

Cited by 18 publications

(11 citation statements)

References 32 publications

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“…Because public hospital employees have a code of conduct if they want to disclose their working condition. Furthermore, the male employees were outnumbered by female due to higher female working generation than male in Indonesia nowadays (Wulandari, Laksono, Prasetyo, et al, 2022). Thus, this is the finding of the weakness of our result study.…”

Section: Resultsmentioning

confidence: 74%

The Differences Between Public and Private Hospital Working Cultures on Job Satisfaction Index in the Millennial Generation

Rahmawati

Suwarsi

Chaidir

et al. 2022

Jurnal Riset Kesehatan

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The hospitals' issue in dealing with the healthcare service becomes challenging in the current era of the millennial generation employee. This may make interpersonal working cooperation difficult to achieve. Hence, this study attempts to evaluate the differences between public and private hospital working cultures on the job satisfaction index in the millennial generation. We used AIH public hospital and AIS private hospital in Bandung to conduct the study. All employees were of the millennial generation (born 1981-2000). The job satisfaction index includes passion, salary, supervision, work colleagues, and working conditions. It has a maximum score of 75 and a minimum score of 15. P-value 0.05 was defined as significant differences. The results showed that private hospitals have a job satisfaction index score of passion (50.22±6.51 vs. 42.32±8.01; p= 0.042), salary (51.49±11.54 vs. 27.92±6.61; p= 0.033), supervision (66.78±4.82 vs. 53.32±11.04; p= 0.073), and working conditions (61.41±7.59 vs. 37.72±9.52; p= 0.139) that are higher than public hospitals. The work colleagues’ score was the only higher in public hospitals (35.81±8.98 vs. 29.91±5.94; p= 0.040). This present study showed differences between public and private hospital working cultures on the job satisfaction index in the millennial generation.

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Section: Resultsmentioning

confidence: 74%

The Differences Between Public and Private Hospital Working Cultures on Job Satisfaction Index in the Millennial Generation

Rahmawati

Suwarsi

Chaidir

et al. 2022

Jurnal Riset Kesehatan

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“…This situation is contrary to previous studies, which informed that the better the wealth status, the higher the probability of having health insurance. 36 - 39 On the other hand, this analysis’s results show that the Indonesian government’s efforts to provide subsidies in the form of NHI contribution assistance to the poor have proven effective. The ownership of health insurance for the poor is no different from the rich, which tends to be higher.…”

Section: Discussionmentioning

confidence: 85%

Barriers to Expanding the National Health Insurance Membership in Indonesia: Who Should the Target?

Laksono

Nantabah

Wulandari

et al. 2022

J Prim Care Community Health

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Background: The Indonesian government initiated National Health Insurance (NHI) to reduce health service barriers. The study aimed to analyze specific targets for expanding the NHI’s membership in Indonesia. Methods: The study population was all populations in Indonesia. Meanwhile, the study involved a 47 644 weighted sample. The analyzed variables included NHI’s membership, residence, age, gender, education, employment, marital status, and wealth. The study employed binary logistic regression in the final step. Results: The urban population was 0.608 times less likely than the rural population to become a non-member of NHI. Aging younger was one of the barriers to becoming an NHI member, and the male gender is one of the barriers to becoming an NHI member. Meanwhile, the lower the education level, the greater the obstacles to becoming an NHI member in Indonesia. Besides, the unemployed population was 1.002 more likely than the employed population to become a non-member of NHI. The result shows that never married or married have a higher chance of becoming a non-member of NHI. Finally, all wealth status categories are more likely to become barriers to the most prosperous population becoming an NHI member. Conclusions: The study concluded that 7 population characteristics become specific targets for expanding NHI membership in Indonesia. The 7 characteristics are the population who live in rural areas, are young, male, poor education, unemployed, never married or married, and poor.

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“…Meanwhile, the survey computed the wealth index using primary household expenditures, including health insurance, food, and lodging. Furthermore, the survey divided the income index into the following five categories: poorest, poorer, middle, richer, and richest [ 15 , 16 ].…”

Section: Methodsmentioning

confidence: 99%

Policy to expand hospital utilization in disadvantaged areas in Indonesia: who should be the target?

et al. 2023

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Background The disadvantaged areas are one of the government’s focuses in accelerating development in Indonesia, including the health sector. The study aims to determine the target for expanding hospital utilization in disadvantaged areas in Indonesia. Methods The study employed the 2018 Indonesian Basic Health Survey data. This cross-sectional study analyzed 42,644 respondents. The study used nine independent variables: residence, age, gender, marital, education, employment, wealth, insurance, and travel time, in addition to hospital utilization, as a dependent variable. The study employed binary logistic regression to evaluate the data. Results The results found that average hospital utilization in disadvantaged areas in Indonesia in 2018 was 3.7%. Urban areas are 1.045 times more likely than rural areas to utilize the hospital (95% CI 1.032–1.058). The study also found age has a relationship with hospital utilization. Females are 1.656 times more likely than males to use the hospital (95% CI 1.639–1.673). Moreover, the study found marital status has a relationship with hospital utilization. The higher the education level, the higher the hospital utilization. Employed individuals have a 0.748 possibility to use the hospital compared with those unemployed (95% CI 0.740–0.757). Wealthy individuals have more chances of using the hospital than poor individuals. Individuals with all insurance types are more likely to utilize the hospital than those uninsured. Individuals with travel times of ≤ 1 h are 2.510 more likely to use the hospital than those with > 1 h (95% CI 2.483–2.537). Conclusion The specific targets to accelerate the increase in hospital utilization in disadvantaged areas in Indonesia are living in a rural area, being male, never in a union, having no education, being employed, being the poorest, uninsured, and having a travel time of > 1 h. The government should make a policy addressing the problem based on the research findings.

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Socioeconomic Disparities in Hospital Utilization Among Female Workers in Indonesia: A Cross-Sectional Study

Cited by 18 publications

References 32 publications

The Differences Between Public and Private Hospital Working Cultures on Job Satisfaction Index in the Millennial Generation

The Differences Between Public and Private Hospital Working Cultures on Job Satisfaction Index in the Millennial Generation

Barriers to Expanding the National Health Insurance Membership in Indonesia: Who Should the Target?

Policy to expand hospital utilization in disadvantaged areas in Indonesia: who should be the target?

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