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Agung Dwi Laksono ¹, Ratna Dwi Wulandari ²

Affiliations
1 Universitas Airlangga, Surabaya, ID
2 Department of Health Policy and Administration, Universitas Airlangga, Surabaya, ID

Abstract

Madurese communities often have a low public health status. These could be seen from the health development achievements four regencieson the island. This research was intended to analyze the determinant ofthe Puskesmas utilization in Madura Island. The Data derived from the 2013 Riskesdas. The analysis usingbinary logistic regression to examine the determinant of the Puskesmas utilization. The results of the study showed the Madurese in Bangkalan likelihood 2,120 times more utilize the Puskesmas than in Sumenep (OR 2.120; 95% CI 1.448–3.105). Madurese in Pamekasan 1.410 times more likely to utilize the Puskesmas than in Sumenep (OR 1.410; 95% CI 1.025–1.940). Age affects the Puskesmas utilization, while rurality did not show a significant influence. Those who pass the primary school were likelihood 0.225 times to utilize of Puskesmas than the graduates of the college (OR 0.225; 95% CI 0.054–0.946). The Madurese in quintile 4 seen has no difference from those in quintile 5. While the Madurese who insured likelihood 0.650 times to utilize the Puskesmas than who not insured (OR 0.650; 95% CI 0.517–0.818). The Madurese that has a shorter time to the Puskesmas likelihood 0.616 times more utilize than that have a long time (OR 0.616; 95% CI 0.479–0.791). The research concluded that from 9 factors related to the Puskesmas utilization in Madura Island, there are 7 factors that are determinants, namely the regency, age, education, work status, socioeconomic, insurance, and travel time.

Keywords

Utilization Determinant, Healthcare, Health Services, Madura, Riskesdas.

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Ratna Dwi Wulandari ¹, S. Supriyanto ², Bagus Qomaruddin ³, Agung Dwi Laksono ⁴

Affiliations
1 Doctoral Program, University of Airlangga, Surabaya, ID
2 Department of Health Policy and Administration, University of Airlangga, Surabaya, ID
3 Department of Health Promotion and Behavioral Science, University of Airlangga, Surabaya, ID
4 Indonesian Agency for Health Research and Development, Ministry of Health, ID

Abstract

The pattern of diseases in the elderly people usually is degenerative diseases which often catastrophic and high cost. Unfortunately, a large financial intervention is often having the wrong target, precisely because of the more utilized by high socio-economic groups. This article is devoted to an analysis of hospital utilization disparity based on the socioeconomic status on the elderly in Indonesia. The data processed from the 2013 Indonesian Basic Health Survey (Riskesdas) with a sample size of 199,653 elderlies. Estimation by using multinomial logistic regression test used to explore the disparity between socioeconomic characteristics of the elderly in hospital utilization. Quintile 1 likelihood 0.355 times utilizing hospital outpatient than quintile 5 (OR 95% CI; 0.355 0.302-0.418). Quintile 1 likelihood 0.414 times utilizing hospital inpatient than quintile 5 (OR 95% CI; 0.414 0.366-0.468). Quintile 1 likelihood 0.247 times utilizing outpatient inpatient at once than quintile 5 (OR 95% CI; 0.247 0.184-0.332). The better the socioeconomic status is getting better the hospital utilization of the elderly.

Keywords

Elderly, Socioeconomic Disparities, Hospital Utilization, Indonesia, Inpatient-Outpatient.

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