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- Publisher Website: 10.1093/inthealth/ihaa104
- Scopus: eid_2-s2.0-85122339067
- PMID: 33503654
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Article: Determinants of out-of-district health facility bypassing in East Java, Indonesia
Title | Determinants of out-of-district health facility bypassing in East Java, Indonesia |
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Authors | |
Keywords | Access Bypassing District Health insurance |
Issue Date | 2021 |
Publisher | Oxford University Press (OUP): Policy C. The Journal's web site is located at https://inthealth.oxfordjournals.org/ |
Citation | International Health, 2021, v. 13 n. 6, p. 545-554 How to Cite? |
Abstract | Background:
Several large-scale reforms, including policies aimed at achieving universal health coverage, have been implemented to overcome health disparities in Indonesia. However, access to health services remains unequal. Many people ‘bypass’ health services in their home district to access health services in neighbouring districts, even though their health insurance does not cover such services. This study aims to identify the factors that are associated with this out-of-district bypassing behaviour.
Methods:
We surveyed 500 respondents living in the outermost districts of East Java province. We used data on education, income, district, age, gender, household size, district accessibility, insurance coverage status and satisfaction with health facilities in the home district and logistic regression analysis to model the predictors of out-of-district health facility bypassing.
Results:
The most important predictors of the bypassing behaviour were education and poor access to health facilities in the home district. Open-ended data also found that the most important reason for seeking care in another district was mostly geographic. In contrast, health insurance coverage does not appear to be a significant predictor.
Conclusions:
Education and geographic factors are the main predictors of out-of-district bypassing behaviour, which appears to be how border communities express their health facility preferences. Local and central governments should continue their work to reduce inequality in access to health facilities in Indonesia's geographically challenged districts. |
Persistent Identifier | http://hdl.handle.net/10722/304520 |
ISSN | 2023 Impact Factor: 2.3 2023 SCImago Journal Rankings: 0.733 |
PubMed Central ID | |
ISI Accession Number ID |
DC Field | Value | Language |
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dc.contributor.author | Putri, NK | - |
dc.contributor.author | Wulandari, RD | - |
dc.contributor.author | Syahansyah, RJ | - |
dc.contributor.author | Grépin, KA | - |
dc.date.accessioned | 2021-09-23T09:01:12Z | - |
dc.date.available | 2021-09-23T09:01:12Z | - |
dc.date.issued | 2021 | - |
dc.identifier.citation | International Health, 2021, v. 13 n. 6, p. 545-554 | - |
dc.identifier.issn | 1876-3413 | - |
dc.identifier.uri | http://hdl.handle.net/10722/304520 | - |
dc.description.abstract | Background: Several large-scale reforms, including policies aimed at achieving universal health coverage, have been implemented to overcome health disparities in Indonesia. However, access to health services remains unequal. Many people ‘bypass’ health services in their home district to access health services in neighbouring districts, even though their health insurance does not cover such services. This study aims to identify the factors that are associated with this out-of-district bypassing behaviour. Methods: We surveyed 500 respondents living in the outermost districts of East Java province. We used data on education, income, district, age, gender, household size, district accessibility, insurance coverage status and satisfaction with health facilities in the home district and logistic regression analysis to model the predictors of out-of-district health facility bypassing. Results: The most important predictors of the bypassing behaviour were education and poor access to health facilities in the home district. Open-ended data also found that the most important reason for seeking care in another district was mostly geographic. In contrast, health insurance coverage does not appear to be a significant predictor. Conclusions: Education and geographic factors are the main predictors of out-of-district bypassing behaviour, which appears to be how border communities express their health facility preferences. Local and central governments should continue their work to reduce inequality in access to health facilities in Indonesia's geographically challenged districts. | - |
dc.language | eng | - |
dc.publisher | Oxford University Press (OUP): Policy C. The Journal's web site is located at https://inthealth.oxfordjournals.org/ | - |
dc.relation.ispartof | International Health | - |
dc.rights | This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. | - |
dc.subject | Access | - |
dc.subject | Bypassing | - |
dc.subject | District | - |
dc.subject | Health insurance | - |
dc.title | Determinants of out-of-district health facility bypassing in East Java, Indonesia | - |
dc.type | Article | - |
dc.identifier.email | Grépin, KA: kgrepin@hku.hk | - |
dc.identifier.authority | Grépin, KA=rp02646 | - |
dc.description.nature | published_or_final_version | - |
dc.identifier.doi | 10.1093/inthealth/ihaa104 | - |
dc.identifier.pmid | 33503654 | - |
dc.identifier.pmcid | PMC8643438 | - |
dc.identifier.scopus | eid_2-s2.0-85122339067 | - |
dc.identifier.hkuros | 325388 | - |
dc.identifier.volume | 13 | - |
dc.identifier.issue | 6 | - |
dc.identifier.spage | 545 | - |
dc.identifier.epage | 554 | - |
dc.identifier.isi | WOS:000744000700008 | - |
dc.publisher.place | United Kingdom | - |