HOSPITAL UTILIZATION IN MALUKU PROVINCE, INDONESIA
Introduction: Maluku is a region characterized by an archipelago with approximately 1,340 islands and an area of 712,479.69 km2. Most of the site is water (92.4%), while the land area is only around 7.6%. Aims: This study aimed to analyze the determinant of hospital utilization in Maluku Province, Indonesia. Methods: This cross-sectional study surveyed 788 respondents. The variables examined included hospital utilization, age group, gender, education level, work type, marital status, health insurance, transportation cost, and time travel. The author used binary logistic regression in the final stage. Results: The results show that the 30-39 age group was 2.293 times more likely than the ≥ 50 age group to utilize the hospital (OR 2.293; 95% CI 1.177 – 4.466). Married people were more likely to use the hospital 1.764 times than those with the never-married category (OR 1.764; 95% CI 1.074 – 2.898). Christians were 1.599 times more likely than Muslims to utilize the hospital (OR 1.599; 95% CI 1.146 – 2.231). Conclusion: The study concluded that three variables are determinants of hospital utilization among people in Maluku Province, Indonesia. The three were age group, marital status, and religion. The study's results were significant for local policymakers to provide specific directions to accelerate the increase in hospital utility in Maluku Province in Indonesia.
Bitew Workie, S., Mekonen, N., Michael, M. W., Molla, G., Abrha, S., Zema, Z. and Tadesse, T (2021) 'Modern Health Service Utilization and Associated Factors among Adults in Southern Ethiopia', Journal of Environmental and Public Health, 2021, p. Article number 8835780. https://doi.org/10.1155/2021/8835780
Central Bureau of Statistics of Indonesia (2011) Citizenship, Ethnicity, Religion, and Everyday Language Indonesian Residents. Results of the 2010 Population Census. Jakarta.
Central Bureau of Statistics of Maluku Province (2020) Maluku Province Health Statistics 2020 (Statistik Kesehatan Provinsi Maluku Tahun 2020).
Central Bureau of Statistics of Maluku Province (2022) Number of Hospitals, Public Health Centers, Government-Owned Supporting Health Centers and Posyandu 2019-2021 (Jumlah Rumah Sakit, Puskesmas, Puskesmas Pembantu Milik Pemerintah dan Pos Yandu 2019-2021).
Dankwah, E., Zeng, W., Feng, C., Kirychuk, S. and Farag, M. (2019) 'The social determinants of health facility delivery in Ghana', Reproductive Health, 16(1), pp. 1–10. https://doi.org/10.1186/s12978-019-0753-2
Ipa, M., Laksono, A.D. and Wulandari, R.D. (2023) 'The Role of Travel Time on Hospital Utilization in the Islands Area: A Cross-Sectional Study in the Maluku Region, Indonesia, in 2018', Indian Journal of Community Medicine, 48(2), pp. 269–273. https://doi.org/10.4103/ijcm.ijcm_229_22
Laksono, A.D., Wulandari, R.D., Nantabah, Z.K.,Agustina, Z.A., Aimanah, I.U., Rukmini, R., Fitrianti, Y., Wardhani, Y.F., Effendi, D.E., Suharmiati, S., Lestari, H., ayani and Pratiwi, N.L. (2020) ‘The Concept of Illness among Ethnic Groups in Indonesia: A Meta-Ethnographic Study', Systematic Reviews in Pharmacy, 11(9), pp. 584–591. https://doi.org/10.31838/srp.2020.9.85
Laksono, A.D., Wulandari, R.D., Soedirham, O., et al. (2020) ‘Treatment-Seeking Behavior of Tengger Tribe in Indonesia', Journal of Critical Reviews, 7(19), pp. 3946–3952. https://doi.org/10.31838/jcr.07.19.458
Laksono, A.D., Megatsari, H., Senewe, F. P., Latifah, L. and Ashar, H. (2023) 'Policy to expand hospital utilization in disadvantaged areas in Indonesia: who should be the target?', BMC Public Health, 23(12), pp. 1–9. https://doi.org/10.1186/s12889-022-14656-x
Laksono, A.D., Nantabah, Z.K. and Wulandari, R.D. (2018) ‘Barriers to Health Center Access for the Elderly in Indonesia', Bulletin of Health System Research, 21(4), pp. 228–235. https://doi.org/10.22435/hsr.v21i4.887
Laksono, A.D., Sillehu, S. and Megatsari, H. (2021) ‘Primary Health Care Utilization of in the Archipelago Region: A Case Study in Maluku Province, Indonesia (Pemanfaatan Puskesmas di Wilayah Kepulauan: Studi Kasus di Provinsi Maluku, Indonesia', in H. Megatsari (ed.) 5th Public Health Leadership. Surabaya: Persakmi, pp. 199–2010.
Laksono, A.D. and Wulandari, R.D. (2020) 'Predictors of hospital utilization among papuans in Indonesia', Indian Journal of Forensic Medicine and Toxicology, 14(2), pp. 2319–2324. https://doi.org/10.37506/ijfmt.v14i2.3374
Lee, T.-Y., Susanti, H. D., Hung, K. C., Yang, S. Y., Fang, H. F., Tsai, J. R., Chiou, J. F. and Chung, M. H. (2021) 'Health care needs of elderly patients with lung, liver, or colon cancer in Taiwan', BMC Palliative Care, 20(1), Article 21. https://doi.org/10.1186/s12904-021-00708-3
Li, J., Shi, L., Liang, H., Ding, G. and Xu, L. (2018) 'Urban-rural disparities in health care utilization among Chinese adults from 1993 to 2011', BMC Health Services Research, 18(102), pp. 1–9. https://doi.org/10.1186/s12913-018-2905-4
Lu, P., Yang, C., Yao, J. and Shelley, M. (2020) 'Outpatient and Inpatient Service Use by Chinese Adults Living in Rural Low-Income Households', Social Work in Public Health, 35(4), pp. 223–233. https://doi.org/10.1080/19371918.2020.1774458
Mahmudiono, T. and Laksono, A.D. (2021) 'Disparity in the hospitals utilization among regions in Indonesia', Open Access Macedonian Journal of Medical Sciences, 9(E), pp. 1461–1466. https://doi.org/10.3889/oamjms.2021.7304
Maryani, H., Kristiana, L., Paramita, A. and Izza, N. (2020) 'Disparities in Health Development in Indonesia Based on Healthy Family Indicators Using Cluster Analysis', Buletin Penelitian Sistem Kesehatan, 23(1), pp. 18–27. https://doi.org/10.22435/hsr.v23i1.2622
Masruroh, Yusuf, A. and Laksono, A.D. (2021) 'The Determinant of Coping Mechanisms among Breast Cancer Patients in Sidoarjo Regency, Indonesia', Medico-Legal Update, 21(1), pp. 1738–1743. Available at: https://doi.org/10.37506/mlu.v21i1.2575
Megatsari, H., Laksono, A. D., Ibad, M., Herwanto, Y. T., Sarweni, K. P., Geno, R. A. P. and Nugraheni, E. (2020) 'The community psychosocial burden during the COVID-19 pandemic in Indonesia', Heliyon, 6(10), p. e05136. https://doi.org/10.1016/j.heliyon.2020.e05136
Megatsari, H., Laksono, A.D., Herwanto, Y.T., Sarweni, K.P., Pua Geno, R.A., Nugraheni, E. and Ibad, M. (2021) 'Does husband/partner matter in reduce women's risk of worries?: Study of psychosocial burden of COVID-19 in Indonesia', Indian Journal of Forensic Medicine and Toxicology, 15(1), pp. 1101–1106. https://doi.org/10.37506/ijfmt.v15i1.13564
Okai, G.A., Abekah-Nkrumah, G. and Asuming, P.O. (2020) 'Determinants of community pharmacy utilization in Ghana', Journal of Pharmaceutical Health Services Research, 11(2), pp. 159–165. https://doi.org/10.1111/jphs.12338
Padula, W. V., Pronovost, P. J., Makic, M. B. F., Wald, H. L., Moran, D., Mishra, M. K. and Meltzer, D. O. (2019) 'Value of hospital resources for effective pressure injury prevention: A cost-effectiveness analysis', BMJ Quality and Safety, 28(2), pp. 132–141. https://doi.org/10.1136/bmjqs-2017-007505
Parikh-Patel, A., Morris, C.R. and Kizer, K.W. (2017) 'Disparities in quality of cancer care: The role of health insurance and population demographics', Medicine (United States), 96(50), p. e9125. https://doi.org/10.1097/MD.0000000000009125
Rukmini, R., Handajani, A., Paramita, A Andarwati,P. and Agung Dwi Laksono, A.D.. (2022) ‘Non-Communicable Diseases among the Elderly in Indonesia in 2018', Indian Journal of Forensic Medicine and Toxicology, 16(1), pp. 1026–1036. https://doi.org/10.37506/ijfmt.v16i1.17631
Statistics Indonesia/Badan Pusat Statistik (2020) Maluku Province in Figures 2019. Ambon.
Suesse, B., Lago, L., Westley-Wise, V., Cuenca, J. and Pai, N. (2021) 'Predisposing, enabling and need factors associated with increased use and ongoing increased use of inpatient mental health care: A population-based longitudinal study', Australian and New Zealand Journal of Psychiatry, 55(4), pp. 409–421. https://doi.org/10.1177/0004867420976848
Suharmiati, Laksono, A.D. and Astuti, W.D. (2013) ‘Policy Review on Health Services in Primary Health Center in the Border and Remote Area (Review Kebijakan tentang Pelayanan Kesehatan Puskesmas di Daerah Terpencil Perbatasan)', Bulletin of Health System Research, 16(2), pp. 109–116.
Thitithamawat, S., Chertchom, P., Buraphawichit, P. and Thothong, T. (2018) 'Association rules to analyze hospital resources with mortality rates', Proceedings of 2018 5th International Conference on Business and Industrial Research: Smart Technology for Next Generation of Information, Engineering, Business and Social Science, ICBIR 2018, pp. 51–56.
https://doi.org/10.1109/ICBIR.2018.8391165
United Nations Group of Experts on Geographical Names (2017) 11th United Nations Conference on the Standardization of Geographical Names.
Wåhlin, C., Kvarnström, S., Öhrn, A. and Nilsing Strid, E.. (2020) 'Patient and healthcare worker safety risks and injuries. Learning from incident reporting', European Journal of Physiotherapy, 22(1), pp. 44–50. https://doi.org/10.1080/21679169.2018.1549594
Wei, Y. Yu, H., Geng, J., Wu, B., Guo, Z., He, L. and Chen, Y. (2018) 'Hospital efficiency and utilization of high-technology medical equipment: A panel data analysis', Health Policy and Technology, 7(1), pp. 65–72. https://doi.org/10.1016/j.hlpt.2018.01.001
Wong, K., Brady, O.J., Campbell, O.M.R., Banke-Thomas, A. and & Benova, L. (2020) ‘Too poor or too far? Partitioning the variability of hospital-based childbirth by poverty and travel time in Kenya, Malawi, Nigeria and Tanzania', International Journal for Equity in Health, 19(1), p. 15. https://doi.org/10.1186/s12939-020-1123-y
Wu, S., Wang, R., Zhao,Y., Ma, X., Wu, M., Yan, X. and He, J. (2013) 'The relationship between self-rated health and objective health status: a population-based study', BMC Public Health, 13, p. 320. https://doi.org/10.1186/1471-2458-13-320
Wuakua, D.A., Esenab, R.K., Aniteyec, P. and Adomah-Afa, A. (2021) 'Utilization of Healthcare Services by the Elderly Patients at Korle-Bu Teaching Hospital, Accra', American Scientific Research Journal for Engineering, Technology, and Sciences (ASRJETS), 77(1), pp. 48–62.
Wulandari, R.D., Ridho, I.A., Supriyanto, S., Bagus Qomaruddin, M., Damayanti, N.A., Laksono, A.D. and Rassa, A.N.F. (2019) ‘The Influence of Primary Health Care Accreditation on Patient Satisfaction (Pengaruh Pelaksanaan Akreditasi Puskesmas terhadap Kepuasan Pasien)', Media Kesehatan Masyarakat Indonesia, 15(3), pp. 228–236. https://doi.org/10.30597/mkmi.v15i3.6195.
Wulandari, R.D., Laksono, A.D., Nantabah, Z.K., Rohmah, N. and Zuardin, Z. (2022) ‘Hospital utilization in Indonesia in 2018: do urban-rural disparities exist?', BMC Health Services Research, 2022(22), p. 491. https://doi.org/10.1186/s12913-022-07896-5
Wulandari, R.D., Laksono, A.D., Prasetyo, Y.B. and Nandini, N. (2022) ‘Socioeconomic Disparities in Hospital Utilization Among Female Workers in Indonesia: A Cross-Sectional Study', Journal of Primary Care & Community Health, I3(2), pp. 1–7. https://doi.org/10.1177/21501319211072679
Wulandari, R.D. Laksono, A.D., Mubasyiroh, R., Rachmalina, R., Ipa, M. and & Rohmah, N. (2023) 'Hospital utilization among urban poor in Indonesia in 2018: is government-run insurance effective?', BMC Public Health, 23(1), p. 92. https://doi.org/10.1186/s12889-023-15017-y
Wulandari, R.D. and Laksono, A.D. (2019) 'Urban-Rural Disparity: The Utilization of Primary Health Care Center Among Elderly in East Java, Indonesia', Jurnal Administrasi Kesehatan Indonesia, 7(2), pp. 147–154. https://doi.org/10.20473/jaki.v7i2.2019.147-154
Wulandari, R.D., Laksono, A.D. and Nantabah, Z.K. (2020) ‘Effect of Marital Status on Completeness of Antenatal Care Visits among Childbearing Age Women in Rural Indonesia', Medico-legal Update, 20(4), pp. 2253–2258. https://doi.org/10.37506/mlu.v20i4.1858
Yang, L., Wang, L. and Dai, X. (2021) 'Rural-urban and gender differences in the association between community care services and elderly individuals' mental health: a case from Shaanxi Province, China', BMC Health Services Research, 21(1), p. 106. https://doi.org/10.1186/s12913-021-06113-z
Copyright (c) 2023 The Indonesian Journal of Public Health
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
- The authors agree to transfer the transfer copyright of the article to The Indonesian Journal of Public Health effective if and when the paper is accepted for publication.
- Authors and other parties are bound to the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License for the published articles, legal formal aspect of journal publication accessibility refers to Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License (CC BY-NC-SA), implies that:
- Attribution ” You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- NonCommercial ” You may not use the material for commercial purposes.
- ShareAlike ” If you remix, transform, or build upon the material, you must distribute your contributions under the same license as the original.
