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Related Concept Videos

Primary Healthcare Services01:30

Primary Healthcare Services

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Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
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Secondary Healthcare System01:11

Secondary Healthcare System

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Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
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Tertiary Healthcare System01:21

Tertiary Healthcare System

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Specialized care provided over an extended period is called tertiary care. Usually, a primary or secondary care physician will refer a patient to tertiary care. A patient's maximum physical and mental function is restored in tertiary care, which is caused due to the impact of a chronic illness or condition. Tertiary care aims to achieve the highest level of functioning possible while managing chronic illness. For example, a patient who falls and fractures their hip will need secondary care...
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Methods Of Healthcare Delivery System01:26

Methods Of Healthcare Delivery System

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At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
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Integrated Healthcare System01:20

Integrated Healthcare System

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An integrated healthcare system (IHS) is a set of organizations that provides for or arranges to provide coordinated and continuous service to a defined population. The IHS takes responsibility for that particular population's health status and outcome, both clinically and fiscally. An integrated healthcare system is a well-organized, well-coordinated, and collaborative network. The integrated delivery system is a network that connects different healthcare providers to deliver organized,...
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Issues And Trends In Healthcare Delivery System01:29

Issues And Trends In Healthcare Delivery System

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The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
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Regional differences in primary healthcare utilization in Java Region-Indonesia.

Ratna Dwi Wulandari1,2, Agung Dwi Laksono2,3, Nikmatur Rohmah4

  • 1Faculty of Public Health, Universitas Airlangga, Surabaya, Indonesia.

Plos One
|March 27, 2023
PubMed
Summary
This summary is machine-generated.

Regional disparities in primary healthcare utilization exist across Indonesia's Java Region. Jakarta and Yogyakarta show higher utilization, while East Java shows lower utilization compared to Banten.

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Area of Science:

  • Public Health
  • Health Services Research
  • Health Economics

Background:

  • Understanding primary healthcare utilization disparity is crucial for policymakers to ensure equitable service delivery.
  • Regional differences in healthcare access and utilization persist, necessitating targeted interventions.
  • Fair access to primary healthcare is a fundamental right for all citizens.

Purpose of the Study:

  • To analyze regional disparities in primary healthcare utilization within the Java Region of Indonesia.
  • To identify specific provinces with significantly higher or lower primary healthcare utilization rates.
  • To provide evidence for policymakers to address healthcare access gaps.

Main Methods:

  • Cross-sectional study utilizing secondary data from the 2018 Indonesian Basic Health Survey.
  • Inclusion of 629,370 adult respondents (≥15 years) from the Java Region.
  • Binary logistic regression analysis to evaluate primary healthcare utilization, controlling for demographic and socioeconomic factors.

Main Results:

  • Significant regional disparities in primary healthcare utilization were observed across Java.
  • Jakarta (AOR 1.472) and Yogyakarta (AOR 1.267) showed higher utilization compared to Banten.
  • East Java exhibited lower utilization (AOR 0.851) than Banten, while West Java and Central Java showed similar utilization to Banten.

Conclusions:

  • Substantial regional disparities in primary healthcare utilization are evident in Indonesia's Java Region.
  • Utilization rates, from lowest to highest, were observed in East Java, Central Java, Banten, West Java, Yogyakarta, and Jakarta.
  • Addressing these disparities is essential for achieving equitable primary healthcare access for all citizens.