印度尼西亚初级医疗保健利用的城乡差异:一个横截面研究
Asep Kusnali1, Wahyu Pudji Nugraheni1, Rofingatul Mubasyiroh1
1National Research and Innovation Agency, Jakarta, Indonesia.
Korean journal of family medicine
|February 20, 2026
概括
印尼的初级医疗保健利用率显示出差异,尽管总体比率相似. 富裕的城市居民使用医疗保健更少,而富裕的农村居民使用更多,突出结构性不平等.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 公共卫生政策 公共卫生政策
- 健康的社会经济决定因素
背景情况:
- 调查了印度尼西亚城市和农村人口在初级卫生保健 (PHC) 使用方面的差异.
- 专注于影响PHC接入的社会经济和人口因素.
- 对于促进国家健康保险 (Jaminan Kesehatan Nasional, JKN) 计划中的公平至关重要.
研究的目的:
- 分析印尼初级医疗保健利用的社会经济和人口统计因素.
- 确定城市和农村人口中PHC使用的具体模式.
- 根据JKN计划,为公平的健康覆盖提供政策信息.
主要方法:
- 利用了2023年全国社会经济调查的数据 (n=334,887).
- 采用二进制物流回归来评估个体特征与PHC利用之间的关联.
- 检查了城市和农村在寻求医疗保健行为的差异.
主要成果:
- 城市和农村地区的总体PHC利用率相似,但存在显著的差异.
- 女性的PHC利用率更高 (OR,1.12). 高等教育与PHC使用负相关 (OR,0.78).
- 财富效应不同:富裕的城市居民使用PHC较少 (OR,0.84),而富裕的农村居民使用更多 (OR,1.09). 双重保险所有权促进了农村医疗保健的使用 (OR, 1.56).
结论:
- 调查结果显示,印尼人口在PHC利用方面存在结构性不平等.
- 政策建议包括改善城市卫生保健质量,加强农村金融保护和基础设施,弥合数字沟.
- 有针对性的干预措施对于在JKN下实现公平和包容性的健康覆盖至关重要.
更多相关视频
05:35A Point-of-Care Method with Integrated Decision Support Tool to Estimate Anemia at Population Level
Published on: January 19, 2024
07:48Intraoperative Video Consultation Following Bile Duct Transection Facilitates Direct OR Transfer for Robotic Hepaticojejunostomy at Tertiary Center
Published on: January 9, 2026
相关概念视频
01:26Methods Of Healthcare Delivery System
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 limited...
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 limited...
01:30Primary Healthcare Services
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...
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...
01:11Secondary Healthcare System
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...
01:30Specialized Care Centers and Settings-II
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
01:29Issues And Trends In Healthcare Delivery System
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...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
01:29Bias in Epidemiological Studies
Biases can arise at various stages of research, from study design and data collection to analysis and interpretation. Recognizing and addressing these biases is essential to ensure the validity and reliability of epidemiological findings.Broadly speaking, biases in epidemiology fall into three main categories: selection bias, information bias, and confounding. A more detailed description of possible biases is: