Evidence map›Paper›PMID 35413914›Full record

ArticleBMC health services research2022

Hospital utilization in Indonesia in 2018: do urban-rural disparities exist?

Ratna Dwi Wulandari, Agung Dwi Laksono, Zainul Khaqiqi Nantabah, Nikmatur Rohmah, Zuardin Zuardin

Abstract read
In one paragraph

Article in BMC health services research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  12. The role of veterans hospitals in Taiwan's medically underserved areas.Journal of the Chinese Medical Association : JCMA · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Ratna Dwi WulandariFaculty of Public Health, Universitas Airlangga, Surabaya, Indonesia. ratna-d-w@fkm.unair.ac.id.
Agung Dwi LaksonoThe Airlangga Centre for Health Policy (ACeHAP), Surabaya, Indonesia.
Zainul Khaqiqi NantabahNational Research and Innovation Agency, Republic of Indonesia, Jakarta, Indonesia.
Nikmatur RohmahFaculty of Health Science, Muhammadiyah University of Jember, East Java, Indonesia.
Zuardin ZuardinFaculty of Psychology and Health, UIN Sunan Ampel, Surabaya, Indonesia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe government must ensure equality in health services access, minimizing existing disparities between urban and rural areas. The referral system in Indonesia is conceptually sound. However, there are still problems of uneven service access, and there is an accumulation of patients in certain hospitals. The study aims to analyze the urban-rural disparities in hospital utilization in Indonesia.

methodsThe study used secondary data from the 2018 Indonesian Basic Health Survey. This cross-sectional study gathered 629,370 respondents through stratification and multistage random sampling. In addition to the kind of home and hospital utilization, the study looked at age, gender, marital status, education, occupation, wealth, and health insurance as control factors. The research employed multinomial logistic regression to evaluate the data in the final step.

resultsAccording to the findings, someone who lives in an urban region has 1.493 times higher odds of using outpatient hospital services than someone in a rural area (AOR 1.493; 95% CI 1.489-1.498). Meanwhile, someone who lives in an urban region has 1.075 times higher odds of using an inpatient facility hospital than someone who lives in a rural one (AOR 1.075; 95% CI 1.073-1.077). Furthermore, someone living in an urban region has 1.208 times higher odds than someone who lives in a rural area using outpatient and inpatient hospital services simultaneously (AOR 1.208; 95% CI 1.204-1.212).

conclusionThe study concluded there were urban-rural disparities in hospital utilization in Indonesia.

Indexed as

Insurance, HealthRural PopulationCross-Sectional StudiesHospitalsHumansIndonesiaHealthcare accessHealthcare evaluationHospital utilizationPublic health

Identifiers

PMID35413914
PMCPMC9006552

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.