Evidence map›Paper›PMID 36635640›Full record

ArticleBMC public health2023

Hospital utilization among urban poor in Indonesia in 2018: is government-run insurance effective?

Ratna Dwi Wulandari, Agung Dwi Laksono, Rofingatul Mubasyiroh, Rika Rachmalina, Mara Ipa, Nikmatur Rohmah

Abstract read
In one paragraph

Article in BMC public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–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

8 citing papers in PubMed.

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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

6 authors.

Ratna Dwi WulandariFaculty of Public Health, Universitas Airlangga, Surabaya, Indonesia. ratna-d-w@fkm.unair.ac.id.
Agung Dwi LaksonoNational Research and Innovation Agency, the Republic of Indonesia, Jakarta, Indonesia.
Rofingatul MubasyirohNational Research and Innovation Agency, the Republic of Indonesia, Jakarta, Indonesia.
Rika RachmalinaNational Research and Innovation Agency, the Republic of Indonesia, Jakarta, Indonesia.
Mara IpaNational Research and Innovation Agency, the Republic of Indonesia, Jakarta, Indonesia.
Nikmatur RohmahFaculty of Health Science, Muhammadiyah University of Jember, East Java, Indonesia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAn urban poor is a vulnerable group that needs government financing support to access health services. Once they are sick, they will fall deeper into poverty. The study aims to analyze the effectiveness of government-run insurance in hospital utilization in urban poor in Indonesia.

methodsThe research analyzed the 2018 Indonesian Basic Health Survey data. This cross-sectional survey collected 75,970 participants through stratification and multistage random sampling. Meanwhile, the study employed hospital utilization as an outcome variable and health insurance ownership as an exposure variable. Moreover, the study looked at age, gender, marital status, education, and occupation as control factors. The research employed a binary logistic regression to evaluate the data in the final step.

resultsThe results show that someone with government-run insurance is 4.261 times more likely than the uninsured to utilize the hospital (95% CI 4.238-4.285). Someone with private-run insurance is 4.866 times more likely than the uninsured to use the hospital (95% CI 4.802-4.931). Moreover, someone with government-run and private-run insurance has 11.974 times more likely than the uninsured to utilize the hospital (95% CI 11.752-12.200).

conclusionThe study concluded that government-run insurance is more effective than the uninsured in improving hospital utilization among the urban poor in Indonesia. Meanwhile, private-run is more effective than government-run and uninsured in improving hospital utilization among the urban poor in Indonesia. Moreover, the most effective is to combine the kind of health insurance ownership (government-run and private-run).

Indexed as

HospitalsInsurance, HealthCross-Sectional StudiesGovernmentHumansIndonesiaInsurance CoverageGovernment-run insuranceHealthcare evaluationHealth insuranceHealth policyHospital utilizationPublic health

Identifiers

PMID36635640
PMCPMC9835297

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.