School of Pharmacy, University of Otago, Dunedin, New Zealand.
Department of Pharmaceutics, Faculty of Pharmacy, Universitas Gadjah Mada, Yogyakarta, Indonesia.
J Epidemiol Glob Health. 2020 Mar;10(1):6-15. doi: 10.2991/jegh.k.200102.001.
This review aims to locate existing studies on health-seeking behavior of people in Indonesia, identify gaps, and highlight important findings. Articles were retrieved from Medline, Scopus, Web of Science, Academic Search Complete (via Ebsco), and ProQuest with a number of key words and various combinations. Articles from Indonesian journals were also searched for with Google Scholar. A total of 56 articles from peer-reviewed journal databases and 19 articles from Indonesian journals were reviewed. Quantitative designs were applied more frequently than qualitative, and mixed methods designs were used in some studies. The majority gathered retrospective information about people's behaviors. Communicable diseases and maternity care were the most frequently studied conditions, in contrast to noncommunicable diseases. In terms of geographical distribution, most research was conducted on Java island, with very few in outside Java. Important findings are a model of Indonesian care-seeking pathways, an understanding of determinants of people's care choices, and the role of sociocultural beliefs. The findings from this narrative review provide insight to what and how Indonesians make decisions to manage their illness and why. This makes an important contribution to understanding the problem of underutilization of medical services despite the government's extensive efforts to improve accessibility.
本综述旨在定位印度尼西亚人群就医行为的现有研究,识别差距,并突出重要发现。文章从 Medline、Scopus、Web of Science、Academic Search Complete(通过 Ebsco)和 ProQuest 中使用了多个关键词和各种组合进行检索。还通过 Google Scholar 搜索了印度尼西亚期刊上的文章。共审查了来自同行评审期刊数据库的 56 篇文章和来自印度尼西亚期刊的 19 篇文章。定量设计比定性设计更常用,一些研究采用了混合方法设计。大多数研究收集了人们行为的回顾性信息。传染病和孕产妇保健是研究最多的疾病,而非传染病则研究较少。就地理分布而言,大多数研究都在爪哇岛进行,而爪哇岛以外的研究很少。重要的发现包括印度尼西亚就医途径模型、了解人们就医选择的决定因素以及社会文化信仰的作用。本叙事综述的研究结果深入了解了印度尼西亚人如何决定治疗自己的疾病以及为什么要这样做。这对于理解尽管政府为改善可及性做出了广泛努力,但医疗服务仍未得到充分利用的问题做出了重要贡献。