National Institute of Health Research and Development, the Ministry of Health of the Republic of Indonesia, Jakarta, Indonesia.
Persakmi Institute, Surabaya, Indonesia.
BMC Health Serv Res. 2021 Nov 22;21(1):1261. doi: 10.1186/s12913-021-07246-x.
Development in Eastern Indonesia tends to be left behind compared to other Indonesian regions, including development in the health sector. The study aimed at analyzing the health insurance ownership disparities in hospital delivery in Eastern Indonesia.
The study draws on secondary data from the 2017 Indonesia Demographic and Health Survey. The study population was women aged 15-49 years who had given birth in the last five years in Eastern Indonesia. The study analyzes a weighted sample size of 2299 respondents. The study employed hospital-based birth delivery as a dependent variable. Apart from health insurance ownership, other variables analyzed as independent variables are province, residence type, age group, marital status, education level, employment status, parity, and wealth status. The final stage analysis used binary logistic regression.
The results showed that insured women were 1.426 times more likely than uninsured women to undergo hospital delivery (AOR 1.426; 95% CI 1.426-1.427). This analysis indicates that having health insurance is a protective factor for women in Eastern Indonesia for hospital delivery. There is still a disparity between insured and uninsured women in hospital-based birth deliveries in eastern Indonesia. Insured women are nearly one and a half times more likely than uninsured women to give birth in a hospital.
The study concludes that there are health insurance ownership disparities for hospital delivery in eastern Indonesia. Insured women have a better chance than uninsured women for hospital delivery.
与印度尼西亚其他地区相比，包括卫生部门在内，印度尼西亚东部地区的发展相对滞后。本研究旨在分析印度尼西亚东部地区医院分娩中医疗保险拥有情况的差异。
本研究利用了 2017 年印度尼西亚人口与健康调查的二手数据。研究对象为过去五年内在印度尼西亚东部地区分娩的 15-49 岁女性。本研究分析了 2299 名受访者的加权样本量。本研究将基于医院的分娩作为因变量。除了医疗保险拥有情况外，作为自变量分析的其他变量还包括省份、居住类型、年龄组、婚姻状况、教育水平、就业状况、产次和财富状况。最后阶段的分析采用了二元逻辑回归。
结果表明，有保险的女性比没有保险的女性更有可能选择在医院分娩，其可能性是后者的 1.426 倍（AOR 1.426；95%CI 1.426-1.427）。这一分析表明，在印度尼西亚东部，拥有医疗保险是妇女进行医院分娩的保护因素。在印度尼西亚东部，有保险和没有保险的女性在基于医院的分娩方面仍存在差异。在医院分娩的女性中，有保险的女性比没有保险的女性几乎高出 1.5 倍。
本研究得出结论，在印度尼西亚东部地区，医院分娩中存在医疗保险拥有情况的差异。有保险的女性比没有保险的女性更有可能选择在医院分娩。
