Laksono Agung Dwi, Nugraheni Wahyu Pudji, Ipa Mara, Rohmah Nikmatur, Wulandari Ratna Dwi
Research Center for Public Health and Nutrition, National Research and Innovation Agency Republic of Indonesia, Jakarta, Indonesia.
Faculty of Health Science, 185842Muhammadiyah University of Jember, Jember, Indonesia.
Int J Health Serv. 2022 Sep 25:207314221129055. doi: 10.1177/00207314221129055.
Health development in the Papua region often lags behind other areas of Indonesia. The study aims to analyze the role of government-run insurance in primary health care utilization in the Papua region, Indonesia. The study examined 17,879 Papuan. The study used primary health care utilization as an outcome variable and health insurance ownership as an exposure variable. The study also employed nine control variables: province, residence, age, gender, marital status, education, employment, wealth, and travel time to primary health care. The research employed data using binary logistic regression in the final analysis. The results show that Papuans with government-run insurance were three times more likely to utilize primary health care than uninsured Papuans (AOR 3.081; 95% CI 3.026-3.137). Meanwhile, Papuan with private-run insurance were 0.133 times less likely to utilize primary health care than uninsured Papuans (AOR 0.133; 95% CI 0.109-0.164). Moreover, Papuans who have two types of health insurances (government-run and private-run) were 1.5 times more likely to utilize the primary health care than uninsured Papuan (AOR 1.513; 95% CI 1.393-1.644). The study concluded that government-run insurance increases the chance of primary health care utilization in the Papua region, Indonesia. Government-run insurance has the most prominent role compared to other health insurance categories.
巴布亚地区的卫生发展往往落后于印度尼西亚的其他地区。该研究旨在分析政府运营的保险在印度尼西亚巴布亚地区初级卫生保健利用中的作用。该研究调查了17,879名巴布亚人。该研究将初级卫生保健利用作为结果变量，将健康保险拥有情况作为暴露变量。该研究还采用了九个控制变量：省份、居住地、年龄、性别、婚姻状况、教育程度、就业情况、财富状况以及前往初级卫生保健机构的出行时间。该研究在最终分析中采用二元逻辑回归数据。结果显示，拥有政府运营保险的巴布亚人利用初级卫生保健的可能性是未参保巴布亚人的三倍（调整后比值比3.081；95%置信区间3.026 - 3.137）。同时，拥有私营保险的巴布亚人利用初级卫生保健的可能性比未参保巴布亚人低0.133倍（调整后比值比0.133；95%置信区间0.109 - 0.164）。此外，拥有两种健康保险（政府运营和私营）的巴布亚人利用初级卫生保健的可能性比未参保巴布亚人高1.5倍（调整后比值比1.513；95%置信区间1.393 - 1.644）。该研究得出结论，政府运营的保险增加了印度尼西亚巴布亚地区初级卫生保健利用的机会。与其他健康保险类别相比，政府运营的保险作用最为突出。
