印尼住院病人：国民健康保险重要吗？

IF 1.7 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Clinical Epidemiology and Global Health Pub Date : 2025-07-30 DOI:10.1016/j.cegh.2025.102155

Ratna Dwi Wulandari , Agung Dwi Laksono , Wahyu Pudji Nugraheni , Tati Suryati , Leny Latifah , Diah Yunitawati , Rofingatul Mubasyiroh , Irfan Ardani , Asep Kusnali , Abdullah Saleh Alruwaili

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引用次数: 0

摘要

医院是印尼医疗服务系统的最后一扇门。此外，政府通过国家健康保险（NHI）实现全民覆盖的战略预计将改善公共保健服务的可得性。本研究旨在探讨全民健康保险在印尼住院病人护理中的作用。方法采用《2023年全国社会经济调查》数据进行分析。本研究采用横断面设计，共调查了1223377人。住院是结果变量，而全民健康保险成员是暴露变量。作为控制变量，研究考察了居住地、年龄、性别、婚姻状况、教育程度、职业和财富状况。在调查的最后阶段，使用多项逻辑回归来评估数据。结果调查显示，印尼2023年住院率为2.41%。目前，72.5%的人口是国民健康保险的成员。关于全民健康保险会员，有全民健康保险的人是没有全民健康保险的人的2.76倍（95% CI 2.66-2.86）。此外，该研究报告了与2023年印度尼西亚住院患者相关的七个控制变量：居住地、年龄、性别、婚姻状况、教育程度、就业和财富状况。结论印尼国民健康保险会员资格对住院患者有影响。国民健康保险的会员资格与住院治疗的可能性增加近三倍有关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Hospital inpatient in Indonesia: Does national health insurance matter?

Background

Hospitals are the final gate in Indonesia's health service system. Furthermore, the government's strategy to pursue universal coverage through National Health Insurance (NHI) is anticipated to improve the public availability of healthcare services. The study aims to investigate the role of NHI in hospital inpatient care in Indonesia.

Methods

The analysis utilized data accessible via the 2023 National Socioeconomic Survey. This research used a cross-sectional design to investigate 1,223,377 individuals in total. Inpatient hospitalization was the outcome variable, while NHI membership was the exposure variable. As control variables, the research examined residence, age, gender, marital status, education, occupation, and wealth status. In the final phase of the investigation, multinomial logistic regression was utilized to assess the data.

Results

According to the investigation, the hospital admission rate in Indonesia in 2023 was 2.41 %. Currently, 72.5 % of the population consists of NHI members. Regarding NHI membership, people with NHI are 2.76 times more likely than those without it (95 % CI 2.66–2.86). Furthermore, the study reports that seven control variables were associated with hospital inpatients in Indonesia in 2023: residence, age, sex, marital status, education, employment, and wealth status.

Conclusions

The findings showed that NHI membership affects hospital inpatients in Indonesia. Membership in the NHI was associated with a nearly threefold increase in the likelihood of hospital inpatient care.

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来源期刊

Clinical Epidemiology and Global Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

4.60

自引率

7.70%

发文量

218

审稿时长

66 days

期刊介绍： Clinical Epidemiology and Global Health (CEGH) is a multidisciplinary journal and it is published four times (March, June, September, December) a year. The mandate of CEGH is to promote articles on clinical epidemiology with focus on developing countries in the context of global health. We also accept articles from other countries. It publishes original research work across all disciplines of medicine and allied sciences, related to clinical epidemiology and global health. The journal publishes Original articles, Review articles, Evidence Summaries, Letters to the Editor. All articles published in CEGH are peer-reviewed and published online for immediate access and citation.