Assessing inequalities in the hypertension management under national health insurance: Evidence from Southern Central Java, Indonesia
Journal Title: Journal of Public Health and Development - Year 2024, Vol 22, Issue 2
Abstract
Equal access to disease management is crucial to control the impact of hypertension on the burden of disease in Indonesia. This study aimed to assess the extent of inequalities in the use, quality, and outcomes of hypertension management for beneficiaries of the National Health Insurance (NHI) program. This cross-sectional study consecutively recruited 797 beneficiaries of National Health Insurance who participated in the hypertension management program in the Banyumas District, Indonesia, between July and October 2021. The outcomes were regular visits, standard medication, and disease control. The inequalities were measured based on educational level, employment type, type of beneficiaries, and place of residence. The rate difference, rate ratio, and multiple logistic regression were used to estimate the extent of inequality. Compared to informal workers, formal workers had more regular visits to healthcare facilities (OR 1.78; 95%CI: 1.01-3.18) and had better disease control (OR 2.36; 95%CI: 1.28-4.38). Non-subsidized participants had fewer regular visits compared to subsidized participants (OR 0.51; 95%CI: 0.30-0.84). Urban residents tended to have more regular visits compared to rural residents (OR 2.14; 95%CI: 0.90-5.05). A substantial extent of inequalities in the use and outcomes of hypertension management still exists among beneficiaries of the NHI program. The future implementation of the hypertension management program of National Health Insurance in Indonesia should consider the geographical and socio-economic background of its participants.
Authors and Affiliations
Joko Mulyanto, Yudhi Wibowo, Dwi Arini Ernawati, Diyah Woro Dwi Lestari.
Keywords
Related Articles
- EP ID EP736618
- DOI 10.55131/jphd/2024/220215
- Views 51
- Downloads 1
Changes in the pattern of eating habit and physical activity during the pandemic of COVID-19 in Malaysia: data from COMET-G international multi-country study
Lockdown during the COVID-19 pandemic had led to lifestyle changes among Malaysians. These changes were due to people being confined to work and study at home and stress due to the risk of COVID-19 transmission. Our stud...
A determination of the influence of birth control among minority women in thailand: a qualitative study
Contraception information and services are the basis of the health and human rights of everyone. Young girls who become pregnant are at greater risk for problems arising from early child deliveries. Contraception in olde...
Sociodemographic predictors for smoking persistence among young males in Indonesia
The prevalence and burden of non-communicable diseases (NCDs) in Indonesia are increasing. One major risk factor for NCDs is smoking. Thus, this study assessed sociodemographic predictors of smoking persistence among you...
Effects of acupuncture on chronic neck and shoulder pain in individuals with office syndrome in Phayao, Thailand
Office syndrome is caused by prolonged sitting at work and ergonomically awkward working postures with repetitive use of the same neck and shoulder muscles. As a result, the posterior neck muscles for neck support work h...
Factors affecting stress among high school students in Phitsanulok Province, Thailand
This cross-sectional study aimed to determine the factors affecting stress in high school students. The sample participants were 365 high school students in Phitsanulok Province selected by stratified random sampling. Da...