Analysis of health services use for respiratory illness in Indonesian children: implications for policy.
Respiratory illness continues to be a leading cause of paediatric morbidity and mortality in Indonesia. The Indonesian government is moving towards a more managed care-based approach as it reforms its health care system following the 1997 financial crisis. In order to better design contractual relationships between the payor and different providers, there needs to be a better understanding of the patterns and predictors of health services utilization for respiratory illness. This study uses the Indonesia Demographic and Health Survey to study the determinants of private, public and non-formal provider utilization for respiratory illness. Multinomial logistic regression models for predicting use were constructed using the Andersen Behavioural Model as the conceptual framework. The findings indicate that age, household size, maternal education, religion, the asset index, location and illness severity play a role in determining use of private, public or non-formal providers. The results indicate that from a policy perspective, the Indonesian government needs be inclusive rather than exclusive in the choice of providers that are contracted by the managed care plans, in order to safeguard the health of the under-five population.
Thind
Amardeep
A
Department of Health Services, UCLA School of Public Health, USA.
D002662:Child Health Services / Q000706:statistics & numerical data*; D002675:Child, Preschool; D004522:Educational Status; D005191:Family Characteristics; D005260:Female; D018166:Health Care Reform; D006301:Health Services Needs and Demand / Q000706:statistics & numerical data*; D006801:Humans; D007214:Indonesia / Q000453:epidemiology; D007223:Infant; D016015:Logistic Models; D008297:Male; D012140:Respiratory Tract Diseases / Q000453:epidemiology* / Q000401:mortality / Q000628:therapy; D012424:Rural Population