Differences in access to high-quality outpatient care in Indonesia.
Using a representative cross-section of health care providers in Indonesia, we describe variations in prenatal, child, and adult care quality. Quality is measured as knowledge about clinical guidelines. Public health centers offer above-average-quality prenatal care, and private physicians provide high-quality curative care. Private nurses offer below-average care, as do most providers in the more remote regions of Outer Java-Bali. The poor and wealthy have access to the same levels of quality; however, the poorest women report receiving fewer prenatal procedures. Recommendations include improving the professional development of nurses in private settings, testing quality improvements in Outer Java-Bali, and investigating wealth disparities in quality received.
Barber
Sarah L
SL
Institute of Business and Economic Research, University of California, Berkeley, USA. barber@haas.berkeley.edu
Gertler
Paul J
PJ
Harimurti
Pandu
P
D000328:Adult; D000553:Ambulatory Care / Q000706:statistics & numerical data*; D002648:Child; D005260:Female; D019538:Health Care Surveys; D006297:Health Services Accessibility / Q000706:statistics & numerical data*; D006801:Humans; D007182:Income / Q000706:statistics & numerical data; D007214:Indonesia; D011247:Pregnancy; D011295:Prenatal Care / Q000706:statistics & numerical data; D017149:Private Sector / Q000706:statistics & numerical data; D017150:Public Sector / Q000706:statistics & numerical data; D011787:Quality of Health Care / Q000706:statistics & numerical data*