Exploring Indonesia’s “low hospital bed utilizationlow bed occupancy-high disease burden” paradox

Awofeso, Niyi and Rammohan, Anu and Ainy, Asmaripa (2013) Exploring Indonesia’s “low hospital bed utilizationlow bed occupancy-high disease burden” paradox. Journal of Hospital Administration, 2 (1). pp. 49-58. ISSN 1927-6990

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    Indonesia’s current hospital bed to population ratio of 6.3/10,000 compares unfavourably with a global average of 30/10,000. Despite low hospital bed-to-population ratio and a significant “double burden” of disease, bed occupancy rates range between 55% - 60% in both government and private hospitals in Indonesia, compared with over 80% hospital bed occupancy rates for the South-East Asian region. Annual inpatient admission in Indonesia is, at 140/10,000 population, the lowest in the South East Asian region. Despite currently low utilisation rates, Indonesia’s Human Resources for Health Development Plan 2011-2025 has among its objectives the expansion of hospital bed numbers to 10/10,000 population by 2014. The authors examined the reasons for the paradox and analysed the following contributory factors; health system’s shortcomings; epidemiological transition; medical tourism; high out-of-pocket payments; patronage of traditional medical practitioners, and increasing use of outpatient care. Suggestions for addressing the paradox are proposed. Key words Indonesia, Hospital bed to population ratio, Bed occupancy rate, Health system reform

    Item Type: Article
    Subjects: H Social Sciences > H Social Sciences (General)
    Divisions: Faculty of Public Health
    Depositing User: fakhriyati f ningrum
    Date Deposited: 25 Feb 2015 14:32
    Last Modified: 25 Feb 2015 14:32
    URI: http://eprints.unsri.ac.id/id/eprint/5226

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