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

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

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Abstract

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.

Item Type:	Article
Uncontrolled Keywords:	Indonesia, Hospital bed to population ratio, Bed occupancy rate, Health system reform
Subjects:	R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Divisions:	10-Faculty of Public Health > 13201-Public Health (S1)
Depositing User:	Asmaripa Ainy
Date Deposited:	29 Jun 2020 08:29
Last Modified:	29 Jun 2020 08:29
URI:	http://repository.unsri.ac.id/id/eprint/30884

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