Self-Medication and Outpatient Care Utilization after Implementation of National Health Insurance in Indonesia
DOI:
https://doi.org/10.18196/jmmr.8291Keywords:
Self-Medication, Outpatient Care, JKNAbstract
The implementation of National Health Insurance in 2014 is expected to increase access in health services while reducing the economic burden due to illness. This study aims to see how the behavior of people in choosing treatment when experiencing health problems, whether they tend to select self-medication or outpatient treatment. Quantitative analysis was carried out on variables previously formed based on the KOR Data questionnaire found in SUSENAS 2017. The results of the study showed that more respondents chose to do self-medication than those who accessed formal services with outpatient care. Multivariate tests show all variables except secondary education significantly influence individual decisions to self-medication.
References
Green LW. Modifying and Developing Health Behavior. Annu Rev Public Health. 1984;5:215-236.
Lei X, Jiang H. Self-Medication Practice and Associated Factors among Residents in Wuhan , China. 2018;(2). doi:10.3390/ijerph15010068
Chang F, Trivedi PK. Economics of self-medication : theory and evidence. 2003;739(July):721-739. doi:10.1002/hec.841
Gualano MR, Bert F, Passi S, et al. Use of self-medication among adolescents : a systematic review and meta-analysis. 2014;25(3):444-450. doi:10.1093/eurpub/cku207
Vidyavati S. Self Medication -Reasons, Risks and Benefits. Int J Healthc Biomed Res. 2016;(04):21-24.
Blenkinsopp A, Bradley C. Patients, society, and the increase in self-medication. BMJ 1996; 312: 629-32. BMJ. 1996;312:639-632.
Kementerian Kesehatan Republik Indonesia. Peraturan
Menteri Kesehatan No.45 Tahun 2014. Vol 2008.; 2014:203.
Kementerian Kesehatan RI. Riset Kesehatan Dasar 2013. Jakarta
Balitbang Kesehatan Kemenkes RI. Hasil Utama Riset Kesehatan Dasar 2018.; 2018. doi:1 Desember 2013
Shehnaz SI, D M, Agarwal AK, Ph D, Khan N, Ph D. Systematic Review of Self-Medication Practices Among Adolescents. J Adolesc Heal. 2014;55(4):467-483. doi:10.1016/j.jadohealth.2014.07.001
Pagan JA, Ross S, Yau J, Polsky D. Self-medication and health insurance coverage in Mexico. J Heal Policy. 2006;75:170-177. doi:10.1016/j.healthpol.2005.03.007
Liew H, Gardner S. Determinants of patient satisfaction with outpatient care in Indonesia : A conjoint analysis approach. Heal Policy Technol. 2014;3(4):306-313. doi:10.1016/j.hlpt.2014.08.003
Barrenberg E, Knopf H, Garbe E. Over-The-Counter ( OTC ) Drug Consumption among Adults Living in Germany : Results from the German Health Interview and Examination Survey for Adults 2008-2011 (DEGS1). Pharmacy. 2018;6(2018). doi:10.3390/pharmacy6020052
Kumar CA, Revannasiddaiah N. Assessment of self-medication patterns in a rural area of south India : a questionnaire based study. J Community Med Public Heal. 2018;5(1):354-360.
Bergmann, J.F. Self-medication: From European regulatory directives to therapeutic strategy. Fundam Clin Pharmacol. 2003;17(3):275-280. doi:10.1046/j.1472-8206.2003.00141.x
Machado-alba JE, Echeverri-cataño LF, Londoño-builes MJ, Moreno-gutiérrez PA, Ochoa-orozco SA, Ruiz-villa JO. Social , cultural and economic factors associated with self-medication. Biomedica. 2014;34:580-588.
Hosseinpoor AR, Naghavi M, Alavian SM, Speybroeck B, Hamidreza Jamshidi, Vega J. Determinants of Seeking Needed Outpatient Care in Iran: Results from a National Health Services Utilization Survey. Arch Iran Med. 2007;10(4):439-445.
Zhu J, Li J, Zhang Z, Li H, Cai L. Exploring determinants of health provider choice and heterogeneity in preference among outpatients in Beijing : a labelled discrete choice experiment. 2019. doi:10.1136/bmjopen-2018-023363
Lukovic JA, Miletic V, Pekmezovic T. Self-Medication Practices and Risk Factors for Self-Medication among Medical Students in Belgrade , Serbia. 2014:1-14. doi:10.1371/journal.pone.0114644
Hidayat B, Thabrany H, Dong H, Sauerborn R. The effects of mandatory health insurance on equity in access to outpatient care in Indonesia. Health Policy Plan. 2004;19(5):322-335. doi:10.1093/heapol/czh037
Downloads
Published
Issue
Section
License
Copyright (c) 2019 JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit)
This work is licensed under a Creative Commons Attribution-NoDerivatives 4.0 International License.