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Unmet Needs for Cardiovascular Care in Indonesia

Author

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  • Asri Maharani
  • Gindo Tampubolon

Abstract

Background: In the past twenty years the heaviest burden of cardiovascular diseases has begun to shift from developed to developing countries. However, little is known about the real needs for cardiovascular care in these countries and how well those needs are being met. This study aims to investigate the prevalence and determinants of unmet needs for cardiovascular care based on objective assessment. Methods and Findings: Multilevel analysis is used to analyse the determinants of met needs and multilevel multiple imputation is applied to manage missing data. The 2008 Indonesian Family Life Survey (IFLS4) survey is the source of the household data used in this study, while district data is sourced from the Ministry of Health and Ministry of Finance. The data shows that nearly 70% of respondents with moderate to high cardiovascular risk failed to receive cardiovascular care. Higher income, possession of health insurance and residence in urban areas are significantly associated with met needs for cardiovascular care, while health facility density and physician density show no association with them. Conclusions: The prevalence of unmet needs for cardiovascular care is considerable in Indonesia. Inequality persists as a factor in meeting needs for cardiovascular care as the needs of people with higher incomes and those living in urban areas are more likely to be met. Alleviation of poverty, provision of health care insurance for the poor, and improvement in the quality of healthcare providers are recommended in order to meet this ever-increasing need.

Suggested Citation

  • Asri Maharani & Gindo Tampubolon, 2014. "Unmet Needs for Cardiovascular Care in Indonesia," PLOS ONE, Public Library of Science, vol. 9(8), pages 1-10, August.
    • Handle: RePEc:plo:pone00:0105831
    DOI: 10.1371/journal.pone.0105831
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    References listed on IDEAS

    as
    1. Poterba, James M, 1989. "Lifetime Incidence and the Distributional Burden of Excise Taxes," American Economic Review, American Economic Association, vol. 79(2), pages 325-330, May.
    2. Hu, Perry & Herningtyas, Elizabeth Henny & Strauss, John & Crimmins, Eileen & Kim, Jung Ki & Sikoki, Bondan, 2013. "IFLS C-Reactive Protein Data User Guide," Working Papers 675/7, RAND Corporation.
    3. Castro-Leal, Florencia & Dayton, Julia & Demery, Lionel & Mehra, Kalpana, 1999. "Public Social Spending in Africa: Do the Poor Benefit?," The World Bank Research Observer, World Bank, vol. 14(1), pages 49-72, February.
    4. Cutler, David M & Katz, Lawrence F, 1992. "Rising Inequality? Changes in the Distribution of Income and Consumption in the 1980's," American Economic Review, American Economic Association, vol. 82(2), pages 546-551, May.
    5. Jongho Heo & Juwhan Oh & Jukyung Kim & Manwoo Lee & Jin-seok Lee & Soonman Kwon & S V Subramanian & Ichiro Kawachi, 2012. "Poverty in the Midst of Plenty: Unmet Needs and Distribution of Health Care Resources in South Korea," PLOS ONE, Public Library of Science, vol. 7(11), pages 1-7, November.
    6. Filmer, Deon & Hammer, Jeffrey & Pritchett, Lant, 1998. "Health policy in poor countries : weak links in the chain," Policy Research Working Paper Series 1874, The World Bank.
    7. Angus Deaton & Salman Zaidi, 2002. "Guidelines for Constructing Consumption Aggregates for Welfare Analysis," World Bank Publications, The World Bank, number 14101, April.
    8. Duncan, Craig & Jones, Kelvyn & Moon, Graham, 1996. "Health-related behaviour in context: A multilevel modelling approach," Social Science & Medicine, Elsevier, vol. 42(6), pages 817-830, March.
    9. Perry Hu & Elizabeth Henny Herningtyas & John Strauss & Eileen Crimmins & Jung Ki Kim & Bondan Sikoki, 2013. "IFLS C-Reactive Protein Data User Guide," Working Papers WR-675/7-NIA/NICHD, RAND Corporation.
    10. Litaker, David & Love, Thomas Ezra, 2005. "Health care resource allocation and individuals' health care needs: examining the degree of fit," Health Policy, Elsevier, vol. 73(2), pages 183-193, August.
    11. Claudia Rokx & John Giles & Elan Satriawan & Puti Marzoeki & Pandu Harimurti & Elif Yavuz, 2010. "New Insights into the Provision of Health Services in Indonesia : A Health Workforce Study," World Bank Publications - Books, The World Bank Group, number 2434.
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    2. Adrian Byrne & Natalie Shlomo & Tarani Chandola, 2023. "Multilevel modelling approach to analysing life course socioeconomic status and understanding missingness," Review of Evolutionary Political Economy, Springer, vol. 4(2), pages 275-297, July.

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