Differences in access to high-quality outpatient care in Indonesia

Health Aff (Millwood). 2007 May-Jun;26(3):w352-66. doi: 10.1377/hlthaff.26.3.w352. Epub 2007 Mar 27.

Abstract

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.

Publication types

  • Comparative Study
  • Research Support, N.I.H., Extramural

MeSH terms

  • Adult
  • Ambulatory Care / statistics & numerical data*
  • Child
  • Female
  • Health Care Surveys
  • Health Services Accessibility / statistics & numerical data*
  • Humans
  • Income / statistics & numerical data
  • Indonesia
  • Pregnancy
  • Prenatal Care / statistics & numerical data
  • Private Sector / statistics & numerical data
  • Public Sector / statistics & numerical data
  • Quality of Health Care / statistics & numerical data*