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Table 3 Effect of the implementation of UHC on health seeking behaviour

From: Determinant factors behind changes in health-seeking behaviour before and after implementation of universal health coverage in Indonesia

 

Acute episode

Chronic episode

 

Model1

Model2

Model1

Model2

 

Odds Ratios

95%CI

p-value

Adjusted Odds Ratios

95%CI

p-value

Odds Ratios

95%CI

p-value

Adjusted Odds Ratios

95%CI

p-value

Implementation of UHC

1.22

1.00

1.50

0.05

1.42

1.16

1.74

<0.001

1.74

1.45

2.08

<0.001

1.64

1.36

1.98

<0.001

Predisposing factors

Age

 40-59

    

1.13

1.04

1.23

<0.01

    

1.06

0.96

1.15

0.24

 > 60

    

1.10

0.98

1.24

0.15

    

1.15

1.03

1.28

<0.05

Sex

 Female

    

0.97

0.89

1.06

0.48

    

1.03

0.95

1.11

0.49

Education

 Junior or senior high school

    

0.97

0.89

1.06

0.44

    

1.00

0.93

1.08

0.93

 College or above

    

1.01

0.89

0.89

0.89

    

0.98

0.87

1.09

0.67

Occupation

 Civil Servant

    

0.92

0.80

1.05

0.18

    

1.06

0.93

1.20

0.39

 Private Employed

    

1.04

0.92

1.17

0.70

    

1.07

0.95

1.20

0.28

 Self-employed

    

1.01

0.92

1.11

0.79

    

1.01

0.93

1.10

0.83

 Retired

    

1.13

0.82

1.56

0.47

    

1.11

0.89

1.39

0.36

Marital status

 Never married

    

0.90

0.78

1.04

0.15

    

1.03

0.89

1.18

0.71

 Divorced/ Widowed/ Separated

    

1.03

0.93

1.14

0.58

    

1.02

0.94

1.10

0.63

Enabling factors

Adjusted household income 

 3,000,000 – 5,999,999 IDR (211.79 – 423.56 USD)

    

0.97

0.87

1.08

0.55

    

1.02

0.93

1.12

0.69

 > 6,000,000 IDR (> 423. 57 USD)

    

1.25

0.95

1.63

0.11

    

1.25

1.07

1.47

<0.01

Health Insurance Ownership

 Having health insurance

    

1.02

0.93

1.11

0.65

    

1.07

0.98

1.16

0.12

Type of JKN-KIS (national health insurance) membership

 Wage-earning workers

    

1.37

1.16

1.63

<0.001

    

1.22

0.86

1.72

0.26

 Contribution-assistance recipients

    

1.36

1.17

1.58

<0.001

    

1.29

0.92

1.82

0.14

 Non-wage-earning workers

    

1.37

1.16

1.61

<0.001

    

1.23

0.87

1.75

0.24

 Non-workers

    

1.19

0.81

1.75

0.50

    

1.09

0.73

1.62

0.69

Coverage changes

 Gained coverage

    

0.90

0.58

1.41

0.65

    

1.86

0.97

3.55

0.06

 Lost coverage

    

0.94

0.86

1.03

0.18

    

1.02

0.94

1.10

0.65

 Never covered

    

0.73

0.63

0.85

<0.001

    

1.21

0.82

1.77

0.34

Need factors

Seriousness of acute illness

 Somewhat serious

    

1.12

1.04

1.20

<0.01

        

 Serious

    

1.10

0.93

1.31

0.30

        

Number of chronic diseases

 2

            

1.11

1.04

1.19

<0.01

 3 or more

            

1.08

0.99

1.17

0.08

Current health status

 Good

    

1.05

0.97

1.13

0.23

    

0.95

0.89

1.01

0.12

 Very good or excellent

    

0.84

0.71

0.99

<0.05

    

0.76

0.62

0.94

<0.01

Health status change

 Same

    

0.90

0.79

1.03

0.10

    

0.98

0.88

1.08

0.68

 Better

    

0.99

0.87

1.14

0.82

    

0.97

0.85

1.04

0.55