Simple Geographic Distribution of Patients with Stroke According to their Medical Care Financing System in a Private University Hospital

Daroedono, Ekarini and Wicaksono, Nurhadi (2024) Simple Geographic Distribution of Patients with Stroke According to their Medical Care Financing System in a Private University Hospital. International Neuropsychiatric Disease Journal, 21 (6). pp. 41-54. ISSN 2321-7235

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Abstract

Aims: To reveal the geographical distribution of stroke patients in a private university hospital in Jakarta, Indonesia according to their address and further divide them into three sub group of using universal health coverage (UHC) vs other type of insurance ((OTI) vs private non insurance patient (private) Study Design: simple retrospective cross-sectional study. Place and Duration of Study: Sample: Medical record from patients of the Department of Neurology, Rumah Sakit Universitas Kristen Indonesia, Jakarta Indonesia; a private university hospital located in Jakarta Indonesia, between January 2021 and December 2023. Methodology: We analyzed medical record of 162 patients (90 men, 72 women; age range 15-87 years (mean age 61.12 SE± .82) with history of stroke and at the present routinely underwent routine medical control (outpatient) or with current diagnosis of stroke (inpatient in our hospital). We further divided them based on their medical care financing system (UHC vs OTI vs private) and using the help from GPS service made available by Google Maps™ we simply try to make a geographical distribution of those patients based on their address/residence location Results: Geographical distribution of patients using UHC were closer to the hospital compared to the other 2 non UHC medical care financing users. Conclusion: Our analysis regarding stroke patients in our hospital (2021-2023), we found that 55.6% male patients, 42% were in the range of age between 55-64 years old, most of the patient (94.4%) using BPJS as their medical care financing system, with 27.7% came from sub district Makkasar which is near from our hospital. Further analysis using the help of Google maps™ we can show that the UHC or BPJS health referral system has facilitated patients receiving health services at the health facility closest to their residence. Keywords: Referral; social security agency for health; chronic; rehabilitation; ischemic; hemorrhagic

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