Unmet needs for cardiovascular care in Indonesia.

<h4>Background</h4>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 stud...

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Autores principales:	Asri Maharani, Gindo Tampubolon
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2014
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/53365eadef4a4c959a95843724135eb9
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spelling	oai:doaj.org-article:53365eadef4a4c959a95843724135eb92021-11-25T06:03:29ZUnmet needs for cardiovascular care in Indonesia.1932-620310.1371/journal.pone.0105831https://doaj.org/article/53365eadef4a4c959a95843724135eb92014-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/25148389/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>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.<h4>Methods and findings</h4>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.<h4>Conclusions</h4>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.Asri MaharaniGindo TampubolonPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 9, Iss 8, p e105831 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Asri Maharani Gindo Tampubolon Unmet needs for cardiovascular care in Indonesia.
description	<h4>Background</h4>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.<h4>Methods and findings</h4>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.<h4>Conclusions</h4>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.
format	article
author	Asri Maharani Gindo Tampubolon
author_facet	Asri Maharani Gindo Tampubolon
author_sort	Asri Maharani
title	Unmet needs for cardiovascular care in Indonesia.
title_short	Unmet needs for cardiovascular care in Indonesia.
title_full	Unmet needs for cardiovascular care in Indonesia.
title_fullStr	Unmet needs for cardiovascular care in Indonesia.
title_full_unstemmed	Unmet needs for cardiovascular care in Indonesia.
title_sort	unmet needs for cardiovascular care in indonesia.
publisher	Public Library of Science (PLoS)
publishDate	2014
url	https://doaj.org/article/53365eadef4a4c959a95843724135eb9
work_keys_str_mv	AT asrimaharani unmetneedsforcardiovascularcareinindonesia AT gindotampubolon unmetneedsforcardiovascularcareinindonesia
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Unmet needs for cardiovascular care in Indonesia.

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