1. Snapshot of emergency departments in Jakarta, Indonesia
- Author
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Liga Yusvirazi, Carlos A. Camargo, Septo Sulistio, and Andi Ade Wijaya Ramlan
- Subjects
Emergency Medical Services ,medicine.medical_specialty ,03 medical and health sciences ,0302 clinical medicine ,Obstetrics and gynaecology ,Interquartile range ,Humans ,Medicine ,International emergency medicine ,In patient ,030212 general & internal medicine ,Health policy ,Quality of Health Care ,business.industry ,030208 emergency & critical care medicine ,Census ,United States ,language.human_language ,Indonesian ,National health insurance ,Indonesia ,Family medicine ,Emergency Medicine ,language ,Emergencies ,Emergency Service, Hospital ,business - Abstract
OBJECTIVE EDs in Indonesia face an unprecedented increase in patient influx after the expansion of national health insurance system coverage. The present study aims to describe EDs' characteristics and capabilities utilisation in Jakarta. METHODS An ED inventory was created from the Jakarta Provincial Health Office and the Indonesian Hospital Association registries. The EDs that were accessible to the general public 24/7 were surveyed about their characteristics during the calendar year 2017. For further ED analysis, we stratified the hospitals into four types (A, B, C and D) based on their size and capabilities, with type A being the largest. RESULTS From the 118 (81%) out of 146 EDs that responded, there were 2 million ED visits or 202 per 1000 people. The median annual visit volume was 11 200 (interquartile range 4233-18 000). Further stratification highlights the annual visit difference among hospital types where type A hospitals reported the most with 32 000 (interquartile range 13 459-38 873). Almost half of the EDs (47%) answered that ≥60% of the inpatient census came from the ED. Less than half of the EDs (44%) can manage psychiatry, oral-maxillofacial and plastic surgery cases. Consultant coverage varied across hospitals and by hospital type (P
- Published
- 2020