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. 2022 May 13;22(1):639.
doi: 10.1186/s12913-022-08061-8.

Emergency services utilization in Jakarta (Indonesia): a cross-sectional study of patients attending hospital emergency departments

Syaribah Noor Brice  1 , Justin J Boutilier  2 , Daniel Gartner  3 , Paul Harper  3 , Vincent Knight  3 , Jen Lloyd  4 , Aryono Djuned Pusponegoro  5 , Asti Puspita Rini  5 , Jonathan Turnbull-Ross  6 , Mark Tuson  3
Affiliations

Emergency services utilization in Jakarta (Indonesia): a cross-sectional study of patients attending hospital emergency departments

Syaribah Noor Brice et al. BMC Health Serv Res. .

Abstract

Background: Pre-hospital and emergency services in Indonesia are still developing. Despite recent improvements in the Indonesian healthcare system, issues with the provision of pre-hospital and emergency services persist. The demand for pre-hospital and emergency services has not been the subject of previous research and, therefore, has not been fully understood. Our research explored the utilization of emergency medical services by patients attending hospital emergency departments in Jakarta, Indonesia.

Methods: The study used a cross-sectional survey design involving five general hospitals (four government-funded and one private). Each patient's demographic profile, medical conditions, time to treatment, and mode of transport to reach the hospital were analysed using descriptive statistics.

Results: A total of 1964 (62%) patients were surveyed. The median age of patients was 44 years with an interquartile range (IQR) of 26 to 58 years. Life-threatening conditions such as trauma and cardiovascular disease were found in 8.6 and 6.6% of patients, respectively. The majority of patients with trauma travelled to the hospital using a motorcycle or car (59.8%). An ambulance was used by only 9.3% of all patients and 38% of patients reported that they were not aware of the availability of ambulances. Ambulance response time was longer as compared to other modes of transportation (median: 24 minutes and IQR: 12 to 54 minutes). The longest time to treatment was experienced by patients with neurological disease, with a median time of 120 minutes (IQR: 78 to 270 minutes). Patients who used ambulances incurred higher costs as compared to those patients who did not use ambulances.

Conclusion: The low utilization of emergency ambulances in Jakarta could be contributed to patients' lack of awareness of medical symptoms and the existence of ambulance services, and patients' disinclination to use ambulances due to high costs and long response times. The emergency ambulance services can be improved by increasing population awareness on symptoms that warrant the use of ambulances and reducing the cost burden related to ambulance use.

Keywords: Ambulance; Emergency medical services; Indonesia; Low- and middle-income countries; Pre-hospital.

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Conflict of interest statement

The authors declare that there are no conflicts of interest.

Figures

Fig. 1
Fig. 1
Heat map showing the distribution of transport choices and medical categories
See this image and copyright information in PMC

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References

    1. Suryanto S, Plummer V, Boyle M. EMS systems in lower-middle-income countries: a literature review. Prehosp Disaster Med. 2017;32(1):64–70. doi: 10.1017/S1049023X1600114X. - DOI - PubMed
    1. Hooper C, Ranse J, Hutton A. How is ambulance patient care and response time data collected and reported in Malaysia and Indonesia? Australas J Paramedicine. 2019;16. 10.33151/ajp.16.683.
    1. Obermeyer Z, Abujaber S, Makar M, Stoll S, Kayden SR, Wallis LA, Reynolds TA. Emergency care in 59 low-and middle-income countries: a systematic review. Bull World Health Organ. 2015;93(8):577–587G. doi: 10.2471/BLT.14.148338. - DOI - PMC - PubMed
    1. Kironji AG, Hodkinson P, De Ramires S, Anest T, Wallis L, Razzak J, Jenson A, Hansoti B. Identifying barriers for out of hospital emergency care in low and low-middle income countries: a systematic review. BMC Health Serv Res. 2018;18(1):291. doi: 10.1186/s12913-018-3091-0. - DOI - PMC - PubMed
    1. Suryanto S, Plummer V, Boyle M. Healthcare system in Indonesia. Hosp Top. 2017;95(4):82–89. doi: 10.1080/00185868.2017.1333806. - DOI - PubMed