Explaining Indonesian Patients' Experiences About Changes in the Hemodialysis Cost System.

Aim: To explore the experience of haemodialysis patients in Indonesia over a decade, amidst changes in the cost system in hospitals. Since its implementation, the Universal Health Coverage (UHC) policy has significantly influenced haemodialysis services in hospitals, affecting patients' experiences....

Descripción completa

Detalles Bibliográficos
Publicado en:Enfermería Global Vol. 24; no. 1; pp. 1 - 15
Autores principales: Nimah, Lailatun, Nursalam, Nursalam, Wahyudi, Andri Setiya, Mariyanti, Herdina, Duangporn Piyakong
Formato: research tables/charts Journal Article
Publicado: Servicio de Publicaciones de la Universidad de Murcia ene-abr2025
Acceso en línea:Ver este registro en EBSCOhost
fields @attributes:
  recordID: 1
pdfLink:
plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=185172822&site=ehost-live
header:
  @attributes:
    shortDbName: ccm
    uiTerm: 185172822
    longDbName: CINAHL Complete
    uiTag: AN
  controlInfo:
    bkinfo:
    dissinfo:
    jinfo:
      jid:
        16956141
        635X
      jtl: Enfermería Global
      issn: 16956141
      maglogo: N
    pubinfo:
      dt: ene-abr2025
      vid: 24
      iid: 1
      pid: 86004
      pub: Servicio de Publicaciones de la Universidad de Murcia
    artinfo:
      ui:
        185172822
        185172822
        185172822
        10.6018/eglobal.621441
        185172822
      ppf: 1
      ppct: 14
      formats:
        fmt:
          @attributes:
            type: P
            db: lth
            ui: 185172822
      tig:
        atl: Explaining Indonesian Patients' Experiences About Changes in the Hemodialysis Cost System.
      aug:
        au:
          Nimah, Lailatun
          Nursalam, Nursalam
          Wahyudi, Andri Setiya
          Mariyanti, Herdina
          Duangporn Piyakong
        affil: Faculty of Nursing Universitas Airlangga, Surabaya, East Java, Indonesia
      sug:
        subj:
          Dialysis Patients Psychosocial Factors
          Hemodialysis Economics
          Health Services Accessibility Economics
          Health Care Costs
          Patient Attitudes Evaluation
          Human
          Male
          Female
          Adult
          Middle Age
          Indonesians
          Indonesia
          Qualitative Studies
          Descriptive Research
          Thematic Analysis
          Semi-Structured Interview
          Dialysis Centers
          Insurance, Health
          Cost Effectiveness Analysis
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab:
        Aim: To explore the experience of haemodialysis patients in Indonesia over a decade, amidst changes in the cost system in hospitals. Since its implementation, the Universal Health Coverage (UHC) policy has significantly influenced haemodialysis services in hospitals, affecting patients' experiences. Material and Methods: Qualitative study. Twenty-two haemodialysis patients selected by snowball sampling from the Indonesian Dialysis Patient Community (Komunitas Pasien Cuci Darah Indonesia) participated. Data were collected through interviews, transcribed and analysed thematically, and psychological methods based on patients' experiences were used. Results: identified three main themes (health coverage system, haemodialysis services, haemodialysis facilities) and ten sub-themes (complex monthly payment situation for care recipients, unexpected deactivation of payment status, outdated referral system requirements, payment system complications for care recipients, penalty for late payments, disparities in services between hospitals, insufficient coverage for certain services, accessibility problems with distant haemodialysis units, variations in types of haemodialysis equipment, and inadequate comfort in the family waiting room). Conclusions: The health insurance system needs to be improved to increase access, equity, affordability, efficiency, consistency and quality of haemodialysis services in Indonesian hospitals. Collaborative efforts by the government, health institutions and related parties are essential.
        Objetivo: explorar la experiencia de los pacientes de hemodiálisis en Indonesia durante una década, en medio de cambios en el sistema de costos en los hospitales. Desde su implementación, la política de Cobertura Sanitaria Universal (CSU) ha influido significativamente en los servicios de hemodiálisis en los hospitales, afectando a las experiencias de los pacientes. Material y Métodos: Estudio cualitativo. Participaron veintidós pacientes de hemodiálisis seleccionados mediante un muestreo por bola de nieve de la Comunidad de Pacientes de Diálisis de Indonesia (Komunitas Pasien Cuci Darah Indonesia). Los datos se recopilaron mediante entrevistas, se transcribieron y analizaron temáticamente y se utilizaron métodos psicológicos basados en las experiencias de los pacientes. Resultados: identificados tres temas principales (sistema de cobertura de salud, servicios de hemodiálisis, instalaciones de hemodiálisis) y diez subtemas (situación de pago mensual compleja para los beneficiarios de asistencia, desactivación inesperada del estado de pago, requisitos del sistema de referencia obsoletos, complicaciones en el sistema de pago para los beneficiarios de asistencia, penalización por pagos atrasados, disparidades en los servicios entre hospitales, cobertura insuficiente para ciertos servicios, problemas de accesibilidad con unidades de hemodiálisis distantes, variaciones en los tipos de equipos de hemodiálisis y comodidad inadecuada en la sala de espera familiar). Conclusiones: necesario mejorar el sistema de seguro de salud para aumentar el acceso, la equidad, la asequibilidad, la eficiencia, la uniformidad y la calidad de los servicios de hemodiálisis en los hospitales de Indonesia. Imprescindible que el gobierno, las instituciones sanitarias y las partes relacionadas realicen esfuerzos de colaboración.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
    refInfo:
    holdings:
      @attributes:
        islocal: N