Indonesia’s current hospital bed to population ratio of 6.3/10 000 population compares unfavourably with a global average of 30/10 000. Despite low hospital bed-to-population ratios and a significant “double burden” of disease, bed occupancy rates range between 55% - 60% in both government and private hospitals in Indonesia, compared with over 80% hospital bed occupancy rates for the South-East Asian region. Annual inpatient admission in Indonesia is, at 140/1 0 000 population, the lowest in the South East Asian region. Despite currently low utilisation rates, Indonesia’s Human Resources for Health Development Plan 2011-2025 has among its objectives the raising of hospital bed numbers to 10/10 000 population by 2014. The authors examined the reasons for the paradox and analysed the following contributory factors; health system’s shortcomings; epidemiological transition; medical tourism; high out-of-pocket payments; patronage of traditional medical practitioners, and increasing use of outpatient care. Suggestions for addressing the paradox are proposed.
Impact of Electronic Health Records on the Hospital Bed Occupancy Rates in Surgical Units in France: Results from the E-SI (PREPS-SIPS) Study
