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. 2021 Sep 25;7(9):e08068. doi: 10.1016/j.heliyon.2021.e08068

Table 3.

Top 5 polyclinic and top 5 outpatient diagnosis at primary care providers and secondary care providers.

Healthcare Facilities Top 5 Polyclinic Number of BPJS-K Participants Number of Patients' Visit Percentage of BPJS-K Participants from the Total Number of Patients' Visit
Primary Care Providers
General Poly 32,355,538 117,967,236 27.43
Dental Poly 3,311,713 6,594,452 50.22
Maternal and Child Health Poly 2,521,712 6,017,300 41.91
Emergency Room 938,194 1,390,799 67.46
Family Planning Poly
600,035
1,375,459
43.62
Top 5 Outpatient Diagnosis
Number of BPJS-K Participants
Number of Patients' Visit
Percentage of BPJS-K Participants from the Total Number of Patients' Visit
Acute upper respiratory infections of multiple and unspecified sites 7,471,632 13,885,585 53.81
Acute nasopharyngitis (common cold) 5,442,578 9,048,116 60.15
Essential (primary) hypertension 2,720,847 7,307,489 37.23
Other soft tissue disorders, not elsewhere classified 3,491,360 5,663,508 61.65
Gastritis and duodenitis
3,655,203
5,399,395
67.70
Secondary Care Providers Top 5 Policlinic
Number of BPJS-K Participants
Number of Patients' Visit
Percentage of BPJS-K Participants from the Total Number of Patients' Visit
Internal Medicine Poly 3,176,895 11,313,876 28.08
Haemodialysis 71,657 5,259,490 1.36
Nerve Poly 1,055,128 4,885,978 21.6
Surgical Poly 1,704,022 4,682,346 36.39
Heart Poly
565,928
3,036,646
18.64
Top 5 Outpatient Diagnosis
Number of BPJS-K Participants
Number of Patients' Visit
Comparison of BPJS-K Participants and Patients' Visit
Follow-up examination after treatment 5,764,845 24,763,564 23.28
Care involving dialysis 54,695 3,403,283 1.61
Care involving use of rehabilitation 325,696 3,337,519 9.76
Other surgical follow-up cares 892,996 1,565,381 57.05
Personal history of certain other diseases 310,201 1,191,540 26.03

Source: Authors' Calculation from BPJS-K Data.