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.