Catheter Laboratory Facilities in Indonesia: Number, Growth, and Distribution in The Largest Archipelago Nation

Abstract

AbstractBackgroundIndonesia, the world’s largest archipelago and fourth most populous nation, has limited transportation due to geographical obstacles. This affects the provision of acute time-dependent therapy such as Percutaneous Coronary Intervention (PCI). Indonesia’s ageing population, which will increase Acute Coronary Syndrome prevalence in the next decade, will worsen this problem. Therefore, the analysis and enhancement of cardiovascular care are crucial. The catheterization laboratory (cath lab) performs PCI procedures. This study maps the number and distribution of Indonesia’s cath lab facilities.MethodsA direct survey was used to collect the cath lab location data. Population data came from the Ministry of Home Affairs. The growth of cath labs is shown and analyzed by region. The ratio and the Gini index are the primary comparison tools between regions and over time.FindingsThe number of cath labs in Indonesia significantly increased from 181 to 310 in the last five years, with 44 of the 119 new labs built in an area that did not have one. Java has the most cath labs (208, 67%). The cath lab ratio in the provinces of Indonesia ranges from 0·0 in West Papua and Maluku to 4·46 in Jakarta; the median is 1·09. (IQR 0·71–1·18). The distribution remains a problem, as shown by the high cath lab Gini index (0·48).InterpretationThe number of cath labs in Indonesia has increased significantly recently. However, maldistribution remains a concern. In order to improve Indonesia’s cardiovascular emergency services, Future cath lab development must be planned better by considering the facility accessibility and density.FundingThe study was conducted with the researcher’s fundsEvidence Before StudyIndonesia is the fourth-largest nation by population and the largest archipelagic country. Unfortunately, the number of cath lab facilities nationwide in Indonesia was never examined or mentioned in any previous scientific articles that we could find. According to earlier studies, cathlab accessibility is critical in reducing the time ACS patients take to receive care. It is become crucial to map cathlab locations and plan them in strategic locations.What this Study AddsThis study provides data on the number of cathlabs, their primary geographic distribution, their cath lab-to-population ratio, and their evolution over the previous five years in Indonesia.Our research demonstrates that to ensure equity access, Indonesia, as the largest archipelagic nation, needs government policies that initiate the distribution of cathlabs and the strategic placing of cathlabs as critical factors.