FAKTOR-FAKTOR YANG MEMPENGARUHI UTILISASI PELAYANAN KESEHATAN PADA LANSIA DI INDONESIA (ANALISIS DATA IFLS2014)
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Institusion
Universitas Sriwijaya
Author
NUR AFNI (STUDENT ID : 10011181419056)
Haerawati Idris (LECTURER ID : 0910038601)
Haerawati Idris (LECTURER ID : 0910038601)
Subject
R Medicine (General)
Datestamp
2019-07-18 15:08:05
Abstract :
Background: aging population has become an important issue that many discussed in various countries of the world. The proportion of the older population is getting better in both developed and developing countries. Elderly tend to need more health services considering the elderly are people who are more susceptible to chronic diseases. The purpose of this study is to determine the factors that affect the utilization of health services (outpatient, inpatient) in the elderly. Method: the analysis of this study useddata Indonesian Family Life Survey 2014which represents 83% of the population in Indonesia. The theory used is Andersen health service utilization model. This research usestudy design cross sectional with sampling using multistage random sampling so that got sample of 5,325 individuals aged ≥60 years. The method of analysis of this study using univariate, bivariate analysis, with chi-square and multivariate test using multiple logistic regression test prediction model. Results: This study found that elderly people who utilize health services for outpatient care were 993 (18.6%) and the elderly who utilized health services for inpatient was 222 (4.2%). Predictors for the most dominant outpatient utilization were influenced by a perceived health. The PR score was 0,38 (95% CI: 0,33-0,44) after controlled by other variables. The most dominant utilization of inpatient care is influenced by the very rich economic status obtained by PR 4.67 (95% CI: 2,90 - 7,51) after being controlled by other variables. Conclusion: sick perceived health can be indicator to looked elder not utilized to outpatient, to overcome this the government is expected to give policy with approach at puskesmas to more emphasize effort of promotif and preventif. Ownership of health insurance can overcome the utilization of health services for inpatient care in financial constraints, so the government needs to make the whole elderly can have health insurance without financial barriers.
Background: aging population has become an important issue that many discussed in various countries of the world. The proportion of the older population is getting better in both developed and developing countries. Elderly tend to need more health services considering the elderly are people who are more susceptible to chronic diseases. The purpose of this study is to determine the factors that affect the utilization of health services (outpatient, inpatient) in the elderly. Method: the analysis of this study useddata Indonesian Family Life Survey 2014which represents 83% of the population in Indonesia. The theory used is Andersen health service utilization model. This research usestudy design cross sectional with sampling using multistage random sampling so that got sample of 5,325 individuals aged ≥60 years. The method of analysis of this study using univariate, bivariate analysis, with chi-square and multivariate test using multiple logistic regression test prediction model. Results: This study found that elderly people who utilize health services for outpatient care were 993 (18.6%) and the elderly who utilized health services for inpatient was 222 (4.2%). Predictors for the most dominant outpatient utilization were influenced by a perceived health. The PR score was 0,38 (95% CI: 0,33-0,44) after controlled by other variables. The most dominant utilization of inpatient care is influenced by the very rich economic status obtained by PR 4.67 (95% CI: 2,90 - 7,51) after being controlled by other variables. Conclusion: sick perceived health can be indicator to looked elder not utilized to outpatient, to overcome this the government is expected to give policy with approach at puskesmas to more emphasize effort of promotif and preventif. Ownership of health insurance can overcome the utilization of health services for inpatient care in financial constraints, so the government needs to make the whole elderly can have health insurance without financial barriers.
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RAMA_ 13201_10011181419056 _0910038601_08_ref.pdf
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