scholarly journals Perceived Need Factor Analysis on the Utilization of Elderly Health Services in Puskesmas and Posyandu

2021 ◽  
Vol 7 (3) ◽  
pp. 360-367
Author(s):  
Della Trinanta Acesania Tumangger
Keyword(s):  
Health Services ◽  
Health Care Services ◽  
The Elderly ◽  
Subjective Assessment ◽  
Subjective Health ◽  
Clinical Aspect ◽  
Utilization Of Health Services ◽  
Perceived Need ◽  
Elderly Health ◽  
The Individual

The need factor-based to the theory of Andersen and Newman (2005) is seen from 2 aspects, which include the individual assessment aspect (perceived need factor) and the clinical aspect (evaluated need). There is still no publication of review research that discusses specific analyzes of subjective assessment of the needs of the elderly on the use of services in health facilities at Puskesmas and Posyandu. The purpose of this study was to identify the relationship between the influence of perceived need factors on the utilization of health services for the elderly at the Puskesmas and Posyandu. This study is a qualitative study with a literature review using quantitative and mixed methods analysis which are published from 2016 to 2021. The collection of literature using the Scopus, Science Direct, PubMed, and Google Scholar databases. The search results obtained 60 articles that matched the keywords and then the overall identification was carried out using inclusion and exclusion criteria in the content of the article so that 12 articles were reviewed. The results showed which variable of perceived need factor that most commonly found to be related to the utilization of elderly health care services at Puskesmas and Posyandu was the chronic condition variable (n = 4 articles), followed by the self-rated health, subjective health complaint, perception for benefit matter and limitation in daily activities variable, each of them are (n=2 articles). Further studies are needed to develop an appropriate instrument in assessing the factors of the needs of the elderly in full, namely the factors of the needs of the elderly which are seen from the clinical aspect of the utilization of health services at the Puskesmas and Posyandu.

Assessing unmet health-care needs of the elderly in west of Iran: A case study

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Bakhtiar Piroozi ◽  
Farman Zahir Abdullah ◽  
Amjad Mohamadi-Bolbanabad ◽  
Hossein Safari ◽  
Mohammad Amerzadeh ◽  
...  
Keyword(s):  
Health Care ◽  
Health Services ◽  
Health Care Services ◽  
Elderly Population ◽  
The Elderly ◽  
Care Needs ◽  
Content Type ◽  
Perceived Need ◽  
Care Services ◽  
Unmet Health Care Needs

Purpose The purpose of this study is to investigate the status of perceived need, seeking behavior and utilization of health services in the elderly population of Sanandaj (west of Iran). Design/methodology/approach This is a cross-sectional study conducted on 800 elderly people in Sanandaj. Subjects were selected using multistage sampling and data were collected using self-report questionnaires. A multivariate logistic model with odds ratios (ORs) was used to determine the relationship of independent variables with seeking perceived need. Also, the concentration index was used to measure the inequality in using health services. Findings The perceived need for outpatient (during the last 30 days) and inpatient health-care services (during the past 12 months) was 69.7% and 29.7%, respectively. Among them, the unmet need for outpatient and inpatient health-care services was 46.6% and 17%, respectively. Having health insurance (adjusted OR 12.08; 95% confidence interval [CI] 1.04–140.11), middle economic status (adjusted OR 5.18; 95% CI 1.30–20.51) and being in an age group of 65–70 years (adjusted OR 7.60; CI 1.42–40.61) increased the chance of seeking inpatient care. Also, being in an age group of 60–65 years (adjusted OR 0.41; 95% CI 0.18–0.95) reduced the chance of seeking outpatient care. There was also a pro-rich inequality in using outpatient health services. Originality/value The elderly population suffers from unmet health-care needs, especially in outpatient services. The most important reason for not seeking outpatient and inpatient services was financial barriers and self-medication, respectively. So, designing targeted policies and interventions to address barriers in the conversion of need to demand in the elderly population is essential.

scholarly journals Nurse knowledge about potentially inappropriate medications for elderly

2021 ◽  
Vol 37 ◽  
pp. e37037
Author(s):  
Gabriela Garcia Soares ◽  
Ana Luisa Zanardo Buso ◽  
Bruna Stephanie Sousa Malaquias ◽  
Rodrigo Rodrigues Silva ◽  
Juliana Maria Soares ◽  
...  
Keyword(s):  
Adverse Drug Reactions ◽  
Population Aging ◽  
The Elderly ◽  
New Drugs ◽  
Potentially Inappropriate Medications ◽  
Drug Reactions ◽  
Cross Sectional ◽  
Elderly Health ◽  
The Individual ◽  
Inappropriate Medications

Due to the consequences of changes in fertility and mortality rates, there is an increase in population aging. In this context, the use of potentially inappropriate medications in this population makes nurses important agents in the identification of adverse reactions, requiring their knowledge about these drugs and their effects. The study aimed to verify nurses knowledge about the 2015 AGS BeersCriteria, regarding the potentially inappropriate medications for the elderly, and their adverse effects. It is a cross-sectional, descriptive, and analytical study with a quantitative and qualitative approach performed in a teaching hospital in the Triângulo Mineiro, Minas Gerais. Of the 80 professionals, 74.1% reported attending the elderly frequently, and only 3.8% had a specialization course in elderly health. Only 13.8% reported knowing the Beers Criteria. And 69% believe that adverse drug reactions can be confused as a new symptom and because of this, new drugs can be inserted into the therapeutic plan. Three categories emerged: The importance of assertive knowledge about PIMs, The nurse as a fundamental character in ADR, and Knowledge as a reinforcer of care. There is evidence of the need to train nurses to better identify adverse drug reactions so that they can act on these events avoiding the worsening of the individual.

scholarly journals The Effect of Health Insurance on the Utilization of Health Services: A Systematic Review and Meta-Analysis

2019 ◽  
Vol 8 ◽  
pp. 1411
Author(s):  
Elham Shami ◽  
Jafar Sadegh Tabrizi ◽  
Shirin Nosratnejad
Keyword(s):  
Systematic Review ◽  
Health Insurance ◽  
Health Services ◽  
Health Care Services ◽  
Meta Analysis ◽  
Utilization Rate ◽  
Outpatient Services ◽  
Factors Affecting ◽  
Utilization Of Health Services ◽  
Care Services

Insurance organizations are among the most influential organizations in the health system, which can lead to healthcare efficiency and patient satisfaction in case they are increasingly accessed. The main purpose of the present systematic review was to examine the effect of health insurance on the utilization of health services and also to examine the factors affecting it. The present study was a systematic review that aimed to examine the effect of health insurance on the utilization of health care services. The study was conducted in 2016 using Scopus, PubMed, Web of Science, Science Direct, and ProQuest databases. We examined the utilization rate of health insurance in insured people. The inclusion and exclusion criteria were included based on review and meta-analysis purposes. The utilization of health services increased for inpatient and outpatient services. The utilization rate of inpatient services increased by 0.51% whereas the utilization rate of outpatient services increased by 1.26%. We classified the variables affecting the utilization rate of insurance into three main categories and sub-categories: demographic variables of the household, socioeconomic status, and health status. Our study showed that insured people increased the utilization rate of health services, depending on the type of health services. Thus, health policymakers should consider the community’s health insurance as a priority for health programs. For now, implementing universal health insurance is a good solution. [GMJ.2019;8:e1411]

scholarly journals The Role of Primary Health Care Toward Healthy Aging

2021 ◽  
Vol 4 (1SP) ◽  
pp. 10
Author(s):  
Dhanasari Vidiawati ◽  
Yuda Turana ◽  
Tonny Sundjaya
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Health Services ◽  
Health Care Services ◽  
Healthy Aging ◽  
The Elderly ◽  
Preventive Health ◽  
Care Services ◽  
Primary Health

Background: According to the World Health Organization, healthy aging is the process of developing and maintaining functional abilities that make the elderly happy. The increase in the elderly population requires more attention. In particular, health services at the primary health care level face problems related to the limited capacity of overall health services, especially in terms of health promotion and preventive health issues. It is necessary to improve the quality of health care services for the elderly to prevent greater health problems among the elderly population.Objectives: Understand the need to provide holistic health services for healthy aging and use their capabilities, and strengthen cooperation among health professionals in achieving healthy aging.Discusion: Primary health care is pointed out that primary health care should provide comprehensive services in a holistic manner to support a healthy aging process. Therefore, a well-structured, integrated, and cross-industry collaborative primary care system is needed. The system should include changes in professional behavior, coordination of care, and participation of patients' families and communities in comprehensive health care. This can be achieved through inter-professional education, continuous training and education of primary health care professionals, as well as primary health care services and cross-level health care technology innovation.Conclusions: Healthy aging is not just the absence of disease. Everyone in health and social care at all levels can play a role to help improve healthy aging. To make the elderly healthy, starting from the prevention of young health problems, it requires collaboration between health workers, primary health care and other health service levels, and health care that cooperates with patients, families, and communities.Keywords: healthy aging, primary care, preventive, health worker

scholarly journals An Assessment of Household’s Out of Pocket Healthcare Payment and Impoverishment in Nepal: Evidence from Nepal Living Standard Survey III

2017 ◽  
Vol 3 (1) ◽  
pp. 17-24
Author(s):  
Arjun K. Thapa
Keyword(s):  
Health Services ◽  
Rural Areas ◽  
Health Care Services ◽  
Secondary Data ◽  
Poverty Line ◽  
Living Standard ◽  
Cross Sectional ◽  
Utilization Of Health Services ◽  
Development Region ◽  
Free Health Care

Despite Government of Nepal’s effort of universalizing basic free health care services and other demand side financing health schemes, there is an ongoing debate regarding equity in health service coverage, availability and high out of pocket payment. So this study intends to assess out of pocket payment and its associated factors and its implication on impoverishment. A cross sectional descriptive study was designed which is based on Nepal Living Standard Survey III 2010/11, a rich and well representative secondary data of Central Bureau of Statistics, National Planning Commission Nepal. The information about individuals who reported out of pocket healthcare payment was extracted from 28,747 individuals (or 7,020 households) of the survey. An individual from a household is considered as the unit of study. The major findings of the study show that age, caste ethnicity, place of residence, ecological belt and development region have statistically significant association with OOP payment. Due to OOP expenditure near about 3 percent of people are falling below the poverty line. The impoverishment rate is high among people residing in rural areas (3.4%), Terai belt (3.4%) and Eastern development region (3.7%). Higher impoverishment level in Terai and Eastern development region where health facilities are fairly available in comparison to remote Mountain belt, low developed Far west and Mid-west only signifies low availability and utilization of health services. So there is a need to address lacunae in fair coverage and utilization of health services across the country along with impoverishment.

Hubungan pola asuh dengan kejadian stunting (rekomendasi pengendaliannya di Kabupaten Lebong)

2019 ◽  
Vol 8 (2) ◽  
pp. 140
Author(s):  
Nur Hidayah ◽  
Wismalinda Rita ◽  
Betri Anita ◽  
Fiana Podesta ◽  
Sandy Ardiansyah ◽  
...  
Keyword(s):  
Health Services ◽  
Complementary Feeding ◽  
Sampling Technique ◽  
P Value ◽  
Maternal Knowledge ◽  
Environmental Sanitation ◽  
Utilization Of Health Services ◽  
Psychosocial Stimulation ◽  
History Of ◽  
The Individual

Background: Lebong is the third highest district (34.4%) of stunting cases in Bengkulu Province, where the percentage of children under five is very short (11.8%) in Bengkulu2. The purpose of this study was to analyze the associated of parenting to stunting to children with ages 6-59 months and its control recommendation in Lebong district. Method: The type of research used was observational analytic, case control study design and purposive sampling technique. The population is mother and children with ages 6-59 months in August 2018. Quantitative data analysis (univariate and bivariate). Results: Stunting respondents in Lebong district had a history of parenting: non exclusive breastfeeding (55.20%), time for complementary feeding <6 months (55.20%), used poor health services (72.40%), low level of maternal knowledge (67.20%), poor environmental sanitation (77.60%) & poor psychosocial stimulation (94.80%). There was a relationship (P value <0.05) between history of breastfeeding, time of giving complementary feeding, utilization of health services, level of knowledge of mother, environmental sanitation, psychosocial stimulation to stunting in Lebong. Conclusion: Three factors dominant of parenting have influence to stunting in Lebong are utilization of health services, level of mother knowledge and psychosocial stimulation. The model of controled stunting risk factors in Lebong can be done through family empowerment aimed at the individual, community and health service levels.   Keywords: lebong, model, parenting style, stunting

scholarly journals Ketidakpastian Layanan Kesehatan Lansia Perempuan Dengan Penyakit Diabetes Melitus Di Dukuh Pancuran

2021 ◽  
Vol 6 (2) ◽  
Author(s):  
Hamonangan Pardede ◽  
Theresia Pratiwi Elingsetyo Sanubari ◽  
Kristiani Desimina Tauho
Keyword(s):  
Quality Of Life ◽  
Diabetes Mellitus ◽  
Health Services ◽  
Elderly Women ◽  
Endocrine System ◽  
The Elderly ◽  
Interview Guide ◽  
Sample Technique ◽  
Elderly Health

The process of aging and old age is a natural process for everyone. Increasing age can put you at risk for diseases that can attack the endocrine system. One of the diseases that many elderly have is Diabetes Mellitus with a total of 1,752 cases in 2018. To help overcome this, a form of elderly health service has emerged that can guarantee and improve health, namely the elderly posyandu. Thus, this study aims to explore the existence of health services for elderly women with Diabetes Mellitus. The method used is descriptive qualitative method with the sample technique used is purposive sampling. The instrument used was an interview guide. The results showed that many elderly women experience Diabetes Mellitus but health insurance such as the elderly posyandu is rarely found in Dukuh Pancuran. The rarity of the posyadu program for the elderly because of the lack of attention from the Dukuh Pancuran administrators can have an impact on the quality of life of the elderly. Therefore, the interaction of the elderly with the social environment is an important factor in maintaining the health needs of the elderly. The conclusion of this research is that health services such as posyandu for the elderly are needed to control and improve the quality of life for the welfare of the elderly. This research can be taken into consideration for administrators of Dukuh Pancuran and Puskesmas in implementing the posyandu program for the elderly.

scholarly journals Permasalahan Lanjut Usia di Daerah Perdesaan Terpencil

2012 ◽  
Vol 6 (5) ◽  
pp. 201 ◽  
Author(s):  
Laurentius Aswin Pramono ◽  
Cornellesi Fanumbi
Keyword(s):  
Health Services ◽  
Rural Area ◽  
Rural Areas ◽  
The Elderly ◽  
Health Department ◽  
Major Health ◽  
Lower Back ◽  
The World ◽  
Elderly Health ◽  
Elderly Living

Dalam kurun waktu 35 tahun sejak tahun 1990, jumlah lanjut usia (lansia) di Indonesia meningkat 414% dan akan berada pada peringkat kelima negara dengan lansia terbesar pada tahun 2025. Seperti umumnya di negara berkembang, lebih dari dua per tiga lansia hidup di wilayah perdesaan terpencil. Penelitian ini bertujuan untuk mendeskripsikan dan membahas berbagai masalah gangguan kesehatan, sosial budaya, pelayanan, dan program-program kesehatan lansia di Kepulauan Tanimbar Provinsi Maluku. Penelitian dengan metode kualitatif melalui observasi, partisipasi, dan wawancara terhadap 30 lansia di dua wilayah semiurban dan 6 wilayah perdesaan terpencil di kepulauan Tanimbar Provinsi Maluku pada bulan April-Juni 2010. Pengumpulan data, diskusi, dan wawancara dilakukan terhadap pemegang program lansia di dinas kesehatan dan puskesmas. Gangguan kesehatan yang banyak dialami lansia adalah artralgia genu, gastritis kronis, nyeri pinggang bawah, katarak, hipertensi, dan diabetes melitus. Masalah sosial budaya akibat urbanisasi membuat para lansia ting- gal sendiri tanpa perawatan anak atau cucu. Pelayanan kesehatan terlihat belum optimal, sarana/prasarana terbatas, aspek promosi kesehatan terabaikan, serta tenaga kesehatan yang memperhatikan kesehatan lansia masih kurang. Pos pelayanan terpadu (posyandu) lansia belum efektif, informasi minimal, kader belum optimal menunjang kebutuhan lansia. Ke de- pan, perlu memperkuat sistem pelayanan kesehatan lansia; peningkatan perhatian dan kemitraan dengan lembaga eksekutif dan legislatif; serta melakukan inovasi strategi pendidikan, pelayanan, dan penelitian di bidang kesehatan lansia di daerah terpencil dan perdesaan Indonesia.Kata kunci: Kesehatan, lanjut usia, perdesaanAbstractIndonesia is a country with the highest increase numbers of elderly in the world. In the range 35 years since 1990, the increase number of the elder- ly will be 414% that will set Indonesia in the fifth rank of the highest elderly in the world by the year of 2025. In most developing countries on the world, more than two third elderly live in remote and rural area. The aim of this study is to descript and discuss statistic data, health, health services, and programs for elderly in remote and rural Indonesia represented by Tanimbar Islands Maluku Province. The study use qualitative method by observation, participation, and interview with 30 elderly from 2 semiurban and 6 rural area in remote, rural, new developing administration district, and outer is lands of Republic Indonesia, Tanimbar Islands, Maluku Province in April to June 2010. We also interview and discuss elderly problems with elderly section program in health department West-Southeast Maluku region and el- derly program personnel in public health center. From the study, we found major health problems of the elderly in Tanimbar are genus artralgia, chronic gastritis, lower back pain, cataract, hypertension, and diabetes mellitus. Social and culture problems are urbanization which make elderly living alone. Integrated service section for elderly aren’t effective, minimal infor- mation, and the human resources aren’t optimal enough to support elderly needs. In the future, we must strengthen our health services system for elderly; expands the concern and networking with executive and legislative board; do education, service, and research innovations and strategies in the field of elderly health in remote rural Indonesia.Key words: Health, elderly, rural areas

scholarly journals Gambaran Pemberian Layanan Kesehatan Di Panti Wredha Salatiga

2021 ◽  
Vol 6 (3) ◽  
Author(s):  
Marsela Sahertian ◽  
Theresia Pratiwi Elingsetyo Sanubari ◽  
Kristiani Desimina Tauho
Keyword(s):  
Health Service ◽  
Health Services ◽  
Qualitative Method ◽  
Health Workers ◽  
The Elderly ◽  
Physical Endurance ◽  
Health Service Provider ◽  
Service Programs ◽  
Elderly Health ◽  
The Government

A person in the elderly phase will experience a continuous aging process which is characterized by decreased physical endurance so that he is susceptible to disease and can cause death. One of the programs carried out to overcome these problems is health services in Panti Wredha. This health service is very important because it is able to realize a healthy, happy and productive old age for the elderly. However, there are still elderly people in Panti Wredha who do not receive assistance in health services due to the lack of health workers in the home for the elderly where they live. The purpose of this study was to determine the description of the provision of health services to the elderly at Panti Wredha Salatiga. This research uses descriptive qualitative method. Respondents in this study amounted to 13 participants consisting of doctors, nurses, cooks, the person in charge of data collection for the elderly in the elderly at home for the elderly and health workers who handle the elderly program in Salatiga City. Data analysis techniques were carried out by making interview transcripts, coding, determining themes and writing conclusions. This research was conducted during January-March 2020. The results of this study found that elderly health services in Salatiga City were not optimal. The provision of health services for the elderly at the Panti Wredha Salatiga is still dominated by the work of the nursing home independently. The health of ice, which functions as a health service provider, has not yet participated in this role. The health office focuses on implementing health service programs at the puskesmas because there is no cross-sectoral collaboration between the Panti Wredha in Salatiga City and the Salatiga City Health Office. So it is necessary to hope for cross-sectoral collaboration between the government and the private sector so that elderly health services in Salatiga City are mutually fulfilled.

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