Outpatient Care Utilization among Elderly in South Sumatra Based on National Social-Economic Survey Data
DOI:
https://doi.org/10.30597/mkmi.v16i4.10433Keywords:
Elderly, outpatient, susenas, utilizationAbstract
Implementation of National Health Insurance is thought to be the cause of
increasing number of visits to health facilities, especially in elderly people
who tend to be in sick. This study aims to analyze the outpatient utilization
by elderly in South Sumatera region. Study design was cross-sectional.
Samples was elderly in South Sumatra (n = 2,833 people). Study done on
2016, using data from Survei Sosial Ekonomi Nasional (Susenas) at 2015. Data
analysis used chi-square test and multiple logistic regression. Based on the
study known that outpatient utilization of elderly in all health facilities
during the past month amounted to 29.2%. Providers selected when elderly
needed of outpatient treatment, most often visited to the doctor's
practice/midwife's practice (46.2%), and puskesmas (24.2%). Elderly who
has private health insurance have a tendency was 1.9 times greater (OR=1.9)
to utilize outpatient compared to elderly who do not have insurance. Its
concluded that variables associated with outpatient care utilization are:
health insurance membership (OR=1.9) and work activity (OR=1.5). It is
recommended for elderly to remain active in their activities so that they can
realize the healthy and active aging and reduce the sick visits to health
facilities.
References
Kemenkes RI. Situasi dan Analisis Lanjut Usia. Jakarta: Infodatin Pusat Data dan Informasi Kementerian Kesehatan RI. 2014.
Sulastomo. Sistem Jaminan Sosial Nasional, Mewujudkan Amanat Konstitusi. Jakarta: PT Kompas Media Nusantara; 2011.
Thabrany H. Jaminan Kesehatan Nasional. Jakarta: PT RajaGrafindo Persada; 2014.
Limwattananon S, Neelsen S, Tangcharoensathien V, Prakongsai P, Vongmongkol V, Doorslaer EV, et al. What Does Universal Coverage Do? The Impact on Health Care Utilization and Expenditures in Thailand. Thailand: Khon Kaen University, Thailand, 2012.
Panpiemras J, Puttitanun T, Samphantharak K, Thampanishvong K. Impact of Universal Health Care Coverage on patient demand for health care services in Thailand. Health Policy. 2011;103(2–3):228-235.
Mourad G, Jaarsma T, Hallert C, Strömberg A. Depressive symptoms and healthcare utilization in patients with noncardiac chest pain compared to patients with ischemic heart disease. Heart & Lung: The Journal of Acute and Critical Care. 2012;41(5):446-455.
Miyasaka Y, Barnes ME, Gersh BJ, Cha SS, Bailey KR, Seward JB, et al. Changing Trends of Hospital Utilization in Patients After Their First Episode of Atrial Fibrillation. The American Journal of Cardiology. 2008;102(5):568-572.
South Sumatra Health Office. Profil Kesehatan Provinsi Sumatera Selatan Tahun 2015. Palembang: South Sumatra Provincial Health Office; 2015.
Ilyas Y. Asuransi Kesehatan; Review Utilisasi, Manajemen Klaim dan Fraud. Depok: Fakultas Kesehatan Masyarakat Universitas Indonesia; 2011.
Feldstein PJ. Health Policy Issues: an Economic Perspective (4th ed). Chicago, Illinois Washington, DC: HealthnAdministration Press (HAP) AUPHA Press; 2007.
BPS. Survey Sosial Ekonomi Nasional 2015. Jakarta: Badan Pusat Statistik; 2015.
BPS. Laporan Bulanan Data Sosial Ekonomi, November 2014. Jakarta: Badan Pusat Statistik; 2014.
Andersen R. Revisiting the Behavioral Model and Access to Medical Care: Does it Matter?. Journal of Health and Social Behavior. 1995;36(March):1-10.
Hastono SP, Sabri L. Statistik Kesehatan. Jakarta: Rajawali Press; 2013.
Kleinbaum DG, Klein M. Logistic Regression: A Self Learning Text; Third edition. New York: Springer; 2010.
BPS. Statistik Penduduk Lanjut Usia 2014; Hasil Survey Sosial Ekonomi Nasional. Jakarta: Badan Pusat Statistik; 2015.
BPS. Profil Statistik Kesehatan 2015. Jakarta: Badan Pusat Statistik; 2015.
SMERU. Pelayanan Kesehatan Dasar di Era Otonomi Daerah. Bulletin SMERU. 2004;09(Jan-Mar ):21-26.
Hsu W-C, Hsu Y-P. Patterns of outpatient care utilization by seniors under the National Health Insurance in Taiwan. Journal of the Formosan Medical Association. 2016;115(5):325-334.
Hu J, Huang C-C. Health Service Utilization and Expenditure of the Elderly in China. Asian Social Work and Policy Review. 2016;10(2):162-174.
Wang Y, Wang J, Maitland E, Zhao Y, Nicholas S, Lu M. Growing Old Before Growing Rich: Inequality in Health Service Utilization Among the Mid-Aged and Elderly in Gansu and Zhejiang Provinces, China. BMC Health Services Research. 2012;12:302.
Lin Y-T, Hwang S-J, Chen L-K, Chen T-J, Hwang IH. Ambulatory Health Care Utilization of the Older People Under the National Health Insurance in Taiwan. Journal of Clinical Gerontology and Geriatrics. 2011;2(2):53-57.
Rechel B, Grundy E, Robine J-M, Cylus J, Mackenbach JP, Knai C, et al. Ageing in the European Union. The Lancet. 2013;381(9874):1312-1322.
Huang C-L, Cho W-C, Tak FLT, Choi W-M. An Analysis of Emergency Treatment-Seeking Characteristics in Elderly Patients in Taiwan in 2010. International Journal of Gerontology. 2015;9(3):172-177.
Wang H-H, Shyu Y-IL, Chang H-Y, Bai Y-B, Stanaway F, Lin J-D, et al. Prevalence, Characteristics, and Acute Care Utilization of Disabled Older Adults With an Absence of Help for Activities of Daily Living: Findings From A Nationally Representative Survey. Archives of Gerontology and Geriatrics. 2016;67(2016):28-33.
Dewi S-K. Level Aktivitas Fisik dan Kualitas Hiduo Warga Lanjut Usia. Media Kesehatan Masyarakat Indonesia. 2018;14(3):241-250.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2020 By Author
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Atribusi-NonKomersial-BerbagiSerupa 4.0 Internasional License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
Copyright encompasses rights to reproduce and deliver the article in all form and media, including reprints, photographs, microfilms and any other similar reproductions, as well as translations. The reproduction of any part of this journal, its storage in databases and its transmission by any form or media, such as electronic, electrostatic and mechanical copies, photocopies, recordings, magnetic media, etc.
All articles published Open Access are free for everyone to read and download. Under the CC-BY-NC-SA license, authors retain ownership of the copyright for their article, but authors grant others permission to use the content of publications in Media Kesehatan Masyarakat Indonesia Universitas Hasanuddin in whole or in part provided that the original work is properly cited. Users (redistributors) of Media Kesehatan Masyarakat Indonesia Universitas Hasanuddin are required to cite the original source, including the author's names, Media Kesehatan Masyarakat Indonesia Universitas Hasanuddin as the initial source of publication, year of publication, and volume number.
Media Kesehatan Masyarakat Indonesia Universitas Hasanuddin is licensed under Creative Commons Atribusi-NonKomersial-BerbagiSerupa 4.0 Internasional.
Deprecated: json_decode(): Passing null to parameter #1 ($json) of type string is deprecated in /home/journal33/public_html/plugins/generic/citations/CitationsPlugin.inc.php on line 49
