Outpatient Care Utilization among Elderly in South Sumatra Based on National Social-Economic Survey Data
Abstract
Implementation of National Health Insurance is thought to be the cause ofincreasing number of visits to health facilities, especially in elderly peoplewho tend to be in sick. This study aims to analyze the outpatient utilizationby elderly in South Sumatera region. Study design was cross-sectional.Samples was elderly in South Sumatra (n = 2,833 people). Study done on2016, using data from Survei Sosial Ekonomi Nasional (Susenas) at 2015. Dataanalysis used chi-square test and multiple logistic regression. Based on thestudy known that outpatient utilization of elderly in all health facilitiesduring the past month amounted to 29.2%. Providers selected when elderlyneeded of outpatient treatment, most often visited to the doctor'spractice/midwife's practice (46.2%), and puskesmas (24.2%). Elderly whohas 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. Itsconcluded that variables associated with outpatient care utilization are:health insurance membership (OR=1.9) and work activity (OR=1.5). It isrecommended for elderly to remain active in their activities so that they canrealize the healthy and active aging and reduce the sick visits to healthfacilities.
References
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22. 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.
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2. Sulastomo. Sistem Jaminan Sosial Nasional, Mewujudkan Amanat Konstitusi. Jakarta: PT Kompas Media Nusantara; 2011.
3. Thabrany H. Jaminan Kesehatan Nasional. Jakarta: PT RajaGrafindo Persada; 2014.
4. 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.
5. 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.
6. 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.
7. 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.
8. South Sumatra Health Office. Profil Kesehatan Provinsi Sumatera Selatan Tahun 2015. Palembang: South Sumatra Provincial Health Office; 2015.
9. Ilyas Y. Asuransi Kesehatan; Review Utilisasi, Manajemen Klaim dan Fraud. Depok: Fakultas Kesehatan Masyarakat Universitas Indonesia; 2011.
10. Feldstein PJ. Health Policy Issues: an Economic Perspective (4th ed). Chicago, Illinois Washington, DC: HealthnAdministration Press (HAP) AUPHA Press; 2007.
11. BPS. Survey Sosial Ekonomi Nasional 2015. Jakarta: Badan Pusat Statistik; 2015.
12. BPS. Laporan Bulanan Data Sosial Ekonomi, November 2014. Jakarta: Badan Pusat Statistik; 2014.
13. 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.
14. Hastono SP, Sabri L. Statistik Kesehatan. Jakarta: Rajawali Press; 2013.
15. Kleinbaum DG, Klein M. Logistic Regression: A Self Learning Text; Third edition. New York: Springer; 2010.
16. BPS. Statistik Penduduk Lanjut Usia 2014; Hasil Survey Sosial Ekonomi Nasional. Jakarta: Badan Pusat Statistik; 2015.
17. BPS. Profil Statistik Kesehatan 2015. Jakarta: Badan Pusat Statistik; 2015.
18. SMERU. Pelayanan Kesehatan Dasar di Era Otonomi Daerah. Bulletin SMERU. 2004;09(Jan-Mar ):21-26.
19. 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.
20. 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.
21. 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.
22. 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.
23. 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.
24. 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.
25. 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.
26. Dewi S-K. Level Aktivitas Fisik dan Kualitas Hiduo Warga Lanjut Usia. Media Kesehatan Masyarakat Indonesia. 2018;14(3):241-250.
Authors
Misnaniarti, M., & Etrawati, F. (2020). Outpatient Care Utilization among Elderly in South Sumatra Based on National Social-Economic Survey Data. Media Kesehatan Masyarakat Indonesia, 16(4), 509-518. https://doi.org/10.30597/mkmi.v16i4.10433
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