Factors Related to The Utilization of Integration Health Program (Posbindu) Among Older Adults in Indonesia: A Scoping Review

IF 3.6 3区 医学 Clinical Interventions in Aging Pub Date : 2024-07-24 DOI:10.2147/cia.s462621
Citra Windani Mambang Sari, Vina Nur Khoeriyah, Mamat Lukman
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Abstract

Abstract: Indonesia is experiencing an increase in the elderly population, which is a challenge for health services. One of the health programs specifically designed for older people is the integration health program, known as “Posbindu”. Posbindu is a community-based health service that provides health promotion, disease prevention, and early detection services for the elderly. However, its utilization has not been maximized, so a study was conducted to analyze the factors related to the utilization of Posbindu in Indonesia. The research design used a scoping review and data analysis narrative approach. The researcher searched articles using the PCC framework, with the elderly as the population (including pre-elderly), the factors as concept, and the context as utilization of Posbindu. It used Indonesian and English keywords in the Google Scholar, Pubmed, ProQuest, and Researchgate databases. Then, the article selection process used the PRISMA-ScR flow chart, and 201 articles were obtained that matched the inclusion criteria, 192 articles, and the final result was nine articles were analyzed. The results of the article analysis showed that the average value of older people’s participation in Posbindu was 47.51%, which means it did not reach the target. Factors related to this are predisposition factors found in eight articles (intentions, knowledge, attitudes, education, traditions, beliefs, and control over actions), enabling factors in five articles (distance to Posbindu, access to information, and quality of Posbindu for older people), and reinforcing factors in seven articles (family support and health voluntary support). From all p-values for these factors, the most strongly related to Posbindu for the elderly was reinforcing elements, with a p-value of less than 0.03 in all analyzed articles. So, it can be concluded that the reinforcing factor is the most related to the utilization of the elderly Posbindu. So, it is crucial to involve all sector to increase the participation of older people in Posbindu program.

Keywords: elderly, posbindu, integration, utilization, factors
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印尼老年人利用综合保健计划(Posbindu)的相关因素:范围审查
摘要:印度尼西亚的老年人口正在不断增加,这对医疗服务是一个挑战。其中一项专门为老年人设计的保健计划是被称为 "Posbindu "的整合保健计划。Posbindu 是一项以社区为基础的医疗服务,为老年人提供健康促进、疾病预防和早期检测服务。然而,该计划并未得到最大程度的利用,因此我们开展了一项研究,分析印尼利用 Posbindu 计划的相关因素。研究设计采用了范围综述和数据分析叙述法。研究人员使用 PCC 框架搜索文章,将老年人作为研究对象(包括老年前期),因素作为概念,背景作为 Posbindu 的使用情况。在 Google Scholar、Pubmed、ProQuest 和 Researchgate 数据库中使用了印尼语和英语关键词。然后,使用 PRISMA-ScR 流程图进行文章筛选,共获得 201 篇符合纳入标准的文章,192 篇文章,最终对 9 篇文章进行了分析。文章分析结果显示,老年人参与波斯宾度的平均值为 47.51%,即没有达到目标。与此相关的因素包括 8 篇文章中的倾向性因素(意向、知识、态度、教育、传统、信仰和对行动的控制)、5 篇文章中的有利因素(距离 Posbindu 的距离、获取信息的途径和老年人 Posbindu 的质量)和 7 篇文章中的强化因素(家庭支持和医疗志愿支持)。从这些因素的所有 p 值来看,与老年人 Posbindu 关系最密切的是强化因素,所有分析文章的 p 值均小于 0.03。因此,可以得出结论,强化因素与老年人使用 Posbindu 的关系最大。因此,让所有部门参与进来以提高老年人对 Posbindu 项目的参与度至关重要。
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来源期刊
Clinical Interventions in Aging
Clinical Interventions in Aging GERIATRICS & GERONTOLOGY-
CiteScore
6.20
自引率
2.80%
发文量
193
期刊介绍: Clinical Interventions in Aging, is an online, peer reviewed, open access journal focusing on concise rapid reporting of original research and reviews in aging. Special attention will be given to papers reporting on actual or potential clinical applications leading to improved prevention or treatment of disease or a greater understanding of pathological processes that result from maladaptive changes in the body associated with aging. This journal is directed at a wide array of scientists, engineers, pharmacists, pharmacologists and clinical specialists wishing to maintain an up to date knowledge of this exciting and emerging field.
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