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.
摘要:
印度尼西亚老年人口正在增加,这对卫生服务来说是一个挑战。专门为老年人设计的健康计划之一是融合健康计划,被称为“Posbindu”。Posbindu是一家以社区为基础的健康服务机构,提供健康促进服务,疾病预防,以及为老年人提供的早期检测服务。然而,它的利用率没有最大化,因此,进行了一项研究,以分析与Posbindu在印度尼西亚的利用有关的因素。研究设计采用范围审查和数据分析叙事方法。研究人员使用PCC框架搜索文章,以老年人为人口(包括老年人),作为概念的因素,以及使用Posbindu的上下文。它在谷歌学者中使用了印尼语和英语关键字,Pubmed,ProQuest,和研究门数据库。然后,文章选择过程使用了PRISMA-ScR流程图,获得了201篇符合纳入标准的文章,192篇文章最后对9篇文章的结果进行了分析。文章分析结果显示,老年人参与Posbindu的平均值为47.51%,这意味着它没有达到目标。与此相关的因素是八篇文章(意图,知识,态度,教育,传统,信仰,和对行动的控制),五篇文章中的促成因素(与波宾杜的距离,获取信息,以及老年人的Posbindu质量),以及七篇文章中的强化因素(家庭支持和健康自愿支持)。从这些因素的所有p值来看,与老年人Posbindu最密切相关的是增强元素,在所有分析文章中p值小于0.03。所以,可以得出结论,增强因子与老年人Posbindu的利用最相关。所以,至关重要的是让所有部门参与进来,以增加老年人对Posbindu计划的参与。