ELDERLY HEALTH SERVICES BASED ON THE NEEDS AND EXPECTATIONS OF THE ELDERLY AND PROVIDER'S ABILITY

Amount: ELDERLY HEALTH SERVICES BASED ON THE NEEDS AND EXPECTATIONS OF THE ELDERLY AND PROVIDER'S ABILITY

Authors: Sri Hartiningsih

Item Type: Thesis

Memberships: Master of Management Study Program, Faculty of Economics and Business Universitas Airlangga Surabaya, Indonesia

Publisher: Airlangga University

Abstract

In Indonesia, there has been a demographic transition, in 1999 the number of elderly was 7,8% of the total population, the number of people aged under 1 year was 2,36%. In the district. Gubeng in 1999 the number of elderly was 6,2°% of the total population, the number of under 1 year old was 3,2%. The elderly are a high risk group, but the utilization of health services by the elderly is low. Data from the Mojo Health Center in 2004, BP visits by the elderly are sick 18,09%, visits to Posyandu for the elderly by the elderly are not sick 2,09%. The general objective of this research is to develop elderly health services based on the needs and expectations of the elderly as well as the ability of the provider. This research is a cross-sectional survey research and is a case study in the working area of ​​Mojo Health Center, Gubeng District, Surabaya City. There are 2 types of research subjects, the first subject is 371 elderly in the working area of ​​the Mojo Health Center taken by multistage cluster random sampling, the second subject is all medical officers of the Mojo Health Center (7 people). This study analyzes the needs of the elderly for promotive, preventive, curative and rehabilitative services. . The results of this study indicate that the needs of the elderly for health services are: counseling, regular body checks, treatment and home visits for care, encouragement or exercise. The elderly's expectations for health services are: group counseling with elderly health materials, the elderly come alone for periodic checks, tablet or pill forms of medicine, there are home visits from officers for the elderly who cannot walk, officers in white uniforms, service schedule in the morning at 08.00, there are glasses aids, there are blood and urine tests, and there are religious activities, sports, recreation. The planning of the Puskesmas has been implemented, but support at the sub-district level is still needed. Implementation of Planning, promotive, preventive, curative, referral services have been implemented, but it is necessary to change the free curative services to pay according to the rates of the Puskesmas. Assessment Development has carried out reporting on the results of activities, for the development of Posyandu for the elderly it cannot be carried out due to limited personnel, the burden of coaching at Posyandu for toddlers is very high (143 posts). Facilities for the elderly posyandu do not yet exist, they need support from the Surabaya DKK through APED 11. From the results of the research and the implementation of FGDs, recommendations were made for Mojo Health Center, namely: 1. Opening an elderly poly at the Puskesmas with a service schedule on certain days. 2. Developed Posyandu for the elderly in each kelurahan in the working area as many as 2 (two posts, with group counseling activities by cadres once a month on elderly health materials, periodic checks with KMS guidelines for the elderly, treatment for sick elderly by paying according to the rates of the Puskesmas and medicine in the form of tablets or pills . Referral services, as needed, are directed to Puskesmas, government and private hospitals, including laboratory services. Fostering elderly gymnastics activities.

Keywords: ELDERLY, NEEDS, HOPE

sources: http://repository.unair.ac.id/34824/