Implementation of Comprehensive Geriatric Assessment in Elderly-Friendly Public Health Centers and General Public Health Centers in Bandung

Background: Comprehensive Geriatric Assessment (CGA) is a comprehensive, multi-dimensional biopsychosocial examination. The CGA is conducted at the primary health facility such as the public health centers (Pusat Kesehatan Masyarakat, Puskesmas); categorized as Eldery-Friendly Public Health Centers...

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Main Authors: Astri Keli, Sharon Gondodiputro, Nita Arisanti
Format: Article
Language:English
Published: Universitas Padjadjaran 2020-06-01
Series:Althea Medical Journal
Subjects:
Online Access:http://journal.fk.unpad.ac.id/index.php/amj/article/view/1923
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author Astri Keli
Sharon Gondodiputro
Nita Arisanti
author_facet Astri Keli
Sharon Gondodiputro
Nita Arisanti
author_sort Astri Keli
collection DOAJ
description Background: Comprehensive Geriatric Assessment (CGA) is a comprehensive, multi-dimensional biopsychosocial examination. The CGA is conducted at the primary health facility such as the public health centers (Pusat Kesehatan Masyarakat, Puskesmas); categorized as Eldery-Friendly Public Health Centers (Puskesmas Santun Lansia), a puskesmas where one of its programs provides health care for the elderly, and Puskesmas in general, where there is no specific program for the elderly. The purpose of the study was to analyze the difference between Puskesmas santun lansia and Puskesmas in providing CGA. Methods: A comparative analytical study was carried out from August to November 2019, involving Puskesmas Santun Lansia (n=6) and puskesmas (n=12) in Bandung City. From each Puskesmas, two elderly were selected and observed for the CGA. The assessment consisted of the identity of the elderly, anamnesis, vital sign examination, physical examination, assessment of nutritional status, functional, psychosocial, social, cognitive, and mental assessment. The collected data were analyzed using the Chi-square or Fisher’s exact test. Results: This study showed that there was no difference between Puskesmas Santun Lansia and Puskesmas in the CGA, except in the simple nutritional anamnesis (p=0.003), anamnesis of the symptoms or signs of the dysfunction of the organ system (p=0.034), and body mass index measurement (p=0.009). Conclusions: The CGA is not well implemented in both Puskesmas. In the future, both of the Puskesmas should enhance their knowledge and skills to provide the CGA as mentioned in the regulation of the Minister of Health No. 67/2015.
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spelling doaj.art-1fcd8ad60d8b4a44967e0cdfc9be83d92022-12-22T00:20:58ZengUniversitas PadjadjaranAlthea Medical Journal2337-43302020-06-0172657110.15850/amj.v7n2.19231207Implementation of Comprehensive Geriatric Assessment in Elderly-Friendly Public Health Centers and General Public Health Centers in BandungAstri Keli0Sharon Gondodiputro1Nita Arisanti2Faculty of Medicine Universitas PadjadjaranDepartment of Public Health Faculty of Medicine Universitas PadjadjaranDepartment of Public Health Faculty of Medicine Universitas PadjadjaranBackground: Comprehensive Geriatric Assessment (CGA) is a comprehensive, multi-dimensional biopsychosocial examination. The CGA is conducted at the primary health facility such as the public health centers (Pusat Kesehatan Masyarakat, Puskesmas); categorized as Eldery-Friendly Public Health Centers (Puskesmas Santun Lansia), a puskesmas where one of its programs provides health care for the elderly, and Puskesmas in general, where there is no specific program for the elderly. The purpose of the study was to analyze the difference between Puskesmas santun lansia and Puskesmas in providing CGA. Methods: A comparative analytical study was carried out from August to November 2019, involving Puskesmas Santun Lansia (n=6) and puskesmas (n=12) in Bandung City. From each Puskesmas, two elderly were selected and observed for the CGA. The assessment consisted of the identity of the elderly, anamnesis, vital sign examination, physical examination, assessment of nutritional status, functional, psychosocial, social, cognitive, and mental assessment. The collected data were analyzed using the Chi-square or Fisher’s exact test. Results: This study showed that there was no difference between Puskesmas Santun Lansia and Puskesmas in the CGA, except in the simple nutritional anamnesis (p=0.003), anamnesis of the symptoms or signs of the dysfunction of the organ system (p=0.034), and body mass index measurement (p=0.009). Conclusions: The CGA is not well implemented in both Puskesmas. In the future, both of the Puskesmas should enhance their knowledge and skills to provide the CGA as mentioned in the regulation of the Minister of Health No. 67/2015.http://journal.fk.unpad.ac.id/index.php/amj/article/view/1923comprehensive geriatric assessment, elderly, puskesmas, puskesmas santun lansia
spellingShingle Astri Keli
Sharon Gondodiputro
Nita Arisanti
Implementation of Comprehensive Geriatric Assessment in Elderly-Friendly Public Health Centers and General Public Health Centers in Bandung
Althea Medical Journal
comprehensive geriatric assessment, elderly, puskesmas, puskesmas santun lansia
title Implementation of Comprehensive Geriatric Assessment in Elderly-Friendly Public Health Centers and General Public Health Centers in Bandung
title_full Implementation of Comprehensive Geriatric Assessment in Elderly-Friendly Public Health Centers and General Public Health Centers in Bandung
title_fullStr Implementation of Comprehensive Geriatric Assessment in Elderly-Friendly Public Health Centers and General Public Health Centers in Bandung
title_full_unstemmed Implementation of Comprehensive Geriatric Assessment in Elderly-Friendly Public Health Centers and General Public Health Centers in Bandung
title_short Implementation of Comprehensive Geriatric Assessment in Elderly-Friendly Public Health Centers and General Public Health Centers in Bandung
title_sort implementation of comprehensive geriatric assessment in elderly friendly public health centers and general public health centers in bandung
topic comprehensive geriatric assessment, elderly, puskesmas, puskesmas santun lansia
url http://journal.fk.unpad.ac.id/index.php/amj/article/view/1923
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AT nitaarisanti implementationofcomprehensivegeriatricassessmentinelderlyfriendlypublichealthcentersandgeneralpublichealthcentersinbandung