Factors associated with the use of outpatient services among the elderly in Indonesia

Abstract Background Elderly people tend to have greater healthcare utilization because of their health status. However, with the 4th largest population in the world, little is known concerning the use of services among the Indonesian elderly. Hence, this study aimed to identify factors related to th...

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Main Authors: Ema Madyaningrum, Ying-Chih Chuang, Kun-Yang Chuang
Format: Article
Language:English
Published: BMC 2018-09-01
Series:BMC Health Services Research
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12913-018-3512-0
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author Ema Madyaningrum
Ying-Chih Chuang
Kun-Yang Chuang
author_facet Ema Madyaningrum
Ying-Chih Chuang
Kun-Yang Chuang
author_sort Ema Madyaningrum
collection DOAJ
description Abstract Background Elderly people tend to have greater healthcare utilization because of their health status. However, with the 4th largest population in the world, little is known concerning the use of services among the Indonesian elderly. Hence, this study aimed to identify factors related to the use of outpatient services among the Indonesian elderly. Methods This is cross sectional study using data from the Indonesian Family Life Survey 5 (IFLS 5), conducted in 2014 and 2015. Only those who were 60 years or older were included in the analyses. We used a logistic regression analysis to determine factors associated with use of outpatient services. Results Among 2912 participants, only 22.7% of respondents had visited health workers or doctors within the previous 4 weeks before the survey. After controlling for other variables, factors associated with the use of outpatient services were socioeconomic status, insurance status, regions of residence, self-rated health, and the number of chronic conditions. Conclusion Inequality in outpatient services was observed among the elderly in Indonesia. More effort is need to expand insurance coverage for the elderly, particularly for those in the lower economic status, and to improve access to outpatient services in rural regions by allocating the needed resources.
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spelling doaj.art-e289a12337db43e0aa7fb93dd9c71f2a2022-12-22T03:57:03ZengBMCBMC Health Services Research1472-69632018-09-011811910.1186/s12913-018-3512-0Factors associated with the use of outpatient services among the elderly in IndonesiaEma Madyaningrum0Ying-Chih Chuang1Kun-Yang Chuang2School of Public Health, Taipei Medical UniversitySchool of Public Health, Taipei Medical UniversitySchool of Public Health, Taipei Medical UniversityAbstract Background Elderly people tend to have greater healthcare utilization because of their health status. However, with the 4th largest population in the world, little is known concerning the use of services among the Indonesian elderly. Hence, this study aimed to identify factors related to the use of outpatient services among the Indonesian elderly. Methods This is cross sectional study using data from the Indonesian Family Life Survey 5 (IFLS 5), conducted in 2014 and 2015. Only those who were 60 years or older were included in the analyses. We used a logistic regression analysis to determine factors associated with use of outpatient services. Results Among 2912 participants, only 22.7% of respondents had visited health workers or doctors within the previous 4 weeks before the survey. After controlling for other variables, factors associated with the use of outpatient services were socioeconomic status, insurance status, regions of residence, self-rated health, and the number of chronic conditions. Conclusion Inequality in outpatient services was observed among the elderly in Indonesia. More effort is need to expand insurance coverage for the elderly, particularly for those in the lower economic status, and to improve access to outpatient services in rural regions by allocating the needed resources.http://link.springer.com/article/10.1186/s12913-018-3512-0Outpatient servicesElderlyIndonesiaHealth careUtilization
spellingShingle Ema Madyaningrum
Ying-Chih Chuang
Kun-Yang Chuang
Factors associated with the use of outpatient services among the elderly in Indonesia
BMC Health Services Research
Outpatient services
Elderly
Indonesia
Health care
Utilization
title Factors associated with the use of outpatient services among the elderly in Indonesia
title_full Factors associated with the use of outpatient services among the elderly in Indonesia
title_fullStr Factors associated with the use of outpatient services among the elderly in Indonesia
title_full_unstemmed Factors associated with the use of outpatient services among the elderly in Indonesia
title_short Factors associated with the use of outpatient services among the elderly in Indonesia
title_sort factors associated with the use of outpatient services among the elderly in indonesia
topic Outpatient services
Elderly
Indonesia
Health care
Utilization
url http://link.springer.com/article/10.1186/s12913-018-3512-0
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