Faktor-faktor yang memengaruhi penduduk lanjut usia berobat jalan di Provinsi Jawa Timur

Irdam Ahmad, Ayu Lailal Barikha


This study aims to determine factors influencing outpatient treatment of elderly population in East Java Province. The analysis used raw data of the 2017 National Socio-Economic Survey (Susenas) conducted by Statistics Indonesia. The unit of analysis is population aged 60 years and over, with a total sample of 6,511 persons. Multilevel binary logistic regression model was employed for the analysis. The results showed that nearly half (49.6%) of the unwell elderly population did not seek treatment. The reasons for this behaviour include they did not have enough money (especially in rural areas), chose to self-medicate, and felt no need for treatment. For the elderly who seek outpatient treatment, the most visited health facility is doctor or midwife practice. The results also show that factors affecting the behavior of elderly population in outpatient treatment are economic status, working status, activity disruption, and health insurance ownership.


elderly; outpatient; Susenas; logistic regression

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Agresti, A. (2007). Categorical data analysis second edition. John Wiley & Sons.

Andersen, R. M. (2008). National health surveys and the behavioral model of health services use. Medical Care, 46(7), 647–653. https://doi.org/10.1097/MLR.0b013e31817a835d

Andersen, R., & Newman, J. F. (2005). Societal and individual determinants of medical care utilization in the United States. The Milbank Quarterly, 83(4). https://doi.org/10.1111/j.1468-0009.2005.00428.x

Azwar, A. (1988). Pengantar administrasi kesehatan edisi kedua. Binarupa Aksara.

BPS. (2017). Pedoman konsep dan definisi Susenas Maret 2017. Badan Pusat Statistik.

BPS (2018). Profil penduduk lanjut usia Provinsi Jawa Timur 2017. Badan Pusat Statistik Provinsi Jawa Timur.

Biswas, P., Kabir, Z. N., Nilsson, J., & Zaman, S. (2006). Dynamics of health care seeking behaviour of elderly people in rural Bangladesh. International Journal of Ageing and Later Life, 1(1), Article 1. https://doi.org/10.3384/ijal.1652-8670.061169

Boachie, M. K. (2017). Utilisation of outpatient healthcare services among elderly people with hypertension in Ghana. Journal of Behavioral Health, 6(4), 170–177. https://doi.org/10.5455/jbh.20170705063150

Chukwudi, O. N., Uyilewhoma, I. M., Chukwudi, O. E., Ebi, E. J., Emmanuel, O. M., Kalu, O. O., & Iyamba, E. E. (2015). Determinants of health services utilization among the elderly in Calabar Municipality, Cross River State, Nigeria. European Journal of Preventive Medicine, 3(5). https://doi.org/10.11648/j.ejpm.20150305.11

Dou, L., Liu, X., Zhang, T., & Wu, Y. (2015). Health care utilization in older people with cardiovascular disease in China. International Journal for Equity in Health, 14, 59. https://doi.org/10.1186/s12939-015-0190-y

Harlan, J. (2016). Analisis multilevel. Universitas Gunadarma.

Hox, J. J. (2010). Multilevel analysis techniques and applications. Routledge.

Kementerian Kesehatan RI. (2017). Analisis lansia di Indonesia. Kementrian Kesehatan Republik Indonesia.

Kholifah, S. N. (2017). Modul bahan ajar cetak keperawatan gerontik. Kementrian Kesehatan Republik Indonesia.

Madyaningrum, E., Chuang, Y.-C., & Chuang, K.-Y. (2018). Factors associated with the use of outpatient services among the elderly in Indonesia. BMC Health Services Research, 18(1), 707. https://doi.org/10.1186/s12913-018-3512-0

Manafe, D. (2014, 10 Februari). Populasi manula bertambah, BKKBN buat program lansia tangguh. Beritasatu. https://www.beritasatu.com/kesehatan/165393/populasi-manula-betambah-bkkbn-buat-program-lansia-tangguh

Min Min Hlaing, S., Clara, N., & Han, A. N. (2020). Factors influencing health service utilization among the elderly in Insein Township, Yangon Region. Makara Journal of Health Research, 24(3). https://doi.org/10.7454/msk.v24i3.1223

Moe, S., Tha K., Naing D. K. S., & Htike, M. M. T. (2012). Health seeking behavior of elderly in Myanmar. International Journal of Collaborative Research on Internal Medicine & Public Health, 4(8), 1538-1544. https://www.iomcworld.org/articles/health-seeking-behaviour-of-elderly-in-myanmar.pdf

Patel, S. K. (2007). A multilevel exploration of treatment seeking behaviour of disabled persons in India. The Internet Journal of Tropical Medicine, 5(1). http://ispub.com/IJTM/5/1/13610

Patle, R. A., & Khakse, G. M. (2015). Health-seeking behaviour of elderly individuals: A community-based cross-sectional study. The National Medical Journal of India, 28(4), 181–184.

Park, J. M. (2014). Health status and health services utilization in elderly Koreans. International Journal for Equity in Health, 13, 73. https://doi.org/10.1186/s12939-014-0073-7

Somers, A. R. (1974). Recharting national health priorities: A new Canadian perspective. The New England Journal of Medicine, 291(8), 415–416. https://doi.org/10.1056/NEJM197408222910811

Terfa, Y. B., Germossa, G. N., Hailu, F. B., Feyissa, G. T., Jaleta, F. T., & Shinkie, S. O. (2019). Determinants of health care utilization among the elderly population in Jimma Town, Oromia Region, Southwest Ethiopia. International Archives of Nursing and Health Care, 5(3). https://doi.org/10.23937/2469-5823/1510131

DOI: https://doi.org/10.14203/jki.v17i1.723

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