探索印度尼西亚针对老年人的社区健康项目“波斯兰西亚”的实施情况。
Exploring the implementation of poslansia, Indonesia's community-based health programme for older people.
作者信息
Christiani Yodi, Byles Julie E, Tavener Meredith, Dugdale Paul
机构信息
Priority Research Centre for Generational Health and Ageing, Hunter Medical Research Institute (HMRI), University of Newcastle, Callaghan, New South Wales, Australia.
Centre for Health Stewardship, Australian National University, Canberra, Australia.
出版信息
Australas J Ageing. 2016 Sep;35(3):E11-6. doi: 10.1111/ajag.12305. Epub 2016 May 20.
AIM
To explore the implementation of poslansia, a community-based integrated health service implemented across Indonesia to improve the health status of older people through health promotion and disease prevention.
METHODS
Data analysis of 307 poslansia surveyed in the 4th wave of Indonesia Family Life Survey (IFLS-4). We examined the services provided in the programme, resources and perceived problems.
RESULTS
The services provided by poslansia focused mostly on risk factor screening and treatment for minor illness, and less on health promotion activities. Lack of support from community health centres, no permanent place for holding poslansia and lack of participant interest in joining the programme were associated with fewer services provided in the programme (P < 0.05).
CONCLUSION
The findings indicate existing support from the community, community health centres and related institutions for poslansia is not adequate for optimal service function. Health awareness among the older population should also be increased for programme sustainability.
目的
探讨“波斯兰西亚”（poslansia）的实施情况，这是一项在印度尼西亚各地推行的基于社区的综合健康服务，旨在通过健康促进和疾病预防来改善老年人的健康状况。
方法
对印度尼西亚家庭生活调查第四轮（IFLS - 4）中调查的307个“波斯兰西亚”进行数据分析。我们研究了该项目提供的服务、资源以及感知到的问题。
结果
“波斯兰西亚”提供的服务主要集中在危险因素筛查和小病治疗上，而健康促进活动较少。社区卫生中心缺乏支持、没有举办“波斯兰西亚”的固定场所以及参与者对加入该项目缺乏兴趣，这些都与该项目提供的服务较少有关（P < 0.05）。
结论
研究结果表明，社区、社区卫生中心及相关机构对“波斯兰西亚”的现有支持不足以实现最佳服务功能。为了项目的可持续性，还应提高老年人群的健康意识。
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