Utilization of Comprehensive Geriatric Assessment (P3G) in Primary Health Center at Medan City and Deli Serdang District of North Sumatera Province Indonesia

Abstract

The Ministry of Health of the Republic of Indonesia has issued Comprehensive Geriatric Assessment (P3G) guidelines in 2017, but data regarding its use in health care institutions are still limited. Community health centers as the spearhead of primary care always accept geriatric patients and should utilize CGA. The objective is to find out the results of using a comprehensive assessment guide for geriatric patients at the Medan City Health Center and Deli Serdang Regency Health Center in 2018. This research was conducted using a descriptive method with a cross-sectional design, the respondents taken were elderly people seeking treatment at three health centers, namely Sukaramai Health Center, Medan City, Bandar Khalipah Health Center and Tanjung Rejo Health Center, Deli Serdang Regency in the period August and September 2018. The number of respondents was taken using the Slovin method, data collection was carried out through questionnaire interviews and data analysis using SPSS. There were 120 respondents, 60.8% of respondents experienced mild- moderate dependence. In the IADL examination, 89.2% were still able to carry out activities independently. The results of checking the risk of falling showed that 57.5% of respondents experienced a low risk. On the GDS examination, 67.5% of respondents did not experience depression. In the Mini-Cog examination, 78% of respondents had normal cognitive function. On the MMSE examination, 80.8% of respondents’ cognitive function was still normal. On the AMT examination, 73.3% of respondents did not experience memory problems. In the MNA screening examination, 66.7% of respondents did not have nutritional problems. Conclusion: Most of the elderly who come to the health center are in the age range 60–74 and still have good functional abilities.