31. Evaluation of Hypertension Patient's Adherence to Treatment in Primary Healthcare Settings Across Multiple Centers in Indonesia

Abstract

Background: Hypertension is a significant public health concern as it can lead to cardiovascular and cerebrovascular diseases. Many hypertension patients are unaware of their condition and do not take any medication. Riskesdas 2018 stated that the prevalence of hypertension in ages >18 years old is 34,1%, 8,8% being diagnosed, 13,3% not taking medication, and 32,3% in poor compliance. Multiple factors contribute to poor compliance with long-term antihypertensive therapy. This study examines hypertensive therapy compliance in primary care and its major determinants. Method: We gather the data of patients with hypertension using the Electronic Medical Record in the Primary Healthcare Center (Puskesmas). We also included the National Health Insurance system data to determine when the patient went to Puskesmas from November 2021 to October 2022. The patient's gender and other comorbid conditions become the independent variable. The dependent variable is patient compliance which is associated with the number of patient visits in 1 year. Result: We Gather 44,293 data from patients visiting 5 Puskesmas. These are 1,493 unique patients diagnosed with hypertension. Only 493 male patients from 1,493 patients (33%) went to the Puskesmas for treatment. However, there was no difference in compliance between male and female patients (p = 0.136). Hypertensive patients with comorbid (diabetes) amounted to 225 out of 1,790 patients (13%). The independent t-test showed that patients with comorbidities were more likely to routinely control (p = 0.000). Conclusion: Compliance from hypertensive patients is often neglected. Gender and comorbidities are essential for planning appropriate public interventions to increase patient compliance.