Abstract
The Chronic Disease Management Program (Prolanis) is an effort of the government and BPJS Kesehatan to carry out health care for BPJS Kesehatan participants who suffer from chronic diseases to achieve optimal quality of life with health care costs effective and efficient. Primary Level Health Facilities (PLHF) such as Puskesmas, Family Doctors, and primary care clinics that have collaborated with BPJS Kesehatan are obliged to implement Prolanis. This study aims to determine the relationship between enabling factors and need factors on the use of Prolanis. This research is a type of analytic survey research with a cross sectional approach which is carried out in several PLHFs, namely; Gentungan Health Center, Manuju Health Center and Tinggi Moncong Health Center. The population in this study were participants in the prolanis activities at the PLHF. The number of samples in this study were 107 people. The results of this study indicate that the factors that influence the use of prolanis in PLHF are; Educational history (0.001), income (0.029), BPJS Kesehatan membership class (0.019), role of health workers (0.001) and timeliness of implementation of prolanis activities (0.048). Factors that do not affect the use of prolanis in PLHF are; Gender (0.369), Age (0.169), Occupation (0.103), Distance from house to PLHF (0.353), Family support (0.413), Knowledge (0.145), Need for prolanis (0.400) and disease control (0.315)
Highlights
Chronic disease is a type of degenerative disease that develops or persists for a very long period of time, which is more than six months
The purpose of this study was to determine the factors associated with the use of the Chronic Disease Management Program (PROLANIS) at the Primary Level Health Facilities (PLHF) BPJS Kesehatan in Gowa Regency based on enabling factors and need factors
Enabling factors for participants to take advantage of chronic disease management programs, namely the class of participation, the role of health workers and the timeliness of implementation based on the results of statistical tests resulted in a p-value less than alpha, namely 0.05, which means that the class of participation, the role of health workers and timeliness of implementation have a relationship to utilization BPJS Health chronic disease management program (Prolanis)
Summary
Chronic disease is a type of degenerative disease that develops or persists for a very long period of time, which is more than six months. Based on examination of blood sugar, the prevalence of diabetes mellitus increased from 6.9 percent to 8.5 percent; and the results of blood pressure measurements, hypertension rose from 25.8 percent to 34.1 percent.[1,2] Hypertension is still a big challenge in Indonesia because of a condition that is often found in primary health care. This is a health problem with a high prevalence of chronic diseases in Indonesia. Hypertension control is inadequate even though effective drugs are widely available.[3]
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