Effectiveness of Chronic Disease Management Program in Improving the Quality of Life under National Health Insurance
Misnaniarti Misnaniarti1, Iwan Stia Budi2, Asmaripa Ainy3
1Misnaniarti Misnaniarti, Department of Health Policy and Administration, Faculty of Public Health, Sriwijaya University. Palembang-Prabumulih Street KM.32, Indralaya, South Sumatera, Indonesia.
2Iwan Stia Budi, Department of Health Policy and Administration, Faculty of Public Health, Sriwijaya University. Palembang-Prabumulih Street KM.32, Indralaya, South Sumatera, Indonesia.
3Asmaripa Ainy, Department of Health Policy and Administration, Faculty of Public Health, Sriwijaya University. Palembang-Prabumulih Street KM.32, Indralaya, South Sumatera, Indonesia.
Manuscript received on 15 October 2019 | Revised Manuscript received on 21 October 2019 | Manuscript Published on 02 November 2019 | PP: 245-250 | Volume-8 Issue-2S9 September 2019 | Retrieval Number: B10540982S919/2019©BEIESP | DOI: 10.35940/ijrte.B1054.0982S919
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© The Authors. Blue Eyes Intelligence Engineering and Sciences Publication (BEIESP). This is an open access article under the CC-BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)
Abstract: Purpose: The Chronic Disease Management Program (Prolanis) implemented at Puskesmas with the concept of cost effective and efficient health services in the National Health Insurance (JKN). Prolanis intended for participants who suffer from chronic diseases to achieve optimal Quality of Life (QoL). Therefore, aims this study to assess the effectiveness of Prolanis services in improving the quality of life of JKN participants in Banyuasin District. Methodology: This study using a cross sectional design, data was taken in 2018. Population is people who suffer from chronic diseases (type 2 Diabetes Mellitus and Hypertension). Sample was pre-elderly dan elderly as Puskesmas visitors in Banyuasin District was chosen by proportional random sampling (n=250 people). Data collection used the WHOQOL-BREF questionnaire through direct interviews with respondents. Data analysis using bivariate and multivariate analysis. Main Findings: The respondents were most underage of 60 years (participants of 63.4% and non-participants of 74.1%). Most of respondents had moderate exercise habits (participants of 59.9% and non-participants of 51.9%), among others: walking, jogging, cycling, or other sports. Body Mass Index in normal category (participants of 62.0% and non-participants of 64.8%). It’s known that Prolanis participants (61.3%) and non-participants (53.7%) have majority perception of a good QoL. Respondents who are willing to become Prolanis participants are around 142 people (56.8%). Application: The Puskesmas can improve socialization and motivation for participants to use Prolanis services, and to increase the frequency of gymnastic club activities continuously so that there are many time choices. Novelty: Participants who used Prolanis services more often, will have a higher QoL score. Respondents who visited Prolanis services 3-4 times had a tendency to be 1.3 times more likely to have a good perception of QoL (RR:1.33; CI95%:0.71–2.49).
Keywords: Elderly, Prolanis, Puskesmas, Quality of Life, WHOQOL-BREF.
Scope of the Article: Healthcare Informatics