PROLANIS PARTICIPANTS ACTIVITY TO CONTROL REFERRAL TO ADVANCED HEALTH FACILITIES
Keywords:
Prolanis, Referral control, Cost efficiencyAbstract
The Chronic Disease Management Program (Prolanis) is a program that synergizes the involvement of participants, health facilities, and Healthcare and Social Security Agency (BPJS Kesehatan). Health Center has not been effective in treating Non-Communicable Diseases (NCDs). This requires special efforts to prevent and control NCDs so as not to burden national health insurance program. The purpose of this study was to find out the impact of prolanis on referral control and efficiency chronic disease services. Exploratory research design was used to determine the application of prolanis policy.The population is Prolanis participants who were held at the Bengkulu City Health Center. The sample was obtained by convinence sampling with 211 subjects participated in Prolanis activities. The selected sample was prolanis participants who suffered from diabetes mellitus and hypertension. Based on correlation and regression tests, healthy living adherence with patient referral frequency indicated a weak relationship (r=0.155) and positive pattern. It means the higher compliance of participants, the lower referral frequency. The result showed that there was relationship between the compliance of healthy living participants with patient referrals in Bengkulu City (p=0.024). This means that there is significant difference between FKTL referrals before and after the participation of prolanis in Bengkulu City. Active prolanis participants can encourage participants with chronic diseases to achieve quality of life and reduce frequency of referral to FKTL. Reducing the frequency of referral FKTL can streamline the cost of health services to FKTL.
References
Barrett DH, Ortmann WL, Dawson A, Saenz C, Reis A, Gail Bolan G.(editor). Public Health Ethics Vol.3: Michael J. Selgelid https://www.ncbi.nlm.nih.gov/books/NBK435776/pdf/ Bookshelf_NBK435776.pdf
BPJS. Panduan praktis Prolanis (Program pengelolaan penyakit kronis). BPJS Kesehat. 2014;
Febriawati H, Yandrizal. Manajemen dan Peran PUSKESMAS Sebagai Gatekeeper. Gosyen Publishing. Yogyakarta. 2018.
World Bank. Supple Side Readiness for Universal Health Coverage : Assessing the Depth of Coverage for Non-Communicable Diseases in Indonesia [Internet]. 2015. Available from: www.worldbank.org.
Rachmawati S, Prihhastuti-Puspitasari H, Zairina E. The implementation of a chronic disease management program (Prolanis) in Indonesia: A Literature Review. J Basic Clin Physiol Pharmacol. 2020;30(6):1–6.
Malaysian Journal of Public Health Medicine 2023, Vol. 23 (2):20-27
Alkaff FF, Illavi F, Salamah S, Setiyawati W, Ramadhani R, Purwantini E, et al. The Impact of the Indonesian Chronic Disease Management Program (PROLANIS) on Metabolic Control and Renal Function of Type 2 Diabetes Mellitus Patients in Primary Care Setting. J Prim Care Community Heal. 2021;12:1–10.
BPJS Kesehatan No.2. Peraturan Badan Penyelenggara Jaminan Sosial Kesehatan Nomor 2 Tahun 2015 Tentang Norma Penetapan Besaran Kapitasi dan Pembayaran Kapitasi Berbasis Pemenuhan Komitmen Pelayanan Pada Fasilitas Kesehatan Tingkat Pertama. Anim Genet. 2015;39(5):561–3.
KH R. Kendali Mutu & Kendali Biaya jadi Prioritas BPJS Kesehatan [Internet]. cncbindonesia.com; 2021. Available from: https://www.cnbcindonesia.com/news/ 20210617094059-4-253782/kendali-mutu-kendali-biaya-jadi-prioritas-bpjs-kesehatan
Khoe LC, Wangge G, Soewondo P, Tahapary DL, Widyahening IS. The Implementation of Community-Based Diabetes and Hypertension Management Care Program in Indonesia. PLoS One. 2020;15(1):1–9.
Peraturan Presiden. Peraturan Presiden Nomor 12 tahun 2013 tentang Jaminan Kesehatan Nasional. 2013.
BPJS Kesehatan. Panduan Praktis Prolanis (Program Pengelolaan Penyakit Kronis). 2015.
Riskesdas. Laporan Nasional Rikesdas 2018. Jakarta: Badan Penelitian dan Pengembangan Kesehatan Departemen Kesehatan Republik Indonesia; 2018.
Dinas Kesehatan Kota Bengkulu. Profil Kesehatan Kota Bengkulu. 2018.
BPJS Kesehatan. Ringkasan Eksekutif Laporan Pengelolaan Program dan Laporan Keuangan Jaminan Sosial Kesehatan. Badan Penyelenggaraan Jaminan Sosial (BPJS) Kesehatan; 2016.
NICE. Community engagement to improve health. London: National Institute for Health and Clinical Excellence 2008. Nature Reviews Microbiology. 2008.
WHO. Non communicable Diseases Progess Monitoring 2015. WHO institutional repository. World Health Organization (WHO). 2015.
Firdaus DFS, Idris H. Evaluation of Chronic Diseases Management Program (Prolanis). Adv Heal Sci Res [Internet]. 2020;25(Sicph 2019):376–83. Available from: http://creativecommons.org/ licenses/by-nc/4.0/. 376
Hayden J. Introduction to Health Behavior Theory Second Edition. Jones & Bartlett Learning; 2013.
Mutulei A. Factors Influencing the Uptake of Intermittent Preventive Treatment for Malaria in Pregnancy: Evidence from Bungoma East District, Kenya.American Journal of Public Health Research.Vol. 1. No.110—123. Am J Public Heal Res. 2013;1:110–23.
Puspita FA, Rakhma LR. Hubungan Lama Kepesertaan Prolanis dengan Tingkat Pengetahuan Gizi dan Kepatuhan Diet Pasien Diabetes Mellitus di Puskesmas Gilingan Surakarta. J Dunia Gizi [Internet]. 2018;1(2):101–11. Available from: https://ejournal.helvetia.ac.id/jdg%0A
Febriawati. H., Alfansi. L., Hadi. ED. AS. The Role of Management Function to The Achievement of Puskesmas Indicator as a Gatekeeper of National Health Guarante in Bengkulu City. Indian J Public Heal Res Dev. 2018;9(9).
Febiawati H, Anita B, Pratiwi BA, Yanuarti R. Program Prolanis dalam Penerapan Kebijakan Kapitasi Berbasis Pemenuhan Komitmen Pelayanan Kesehatan di Puskesmas Kota Bengkulu. Pros Kongr Nas Ikat Ahli Kesehat Masy ke- 13. 2016;13(November):3–5.
Australian Government. Primary Health Care Reform in Australia. Report to Support Australia Fist National Primary Health Care Strategy. Australia Government Departement of Health and Ageing; 2009. p. 50–143.
Lim J, Chan M, Alsogoff F, Duc H. Innovations in Non-Communicable Diseases Management in ASEAN: a Case Series. Cit Glob Heal Action. 2014;7(25110).
Winpenny E., Miani C, Pitchforth E, Sarah SK, Roland M. Improving the effectiveness and efficiency of outpatient services: a scoping review of interventions at the primary–secondary care interface. J Health Serv Res Policy. 2017;22(1):53–64.
Demaio A, Nielsen K, Tersbol BBP, Kallestrup P, Meyrowitsch W. Primary Health Care: a Strategic Framework for the Prevention and Control of Chronic Non-Communicable Disease. Glob Heal Action. 2014;7(24504).