The Influence of Participation of Healthcare Insurance and Social Security (BPJS) on Therapeutic Success in Diabetes Mellitus Patients at Primary Healthcare Centers in Madura
doi.org/10.26538/tjnpr/v5i1.8
Keywords:
Diabetes mellitus, BPJS membership, Therapy success, Adherence.Abstract
The prevalence of Diabetes Mellitus (DM) worldwide is increasing. This condition will be followed by an increase in complication, if not controlled properly. One of the factors for failure of therapy is patient non-adherence in undergoing treatment due to inability to buy medicine. To overcome this, the Indonesian government organizes a national health insurance program (JKN) which is implemented by BPJS. BPJS participants who cannot afford to pay were paid by the state and called contribution assistance participants (PBI). This study aims to analyze the effect of BPJS membership on the success of therapy in DM patients. A cross-sectional observational design was carried out on 425 DM patients in Madura. The independent variables were age, body mass index, smoking habit, adherence to health check at healthcare facilities, adherence in taking medication, and type of BPJS membership. The dependent variable was the success of therapy. The instrument was a questionnaire that was developed by the authors and validated by a team of experts and tested for validity and empirical reliability. The result showed that, the majority of respondents who participated in the BPJS category of PBI was 48.2%, the comorbidity was hypertension with 39.5%, respondents who adhered to taking medication were 42%, the success of therapy was 49%. The type of BPJS membership has no effect on the success of therapy in DM patientswhile the variables that affect the success of therapy were the presence of hypertension comorbidities, age, and medication adherence.
References
Burke SD, Sherr D, Lipman RD. Partnering with diabetes educators to improve patient outcomes. Diabetes Metab
Syndr Obes Targets Ther. 2014; 7:45-53.
Shaw JE, Sicree RA, Zimmet PZ. Global estimates of the prevalence of diabetes for 2010 and 2030. Diabetes Res Clin Pract. 2010; 87(1):4-14.
Tsalissavrina I, Tritisari KP, Handayani D, Kusumastuty I. Corelation between duration of diabetes and glucose level with cognitive function among type 2 diabetics in East Java. J AcTion Aceh Nutr J. 2018; 3(1):28-33.
Konduru SST, Ranjan AKK, Muddada S, Shaik S, Vakkapatla LS. Assessment of Diabetes Related Knowledge, Attitude and Practice among Diabetics and Non-diabetics using Self Prepared Questionnaire for Awareness of Health Promotion. Indian J Pharm Pract. 2017; 10(1):32-38.
Meidikayanti W and Wahyuni CU. The Correlation between Family Support with Quality of Life Diabetes Mellitus Type 2 in Pademawu PHC. J B Epid. 2017; 5 (2) :240-252.
Silarova B, Douglas FE, Usher-Smith JA, Godino JG, Griffin SJ. Risk accuracy of type 2 diabetes in middle aged adults: Associations with sociodemographic, clinical, psychological and behavioural factors. Patient Educ Couns. 2018; 101(1):43-51.
Supit J, Massi G, Kallo V. Efektifitas Pemberian Edukasi dengan Metode Video dan Focus Group Discussion ( FGD ) Terhadap Tingkat Pengetahuan Pasien DM Tipe 2 Di Klinik Diabetes. E-Journal Keperawatan (E-Kep). 2018; 6(1):1-6.
Kassahun CW and Mekonen AG. Knowledge, attitude, practices and their associated factors towards diabetes mellitus among non diabetes community members of Bale Zone administrative towns, South East Ethiopia. A crosssectional study. PLoS One. 2017; 12(2):1-18.
Sciences W, Town C, Campus W. Knowledge of diabetes mellitus in privately- funded diabetic patients attending a rural opto- metric practice in Malmesbury , South African Optometrist. 2012; 71(2):70-77.
Achigbu EO, Oputa RN, Achigbu KI, Ahuche IU. Knowledge and impact of diabetes in patients in a tertiary clinic in Southeast Nigeria. Afri J Diabetes Med. 2015;23(1):15-17.
Rolindrawan D. The Impact of BPJS Health Implementation for the Poor and Near Poor on the Use of Health Facility. Procedia - Soc Behav Sci. 2015; 211:550-559.
Johar M, Soewondo P, Pujisubekti R, Satrio HK, Adji A. Inequality in access to health care, health insurance and the role of supply factors. Soc Sci Med. 2018; 213:134-145.
Bredenkamp C, Evans T, Lagrada L, Langenbrunner J, Nachuk S, Palu T. Emerging challenges in implementing universal health coverage in Asia. Soc Sci Med. 2014;145:243-248.
Handayani PW, Pinem AA, Azzahro F, Hidayanto AN, Ayuningtyas D. The Information System/Information Technology (IS/IT) practices in the Indonesia health referral system. Informatics Med Unlocked. 2019; 17:100263. 1- 6
Handayani PW, Hidayanto AN, Sandhyaduhita PI, Kasiyah, Ayuningtyas D. Strategic hospital services quality analysis in Indonesia. Expert Syst Appl. 2015; 42(6):3067-3078.
Handayani PW, Saladdin IR, Pinem AA, Azzahro F, Hidayanto AN, Ayuningtyas D. Health referral system user acceptance model in Indonesia. Heliyon. 2018;4(12):e01048. 1-33
Sanjaya GY, Lazuardi L, Hasanbasri M, Kusnanto H. Using hospital claim data to develop referral decision support
systems: Improving patient flow from the primary care. Procedia Comput Sci. 2019; 161:441-448.
Priyastama R. Buku Sakti Kuasai SPSS Pengolahan Data & Analisis Data. Yogyakarta: Start Up; 2017.
Lee S, Aryani F, Chua SS, Kok LC, Efendie B, Thomas P. Chronic care model in primary care: can it improve health-related quality of life? Integr Pharm Res Pract. 2016; 11 -17.
Athiyah U, Rahem A, Setiawan CD. The Influence of Participation of the Social Security Agency (BPJS) Health on Therapeutic Success in Hypertension Patients at Community Health Centers. Res J Pharm Technol. 2019;12(1):93 – 98
Moawad S, Badawy AS, Al-saffar ZA, Al-Hamdan N, Awadien AM. Assessment of Knowledge among Saudi Diabetic Children/ Adolescent at Riyadh City. Am J Nurs Sci. 2014; 3(1):5 - 12
Alghamdi MA, Shihab TA, Hilabi MA. Compliance of Type 2 Diabetic Patients to Its Management : A CrossSectional Survey. International Journal of Medical Research Professionals 2017; 3(1). 146 - 152
Hassanein M, Al Sifri S, Shaikh S, Raza SA, Akram J, Pranoto A, Rudijanto A, Shaltout I, Fariduddin M, Mohamed W M I W, Awadi FA, Alessa T. A real-world study in patients with type 2 diabetes mellitus treated with gliclazide modified-release during fasting: Dia-Ramadan. Diabetes Res Clin Pract. 2020; 163: 1 -10
Abou-Gamel M, Al-Moghamsi E, Jabri G, Alsharif A, AlRehaili R, Al-Gabban A, Alshabi Y, Abu-Gamel R, Hodhiri Al. Level of Glycemic Control and Barriers of Good Compliance among Diabetic Patients in Al-Madina, Kingdom of Saudi Arabia. Br J Med Med Res. 2015; 5(6):819-830.
Aghoja O, Avwenaghagha H, Ogba E. Medication adherence and Its Correlates among Diabetic Patients in Central Hospital, Warri, Nigeria. IOSR J Pharm. 2016; 6(7 v3):96-103.
Arifulla M, John LJ, Sreedharan J, Muttappallymyalil J, Basha SA. Patients’ adherence to anti-diabetic medications in a Hospital at Ajman, UAE. Malaysian J Med Sci. 2014;21(1):44-49.
Wille N, Bullinger M, Holl R, Hoffmeister U, Mann R, Goldapp C, Reinehr T, Westenhöfer J, Egmond-Froehlich A, Ravens-Sieberer U. Health-related quality of life in overweight and obese youths: Results of a multicenter study. Health Qual Life Outcomes. 2010; 8:1-8.
Kaskurthy S, Nalluri HL, Thanait DR. Influence Of Education On Quality Of Life In Type 2 Diabetic Patients In A Tertiary Care Teaching Hospital, World Journal of Pharmacy and Pharmaceutical Sciences. 2014; 3(11):1344-1353.
Rahem A, Utami W, Sukorini AI, Effendi MH. The Effect of Advocacy on Understanding and Levels of Blood Glucose in Diabetes Mellitus Patients. Asian Journal of Pharmaceutics. 2019; 13(4):375-380.
Altaf M, Kabir SS, Masood QMR, Nomaan M, Ahmed TZ, Mohd AH, Rasheed A. A Cross-Sectional Study of Knowledge Assessment of Diabetes In Diabetic Patients In Princess Esra Hospital, IOSR Journal of Pharmacy. 2014;4(4):80-89.
Kassahun A, Gashe F, Mulisa E, Rike WA. Nonadherence and factors affecting adherence of diabetic patients to anti-diabetic medication in Assela General Hospital, Oromia Region, Ethiopia. J Pharm Bioallied Sci. 2016; 8(2):124-129.
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