Main Article Content
Abstract
DM Type 2 is a chronic disease and Indonesia is ranked 7th in the world. This situation causes health burden, both economically and disability. The Disease Management Program was developed to control patient health status and control costs. Prolanis is a form of disease management program organized by BPJS Kesehatan. The purpose of this study was to analize impact of Type 2 DM Prolanis on controlling blood glucose levels in patients. This is a quantitative study with a crosssectional design by comparing Type 2 DM patients who participate in Type 2 DM Prolanis with those who do not take part in the program at 15 target FKTPs in the region of Pematangsiantar branch of BPJS Kesehatan. Using secondary data which was conducted retrospectively in 2021 involving 717 respondents.The majority of respondents were participants I Type 2 DM Prolanis (70,29%), aged 56 years and over, female (57,34%), high school educated (39,47%), coming from the BP segment (retirement) (40o.44%). Have followed Type 2 DM Prolanis for more than 6 months (more than 85 % of respondents), and actively visited FKTPs for more than 3 times during the period of January to December 2021.
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References
- Ackermann, R. T., Marrero, D. G., Hicks, K. A., Hoerger, T. J., Sorensen, S., Zhang, P., Engelgau, M. M., Ratner, R. E., & Herman, W. H. (2006). An evaluation of cost sharing to finance a diet and physical activity intervention to prevent diabetes. Diabetes Care, 29(6), 1237–1241. https://doi.org/10.2337/dc05-1709
- Aryani, A. D., Kurdi, F. N., & Soebyakto, B. (2016). Cost Effectiveness Analysis (CEA) Program Pengelolaan Penyakit Kronis (PROLANIS) Diabetes Melitus Tipe 2 Peserta JKN di Kota Serang Banten. JURNAL KEDOKTERAN DAN KESEHATAN, 3(3), 146–154.
- Diabetes Association, A. (2010). Diagnosis and classification of diabetes mellitus. Diabetes Care, 33(SUPPL. 1). https://doi.org/10.2337/dc10-S062
- Freeman, R., Lybecker, K. M., & Wayne Taylor, D. (2011). The Effectiveness of Disease Management Programs in the Medicaid Population. The Cameron Institute, 1–44.
- Hamzah, A., & Sulistiadi, W. (2017). 46 Implementasi Kebijakan Rujuk Balik Diabetes Melitus Hamzah & Sulistiadi. Jurnal Ekonomi Kesehatan Indonesia, 1, 146–151.
- Hosseinzadeh, S., Khatirnamani, Z., Bakhshi, E., Heidari, A., & Naghipour, A. (2022). Assessing related factors to fasting blood sugar and glycosylated hemoglobin in patients with type 2 diabetes simultaneously by a multivariate longitudinal marginal model. Scientific Reports, 12(1). https://doi.org/10.1038/s41598-022-19241-1
- Idris, F. (2014). Pengintegrasian Program Preventif Penyakit Diabetes Melitus Tipe 2 PT Askes (Persero) ke Badan Penyelenggara Jaminan Sosial Kesehatan (BPJS Kesehatan). J Indon Med Assoc, 64, 115–136.
- Kementrian Kesehatan Republik Indonesia. (2013). Permenkes RI No.71 (No. 71). Kementerian Kesehatan Republik Indonesia.
- Kementrian Kesehatan Republik Indonesia. (2018). Hasil Utama RISKESDAS 2018.
- Khunti, K., Gray, L. J., Skinner, T., Carey, M. E., Realf, K., Dallosso, H., Fisher, H., Campbell, M., Heller, S., & Davies, M. J. (2012). Effectiveness of a diabetes education and self management programme (DESMOND) for people with newly diagnosed type 2 diabetes mellitus: Three year follow-up of a cluster randomised controlled trial in primary care. BMJ (Online), 344(7860), 1–12. https://doi.org/10.1136/bmj.e2333
- Mwavua, S. M., Ndungu, E. K., Mutai, K. K., & Joshi, M. D. (2016). A comparative study of the quality of care and glycemic control among ambulatory type 2 diabetes mellitus clients, at a Tertiary Referral Hospital and a Regional Hospital in Central Kenya. BMC Research Notes, 9(1). https://doi.org/10.1186/s13104-015-1826-0
- PerDir BPJS Kesehatan, Peraturan Direktur Badan Penyelenggara Jaminan Sosial Kesehatan (2019).
- Riaz, F., Al Shaikh, A., Anjum, Q., Mudawi Alqahtani, Y., & Shahid, S. (2021). Factors related to the uncontrolled fasting blood sugar among type 2 diabetic patients attending primary health care center, Abha city, Saudi Arabia. International Journal of Clinical Practice, 75(7). https://doi.org/10.1111/ijcp.14168
- Schäfer, I., Küver, C., Gedrose, B., Hoffmann, F., Ru-Thiel, B., Brose, H. P., Van Den Bussche, H., & Kaduszkiewicz, H. (2010). The disease management program for type 2 diabetes in Germany enhances process quality of diabetes care - A follow-up survey of patient’s experiences. BMC Health Services Research, 10. https://doi.org/10.1186/1472-6963-10-55
- Sidorov, J., Shull, R., Tomcavage, J., Girolami, S., Lawton, N., & Harris, R. (2002). Does Diabetes Disease Management Save Money and Improve Outcomes? Diabetes Care, 25(4), 684–689.
References
Ackermann, R. T., Marrero, D. G., Hicks, K. A., Hoerger, T. J., Sorensen, S., Zhang, P., Engelgau, M. M., Ratner, R. E., & Herman, W. H. (2006). An evaluation of cost sharing to finance a diet and physical activity intervention to prevent diabetes. Diabetes Care, 29(6), 1237–1241. https://doi.org/10.2337/dc05-1709
Aryani, A. D., Kurdi, F. N., & Soebyakto, B. (2016). Cost Effectiveness Analysis (CEA) Program Pengelolaan Penyakit Kronis (PROLANIS) Diabetes Melitus Tipe 2 Peserta JKN di Kota Serang Banten. JURNAL KEDOKTERAN DAN KESEHATAN, 3(3), 146–154.
Diabetes Association, A. (2010). Diagnosis and classification of diabetes mellitus. Diabetes Care, 33(SUPPL. 1). https://doi.org/10.2337/dc10-S062
Freeman, R., Lybecker, K. M., & Wayne Taylor, D. (2011). The Effectiveness of Disease Management Programs in the Medicaid Population. The Cameron Institute, 1–44.
Hamzah, A., & Sulistiadi, W. (2017). 46 Implementasi Kebijakan Rujuk Balik Diabetes Melitus Hamzah & Sulistiadi. Jurnal Ekonomi Kesehatan Indonesia, 1, 146–151.
Hosseinzadeh, S., Khatirnamani, Z., Bakhshi, E., Heidari, A., & Naghipour, A. (2022). Assessing related factors to fasting blood sugar and glycosylated hemoglobin in patients with type 2 diabetes simultaneously by a multivariate longitudinal marginal model. Scientific Reports, 12(1). https://doi.org/10.1038/s41598-022-19241-1
Idris, F. (2014). Pengintegrasian Program Preventif Penyakit Diabetes Melitus Tipe 2 PT Askes (Persero) ke Badan Penyelenggara Jaminan Sosial Kesehatan (BPJS Kesehatan). J Indon Med Assoc, 64, 115–136.
Kementrian Kesehatan Republik Indonesia. (2013). Permenkes RI No.71 (No. 71). Kementerian Kesehatan Republik Indonesia.
Kementrian Kesehatan Republik Indonesia. (2018). Hasil Utama RISKESDAS 2018.
Khunti, K., Gray, L. J., Skinner, T., Carey, M. E., Realf, K., Dallosso, H., Fisher, H., Campbell, M., Heller, S., & Davies, M. J. (2012). Effectiveness of a diabetes education and self management programme (DESMOND) for people with newly diagnosed type 2 diabetes mellitus: Three year follow-up of a cluster randomised controlled trial in primary care. BMJ (Online), 344(7860), 1–12. https://doi.org/10.1136/bmj.e2333
Mwavua, S. M., Ndungu, E. K., Mutai, K. K., & Joshi, M. D. (2016). A comparative study of the quality of care and glycemic control among ambulatory type 2 diabetes mellitus clients, at a Tertiary Referral Hospital and a Regional Hospital in Central Kenya. BMC Research Notes, 9(1). https://doi.org/10.1186/s13104-015-1826-0
PerDir BPJS Kesehatan, Peraturan Direktur Badan Penyelenggara Jaminan Sosial Kesehatan (2019).
Riaz, F., Al Shaikh, A., Anjum, Q., Mudawi Alqahtani, Y., & Shahid, S. (2021). Factors related to the uncontrolled fasting blood sugar among type 2 diabetic patients attending primary health care center, Abha city, Saudi Arabia. International Journal of Clinical Practice, 75(7). https://doi.org/10.1111/ijcp.14168
Schäfer, I., Küver, C., Gedrose, B., Hoffmann, F., Ru-Thiel, B., Brose, H. P., Van Den Bussche, H., & Kaduszkiewicz, H. (2010). The disease management program for type 2 diabetes in Germany enhances process quality of diabetes care - A follow-up survey of patient’s experiences. BMC Health Services Research, 10. https://doi.org/10.1186/1472-6963-10-55
Sidorov, J., Shull, R., Tomcavage, J., Girolami, S., Lawton, N., & Harris, R. (2002). Does Diabetes Disease Management Save Money and Improve Outcomes? Diabetes Care, 25(4), 684–689.