I Nengah Dwi Jendra Atmaja
Program Studi Magister Administrasi Kesehatan, Universitas Qamarul Huda Badaruddin Bagu, Jl. H. Badaruddin Bagu 83562

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Analysis of Implementation of the Chronic Disease Management Program (PROLANIS) Diabetes Mellitus Type 2 (DMT2) during the Covid-19 Pandemic at the West Lombok District Health Center I Nengah Dwi Jendra Atmaja
Prisma Sains : Jurnal Pengkajian Ilmu dan Pembelajaran Matematika dan IPA IKIP Mataram Vol 10, No 2: April 2022
Publisher : IKIP Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (2244.955 KB) | DOI: 10.33394/j-ps.v10i2.4911

Abstract

The Chronic Disease Management Program (PROLANIS) is implemented by Health Social Security Administering Agency (BPJS Kesehatan) in an integrated manner involving participants, health facilities, and BPJS Kesehatan in order to maintain the health of participants with chronic diseases, especially Diabetes Militus Type 2 (DMT2). It is aimed at sufferers to achieve a better quality of life. The cost of effective and efficient health services is an important factor, because it is one of the performance-based capitation indicators in Community Health Centers (Puskesmas). Based on data from the West Lombok Health Office, West Nusa Tenggara province - Indonesia, from the top 10 most diseases, diabetes mellitus ranks 8 (eight), where in 2019 there were 8.882 cases, while in 2020 there were 9.683. The purpose of this study is to analyze the input, process and output factors of the PROLANIS program at the Puskesmas. This study is a descriptive study with qualitative and quantitative approaches, where primary data was obtained from in-depth interviews and secondary data from the Pcare Puskesmas application. The results showed that the input of PROLANIS registered participants was still very low (about 14% of the total number of participants diagnosed with DM), the process indicator of the number of PROLANIS participants who visited the puskesmas was quite high (82%), and the output indicator showed the number or ratio of participants whose blood sugar was controlled, is still very low (26%). Finally, in general, our findings are that the implementation of PROLANIS at the West Lombok District Health Center during the Covid-19 Pandemic is still not optimal in terms of input, process, and output.
The Influence of Motivation, Knowledge, and Ability to Pay on Compliance in Paying Premiums for Self-Participants in the National Health Insurance Program in West Lombok Regency Saimi Saimi; Abdul Khaliq; I Nengah Dwi Jendra Atmaja
Prisma Sains : Jurnal Pengkajian Ilmu dan Pembelajaran Matematika dan IPA IKIP Mataram Vol 11, No 4: October 2023
Publisher : IKIP Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33394/j-ps.v11i4.9131

Abstract

Compliance among participants in the self-funded health insurance scheme to pay premiums is crucial to facilitate access to healthcare services. Lack of knowledge, motivation, and the ability to pay are factors contributing to payment arrears. The aim of this research is to identify the factors influencing the compliance of self-funded health insurance participants in paying premiums in West Lombok Regency in 2022. This study is a quantitative research using a cross-sectional design. The population in this study consisted of 50,630 individuals. The research sample included 397 people selected using the Multistage cluster random sampling technique. Data analysis involved univariate and bivariate analysis, with chi-square and logistic regression tests. The research results indicate a correlation between the level of knowledge (0.03), motivation (0.000), and the ability to pay (0.000) with the compliance of self-funded health insurance participants in paying premiums. Meanwhile, the most dominant influencing factor is motivation (p=0.000; OR=32.410). Social Security Administering Agency - Health (BPJS - Kesehatan) is expected to enhance information and socialization efforts among participants regarding the national health insurance program so that the public is motivated to be more compliant in premium payments, and to provide flexible payment options for participants with irregular incomes in the form of installment payments.