Hubungan Pelaksanaan Program Rujuk Balik (PRB) BPJS Kesehatan Dengan Kepatuhan Minum Obat pada Pasien Hipertensi di Puskesmas Meurebo Kabupaten Aceh Barat

Masriana Masriana (Universitas Teuku Umar)
Susy Sriwahyuni (Universitas Teuku Umar)
Meutia Paradhiba (Universitas Teuku Umar)
Wintah Wintah (Universitas Teuku Umar)
Siti Maisyaroh Fitri Siregar (Universitas Teuku Umar)

KOLONI
Vol. 5 No. 3 (2026): SEPTEMBER 2026

Hypertension is a chronic disease that requires long-term treatment; however, medication adherence among patients with hypertension remains a major challenge in achieving optimal blood pressure control and preventing complications. Although the BPJS Kesehatan Back-Referral Program (BRP) has been implemented to ensure continuity of care for patients with chronic diseases, many patients with hypertension remain non-adherent to their prescribed medication. This study aimed to analyze the relationship between the implementation of the BPJS Kesehatan Back-Referral Program (BRP) and medication adherence among patients with hypertension at Meurebo Community Health Center, West Aceh Regency. This study employed a quantitative approach using a cross-sectional design. The study population consisted of 365 hypertensive patients enrolled in the BPJS Kesehatan Back-Referral Program, and a sample of 79 respondents was selected using an accidental sampling technique. Data were collected through structured questionnaire-based interviews and analyzed using the Chi-square test with a 95% confidence level. The results showed that 72.2% of respondents experienced a high level of Back-Referral Program implementation, while 75.9% demonstrated good medication adherence. Bivariate analysis revealed a statistically significant relationship between the Back-Referral Program and medication adherence among patients with hypertension (p = 0.001). Patients with a high level of Back-Referral Program implementation were 18.2 times more likely to adhere to their medication than those with a moderate level of program implementation (OR = 18.200; 95% CI = 5.144–64.395). It can be concluded that the implementation of the BPJS Kesehatan Back-Referral Program was significantly associated with medication adherence among patients with hypertension. Optimizing the implementation of the Back-Referral Program through improved healthcare services, health education, and routine patient monitoring is expected to enhance medication adherence and support sustainable hypertension management.