<![CDATA[Ischemic stroke represents one of the highest financial liabilities in catastrophic disease spending, with recurrent stroke complications exponentially escalating the economic burden on healthcare systems. Enhancing patient self-management serves as a strategic secondary prevention tool to mitigate the costs of clinical failure and rehospitalization. This study aimed to analyze the relationship between self-management and recurrent stroke prevention behaviors among post-ischemic stroke patients within the framework of healthcare cost mitigation. A quantitative correlational study with a cross-sectional approach was conducted on 42 post-ischemic stroke patients selected via consecutive sampling at the Neurology Clinic of Jombang Regional Hospital. Data were gathered using the Stroke Self-Management Questionnaire and the Recurrent Stroke Prevention Behavior Questionnaire, then analyzed using the Spearman Rank correlation test (alpha = 0.05). The majority of respondents demonstrated good self-management (54.8%) and good stroke prevention behavior (59.5%). Bivariate analysis revealed a strong and significant positive correlation between self-management capabilities and adherence to preventive behaviors (p = 0.000; r = 0.721). Self-management capacity linearly correlates with the effectiveness of recurrent stroke prevention behaviors. Investing in structured self-management intervention programs by healthcare providers is highly recommended as a cost-effective resource allocation strategy to reduce secondary healthcare costs driven by stroke recurrence.]]>
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