MONITORING DAN EVALUASI CONTINUITY OF CARE PADA PENDERITA DIABETES MELLITUS TIPE 2 DI KLINIK WILAYAH SURABAYA TIMUR DAN SELATAN YANG MENGGUNAKAN BPJS KESEHATAN

  • Rona Rihadah Fakultas Farmasi Universitas Surabaya
  • Lisa Aditama Fakultas Farmasi Universitas Surabaya
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Keywords: Informational continuity, management continuity, relational continuity, diabetes mellitus type 2, clinic

Abstract

Abstract - Diabetes mellitus is a global health problem. Continuity of care has many benefits for the treatment of diabetic patient. BPJS Kesehatan implemented a tiered system in Indonesia. Health care transition is the one of risk mismatches treatment. This will affect the continuity of care the patient and also impact the quality of health services. Purpose: to determine the level perception and concerns about continuity of care patient diabetes mellitus type 2 in the east and south Surabaya clinics that use BPJS Kesehatan. The variables are the level of continuity if care on the type informational continuity, management continuity and relational continuity. And the problems in the continuity of care related transfer of information, coordination of care, ease of access to each level of care, and the relationship between patients and health professionals. The level of continuity of care can be measured by interview using a questionnaire CCAENA. Conclusion: 25 patients at the clinic in the research results is the level of continuity of care: 84% is very high (informational continuity: 72% is very high, management continuity: 84 % is very high, relational continuity: 92% is very high). Problems often occur there in continuity management is a long queue at hospital. While in clinic has no problems and lack participation of pharmacists in patient care.

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References

Alazri Mohammed, Heywood Philip, Neal Richard D, et al, 2007, Continuity of Care Literature Review and Implication,. Sultan Qaboos University Medical Journal, Vol 7 No 3, p.197-206

Aller Beatriz-Marta, Vargas Ingrid, Garcia-Subirats Irene, et al, 2013, A Tool for assessing Continuity of Care Across Care Level: An Extended Psychometric Validation of the CCAENA Questionnaire, Igitur Publishing

Aller Beatriz-Marta, Vargas Ingrid, Sina Waibel, et al, 2007, Factor Associated to Experienced Continuity of Care Between Primary and Outpatient Secondary Care in the Catalan Public Healthcare System, Elsevier, Vol 27 No 3, p.207-213

American Association of Diabetes Educators. 2014. Integrating Diabetes Education in the Chronic Care Model (Online), (https://www.diabeteseducator.org/docs/default-source/legacy-docs/_resources/pdf/general/CCM_Synopsis_Final.pdf diakses 1-08-2016)


American Pharmacist Association and National Association of Chain Drug Foundation. 2008. Medication Therapy Management in Pharmacy Practice: Core Elements of an MTM Service Model.

Aronson JK. 2009. Medication Errors: What They are, How They Happen, and How to Avoid Them. Oxford University Press on behalf of the Association of Physicians. 120:513-521

American Society of Hospital Pharmacists, ASHP Statement on Pharmaceutical Care, 50:1720-3

Baptista Deise Regina, Wiens Astrid, Pontarolo Roberto, et al. 2016. The Chronic Care Model for Type 2 Diabetes: a Systematic Review. Diabetology & Metabolic Syndrome, BioMed Central, Vol 8 No 7

Badan Penyelenggara Jaminan Sosial Kesehatan Indonesia. Panduan Praktis Program Rujuk Balik Bagi Peserta JKN

Badan Penyelenggara Jaminan Sosial Kesehatan Indonesia. Panduan Praktis Sistem Rujukan Berjenjang

Badan Penyelenggara Jaminan Sosial Kesehatan Indonesia. Panduan Praktis Program Pengelolaan Penyakit Kronis.

Badan Penyelenggara Jaminan Sosial Kesehatan Indonesia. 2014. Pedoman Umum Tata Kelola yang Baik BPJS Kesehatan

Badan Penyelenggara Jaminan Sosial Kesehatan Indonesia, Siaran Pers: Pahami Lebih Dalam tentang Sistem Rujukan Berjenjang dan Pola Pembayaran BPJS Kesehatan ke Faskes (Online), (https://www.bpjs-kesehatan.go.id/bpjs/dmdocuments/588c8bcc7941c2b6d0187435dbcaba61.pdf diakses 17-08-2016)

Bosworth Hayden B, Oddone Eugene Z, Weinberger Morris, 2006, Patient Treatment Adherence Concepts, Interventions, and Measurement, Lawrence Erlbaum Associates, London, Chapter 6, p.147-182

Case Management Society of America, 2006, Case Management Adherence Guidelines version 2.0. 3-11

CCAENA Questionnaire (https://cordis.europa.eu/partners/c/document_library/get_file?p_l_id=2523454&folderId=2530105&name=DLFE-7905.pdf diakses 25-08-2016)

Clark Marie, 2004, Adherence to Treatment in Patients with Type 2 Diabetes. Journal of Diabetes Nursing, Vol 8 No 10, p.386-391

Cook Richard I, Render Marta, Wood David D, 2000, Gaps in The Continuity of Care and Progress on Patient Safety, BMJ, Vol 320

Delamater Alan M, 2006, Improving Patient Adherence, Clinical Diabetes, Vol 24 No 2, p.71-77

DiMatteo M Robin, 2004, Social Support and Patient Adherence to Medical Treatment: A Meta-Analysis, American Psychological Association, Vol 23 No 2, p.207-218

Fernandes Olavo A. 2009. Medication Reconciliation. Canadian Health Care Network (https://bcpsqc.ca/documents/2012/09/Fernandes-Medication-Reconciliation-Practical-Tips-Strategies-and-Tools-for-Pharmacists.pdf diakses 17-08-2016)

Gulliford Martin C, Naithani Smriti, Morgan Myfanwy, 2006, Measuring Continuity of Care in Diabetes Mellitus: An Experience-Based Measure.Department of Public Health Sciences, Vol 4 No 6, p.548-555)

International Diabetes Federation, 2016, IDF Diabetes Atlas 7th edition, p 12-31

Kementerian Kesehatan Indonesia. Infodatin Pusat Data dan Informasi Kementerian Kesehatan RI

Kompasiana, Pelayanan BPJS: Komentar M.Jaya Nasti (Online), (http://www.kompasiana.com/mjnasti/pelayanan-bpjs kesehatan_55998f3be5afbd92048b465d diakses 15-08-2016)

Lapau Buchari. 2012. Metode Penelitian Kesehatan: Metode Ilmiah Penulisan Skripsi, Tesism dan Disertasi. Jakarta:Yayasan Pusaka Obor Indonesia

Mainous Arc G, Koopman Richelle J, Gill James M, et al, 2004, Relationship Between Continuity of Care and Diabetes Control: Evidence From The Third National Health and Nutrition Examination Survey, American Journal of Public Health. Vol 94 No 1

Marjadi Brahmaputra, Susilo Astrid Paratidina, 2016, Meneliti itu Menyenangkan: Metodologi Penelitian Kuantitatif dan Kualitatif bagi Peneliti Kesehatan Pemula, Yogyakarta:Kanisius

McGivney Mellisa Somma, Meyer Susan M, Ducan-Hewit Wendy, et al, 2007, Medication Therapy Management: Its Relationship to Patient Counseling, Disease Management, and Pharmaceutical Care, American Pharmacist Association. 47 (5), p. 620-628

Osterberg Lars, Blaschke Terrence, 2005, Drug Therapy Adherence to Medication, Massachusetts Medical Society, 353:(5)

Peraturan Badan Penyelenggara Jaminan Sosial Kesehatan Nomor 2 Tahun 2015 tentang Norma Penetapan Besaran Kapitasi dan Pembayaran Kapitasi Berbasis Pemenuhan Komitmen Pelayanan pada Fasilitas Kesehatan Tingkat Pertama

Peraturan Menteri Kesehatan Republik Indonesia Nomor 028/Menkes/Per/I/2011 Tentang Klinik

Peraturan Menteri Kesehatan Republik Indonesia Nomor 28 Tahun 2014 Tentang Pedoman Pelaksanaan Program Jaminan Kesehatan Nasional

Peraturan Menteri Kesehatan Republik Indonesia Nomor 59 Tahun 2014 Tentang Standar Tarif Pelayanan Kesehatan dalam Penyelenggaraan Program Jaminan Kesehatan

Peraturan Pemerintah Republik Indonesia Nomor 51 Tahun 2009 Tentang Pekerjaan Kefarmasian

Reid Robert, Haggerty Jeannie, McKendry Rachael. 2002. Defusing The Confusion: Concepts and Measures of Continuity of Healthcare. The Canadian Health Service Research Foundation

Setiawan Eko, Medication Adherence: Sebuah Konsep, Fakta, dan Realita, Buletin Rasional, Vol 2 No 4, p.29-32

Sugiyono, 2011, Statistka untuk Penelitian, Bandung:Alfabeta

Tarrant Carolyn, Windrige Kate, Baker Richard, et al, 2014, Falling Through Gaps: Primary Care Patients Accounts of Breakdowns in Experienced Continuity of Care. Oxford University Press

The Joint Commision of Pharmacy Practitioners. 2014. Pharmacist Patient Care Process.

The National Co-ordinating Centre for NHS Service Delivery and Organisation R&D, 2005, Concordance, Adherence and Compliance in Medicine Taking.

Vrijens Bernard, Geest Sabina De, Hughes Dyfrig A., et al. 2012. A New Taxonomy for Describing adn Defining Adherence to Medications. British Journal of Clinical Pharmacology. 73 (5), p.691-705

Waibel Sina, Henao Diana, Aller Marta-Beatriz, et al, 2011, What Do We Know About Patients’ Perceptions of Continuity of Care? A Meta-Synthesis of Qualitative Studies, Oxford University Press, Vol 24 No 1, p.39-48

World Health Organization, 2003, Adherence to Long-term Therapies: Evidence for Action. Chapter 1.

World Health Organization, 2016, Diabetes Country Profile: Indonesia (Online), (http://www.who.int/diabetes/country-profiles/en/ diakses 17-08-2016)

World Health Organization, 2016, Global Report on Diabetes, p.21-29
Published
2018-03-01