EFEKTIVITAS PELAKSANAAN PROGRAM PENGELOLAAN PENYAKIT KRONIS (PROLANIS) DALAM PENANGANAN DIABETES MELITUS TIPE 2 OLEH DOKTER KELUARGA DI KECAMATAN TURI, KABUPATEN SLEMAN

• Main Authors: , ADRITA NIMA SARI, , dr. Wahyudi Istiono, M.Kes
• Format: Theses and Dissertations NonPeerReviewed
• Published: [Yogyakarta] : Universitas Gadjah Mada 2014
• Subjects: ETD
• Online Access: https://repository.ugm.ac.id/128431/; http://etd.ugm.ac.id/index.php?mod=penelitian_detail&sub=PenelitianDetail&act=view&typ=html&buku_id=68776
• Institution: Universitas Gadjah Mada

BackgroundDiabetes mellitus prevalence has been increasing all over the world as in Indonesia. This chronic disease needs a continous and comprehensive management including medical and non medical intervension. In Indonesia since 2010 PT. Askes as the national health insurance company has developed Program Pengelolaan Penyakit Kronis (Prolanis), a program to improve quality of type 2 dibetes mellitus management by general practitioners by providing training and set a monitoring system for diabetes treatment. General practitioners as the first gate of primary care should be able to perform an effective management of type 2 diabetes mellitus Objective The aim of this study is to know the effectiveness of the implementation of Program Pengelolaan Penyakit Kronis (Prolanis) by general practitionersin managing type 2 diabetes mellitus in Turi District, Sleman, Yogyakarta. Method Data from medical records and diabetes monitoring book of 52 patients in a private general practitioner clinic for 24 months were taken and analyzed. There was also a survey conducted to explore the patients� lifestyle and education received by them from their physician. ResultThere is no significant decreased of the trend of fasting blood glucose from 2012 to 2013. The trend of HbA1c level increase from 2012 to 2013. At the end of 2012, the percentage of diabetic patients reaching target levels of fasting blood glucose were 24% and increased at the end of 2013 as much as 38%, but the percentage of patients reaching target levels of HbA1c levels decreased from 35% to 26%. ConclusionThe implementation of Prolanis in managing type 2 diabetes mellitus by general practitioner is less effective based on the trend of fasting blood glucose, increasing trend of HbA1c level, and the percentage of diabetic patients reaching target levels.