Analysis of the Implementation of the Bpjs Kesehatan Chronic Diseases Management Program (Prolanis) in Biru Health Center, Bone Regency

Abstract

Objectives: Prolanis is a health service system that involves patients, primary health facilities and BPJS. Prolanis aims to maintain health and achieve an optimal quality of life in patients with chronic disease (hypertension and diabetes mellitus) through effective and efficient health services to prevent disease complications. This study aims to determine and analyze the implementation of Prolanis in the Biru Health Center of Bone Regency based on input, process, output, impact, and feedback. Method: The type of research used in this research is qualitative research, and data were collected through technical triangulation using in-depth interviews, observation, and documentation with key informants, main informants and supporting informants using purposive sampling techniques. Result: Research shows that in the input aspect, blood sugar strips used in health checks of prolanist participants are still limited, and there are no special facilities for prolanis. In terms of process, Biru Health Center has carried out all prolanist activities recommended by BPJS Kesehatan. However, some obstacles remain to these activities, such as prolanist participants who do not have Whats App, and laboratory HbA1c examinations every six months have not been carried out. In the output aspect, the achievement of the Biru Health Center RPPT has increased significantly from October 2023 to January 2024, although it decreased in November 2023. Regarding impact, BPJS Kesehatan, the Health Office, and Prolanis Participants are satisfied with implementing the prolanis at the Biru Health Center. Feedback from BPJS Kesehatan is available through the KBK monitoring and evaluation. Conclusion: Implementing prolanists at Biru Health Center has gone well and as expected. However, the input aspect still needs to be improved so that the implementation of prolanists can run even better. Keywords: Chronic Disease Management Program (Prolanis), Diabetes Mellitus, Hypertension, Health Center, BPJS Kesehatan