Analysis of Chronic Disease Management Program (PROLANIS) for Referral Control on Public Health Center in Bengkulu

Public health is service facility in order to build healthy society by accentuating the promotion and prevention. Most public health center in Indonesia have not yet been effective in curing noncontagious disease. There must be specific treatment in preventing and maintaining it from intervening the national healthcare government program. Puskesmas in bengkulu have implemented the capital number policy and commitment fulfillment-based capital payment on First Level of healthy Facility. One of indicators is routine prolanis ratio visiting it. The purpose of this study was to understand the effect of Chronic Disease Management Program (prolanis) on referral controlling and chronical disease service efficiency.

Exploratory design on case study was conducted using quantitative method for understanding the implementation of chronical disease management policy. The sample population was taken from participant of prolanis which was held in Public health center in bengkulu. Sample was obtained by accidental sampling. Data was analyzed by correlation and regression between Prolanis and referral frequency.

This statistical analysis found there was negative correlation between prolanis and referral with r=0.228 and p value= 0.04 on weak correlation. Conversely, there was significant correlation between prolanis implementation and referral on r=-0.135 with weak correlation and p value of 0.167.

Reduction of referral frequency to first healthcare center level (FKTL) can improve the efficiency on cost of healthcare in FKLT. Prolanis also improves people awareness, willing and capability to behave healthier including controlling hypertension and DM.