Medication Compliance Analysis in Pulmonary Tuberculosis Patients at Bekasi Jaya Health Center Indonesia
DOI:
https://doi.org/10.51601/ijhp.v2i3.51Abstract
Tuberculosis is an infectious disease caused by the bacterium mycobacterium tuberculosis.
Compliance with taking medication is a key factor in the success of tuberculosis treatment.
Medication non-adherence can increase the risk of treatment failure and relapse, and is
considered one of the most important causes of drug resistance. Compliance with taking
medication is the patient's actions related to patient compliance in the process of taking routine
drugs and consuming routine drugs during the intensive and advanced stages of treatment as
determined. Based on observations by distributing questionnaires at the Bekasi Jaya Health
Center Indonesia in January to October 2021 for patient compliance, the results obtained were
62% obedient and about 38% of patients were not compliant in taking medication. The purpose of
this study was to determine the analysis of drug adherence in pulmonary tuberculosis patients at
the Bekasi Jaya Health Center. This study uses a descriptive quantitative research methodology
with a cross sectional research design. The sample in this study is the total population of 37
people, and conducted by filling out a questionnaire by the patient. Data analysis was performed
with Univariate and Bivariate analysis. The results of the univariate analysis in this study showed
that the highest proportion of respondents who had higher education was 65%, respondents who
did not work were 65%, good knowledge was 65%, the availability of health facilities and
facilities of respondents who said complete was 65%, access to health services was 68% of
respondents stated that it was not difficult, 86.5% of their family support was good, 68% of health
workers' support was good. This study also found the results of bivariate analysis that there was a
relationship between educational status (p = 0.039; PR = 2.46; 95% CI = 1.089-5.563),
medication adherence (p = 0.039; QR = 2.46; 95% CI = 1.09-5.56), availability of health
facilities and facilities (p = 0.039 ; QR = 2.46 ; 95% CI = 1.09 – 5.56), access to health services
(p = 0.006 ; QR = 3.32; 95% CI = 1.46-7.85), family support (p = 0.039; QR = 2.46; 95% CI =
1.09 – 5.56), and support from health workers (p = 0.027 ; QR = 2.78 ; 95% CI = 1.24 – 6.21)
with medication adherence. In addition, the study also found that there was no relationship
between work status and medication adherence (p = 1,000; PR = 0.97; 95% CI = 0.42–2.3). The
proportion of family support for tuberculosis patients was dominated, because of this, it is
necessary to make efforts to increase public awareness of the working area of the health center
about the importance of medication adherence in tuberculosis patients. The more active health
workers and other related sectors, can increase the rate of adherence to taking medication for
pulmonary tuberculosis patients in the work environment at Bekasi Jaya Health Center, Indonesia.
References
World Health Organization, “Noncommunicable Diseases Country Profiles 2018,”
World Health Organization, 2018. .
WHO, “Together on the road to universal health coverage: A call to action,” World
Heal. Organ., 2017.
Joint Commission International, “JCI Accreditation Standards for Hospitals,” Jt. Comm.
Int. Accredit. Stand. Hosp., 2015.
E. P. Mahadewi, A. Heryana, Y. Kurniawati, and I. Ayuba, “Analisis Waktu Tunggu
Pelayanan Poliklinik Paru di Rumah Sakit Umum Daerah (RSUD) Tangerang,”
Gorontalo J. Public Heal., 2019, doi: 10.32662/gjph.v2i1.463.
R. Agustina et al., “Universal health coverage in Indonesia: concept, progress, and
challenges,” The Lancet. 2019, doi: 10.1016/S0140-6736(18)31647-7.
World Health Organization, Global diffusion of eHealth: Making universal health
International Journal of Health and Pharmaceutical
coverage achievable. 2016.
C. E. Phelps, Health economics. 2016.
R. Khana, M. M. Singh, F. Damanhoori, and N. Mustaffa, “Investigating the importance
of implementing ethical value on a healthcare system within a social media context,” Int.
J. Innov. Creat. Chang., vol. 12, no. 5, 2020.
E. Mahadewi, A. Heryana, . Herwanto, R. Astini, and N. Surip, “Marketing Mix Study
using Social Media in Hospital,” 2020, doi: 10.5220/0009826004060413.
W. Quentin, D. Scheller-Kreinsen, M. Blümel, A. Geissler, and R. Busse, “Hospital
payment based on diagnosis-related groups differs in Europe and holds lessons for the
united states,” Health Aff., 2013, doi: 10.1377/hlthaff.2012.0876.
L. Turner-Stokes, “Politics, policy and payment - Facilitators or barriers to personcentred rehabilitation?,” Disabil. Rehabil., 2007, doi: 10.1080/09638280701618851.
B. Murti, “Asuransi Kesehatan Berpola Jaminan Pemeliharaan Kesehatan Masyarakat di
Era Desentralisasi Menuju Cakupan Semesta,” Inst. Heal. Econ. Policy Stud. (IHEPS).
Univ. Sebel. Maret, 2011.
M. Lagarde, “Health Care Financing: Provider Payments,” in Introduction to health
economics., 2011.
A. Ambarriani, “Hospital Financial Performance In the Indonesian National Health
Insurance Era,” McKinsey Q., 2014.
sulistyo basuki, “Metode Peneltian,” Metode Peneltian. 2006.
L. Trisnantoro, “Universal health coverage and medical industry in 3 Southeast Asian
countries,” BMC Public Health, 2014, doi: 10.1186/1471-2458-14-s1-i3.
E. P. Mahadewi, A. Heryana, and S. Kuswanti, “Kepuasan Layanan Pasien Jkn
Berhubungan Dengan Kinerja Petugas Kesehatan,” J. Bunga Rampai, 2019.
A. Heryana and E. P. Mahadewi, “Time Consumable SARS Cov-2 Testing With RTPCR in Indonesia: A Survey Study,” 2020, doi: 10.2991/ahsr.k.201125.075.
Ministry of Health of the Republic of Indonesia, “Indonesia Basic Health Research,
,” 2018.
S. Folland, A. C. Goodman, M. Stano, S. Folland, A. C. Goodman, and M. Stano,
“Economic Efficiency and Cost-Benefit Analysis,” in The Economics of Health and
Health Care, 2018.
N. Chen, X. Chen, K. Wang, and X. Niu, “Progress and challenges in the architecture
and service pattern of earth observation sensor web for digital earth,” Int. J. Digit.
Earth, 2014, doi: 10.1080/17538947.2013.834385.
D. Scheller-Kreinsen, W. Quentin, and R. Busse, “DRG-based hospital payment systems
and technological innovation in 12 European countries,” Value Heal., 2011, doi:
1016/j.jval.2011.07.001.
Marhaeni, Z. Fanani, B. Hartono, and B. A. Nugroho, “The influence of the marketing
mix (Product, price, promotion, place, process, entrepreneurs and physical evidence) to
customer satisfaction and loyalty in buying shredded beef in Palu City, Indonesia,” Int.
J. Econ. Res., 2015.
E. P. Mahadewi and A. Heryana, “Analisis Perilaku Pemberian ASI Eksklusif Di
Puskesmas Bekasi,” Gorontalo J. Public Heal., 2020, doi: 10.32662/gjph.v3i1.850.
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Copyright (c) 2022 Zulfa Rindy Al Fitry, Erlina Puspitaloka Mahadewi, Ade Heryana, Ira Marti Ayu
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