ANALYSIS OF IMPLEMENTATION OF THE CHRONIC DISEASE MANAGEMENT PROGRAM (PROLANIS) AT FAMILY DOCTOR OF PT ASKES IN PALEMBANG ON 2013

Abstract

Background : Chronic disease management program (Prolanis) is a system of health care and a proactive approach that implemented in an integrated manner involving participant, Health Care Providers (HCP) and PT Askes (Persero) in the context of health care for health insurance participants who suffer from chronic diseases to achieve the quality of life optimal with cost effective healthcare and efficient. The program has initiated by PT Askes (Persero) since 2010. However, the implementation of 19 family doctor prolanis only five  family doctor who actively participate by making participants prolanis club. Moreover, the realization of the cost of health care in PT Askes on 2012 increased.

Methods : Used descriptive qualitative approach. Data obtained through in-depth interviews, document review and FGD. Informants in this study amounted to 15 people representing from program managers in PT Askes, Family Doctor prolanis, and the participants of Prolanis. Presentation of data in this study used narrative and then made also in the form of a matrix.

Results : Interviews with PT Askes and family doctors have been understanding what services shall be provided to participants prolanis. it was a translation of the application in the 7 pillars prolanis family physician in accordance with Directors Regulation No. 121 of 2012 on Guidelines for Chronic Disease Management Program. Family doctors who have not been active enforcement only have 5 from the 7 pillars of the reason there is no place, busy clinicians, and participants are not willing. There was still some problems to achieving the prolanis’s goal such as PIC only one person, unavailable place in every family doctor for the club activity and the target participant have not reached.

Conclusion : The implementation of chronic disease management program on Askes family doctor in Palembang on 2013 still unoptimal. There still constraints on the input and proses of the implementation. Suggestions for PT Askes to perform additional PIC of Prolanis and help advocate for authorization to use the place for unactive family doctors.

Keywords : Analysis of Implementation , Chronic disease management program (Prolanis)