Barriers to Treatment Adherence to Hypertension: A Comparison Between Members and Non-Members of BPJS Kesehatan at Pharmacy in Surabaya

Hanni P. Puspitasari, Desi Susanti, Maunah, Mufarrihah, Wahyu Utami

2017

Abstract

Non-adherence to hypertension treatment is reported as a major problem, leading to the increased incidence of cardiovascular diseases. A qualitative exploratory multi-case study was designed to identify the factors influencing treatment non-adherence for members and non-members of BPJS Kesehatan with hypertension patients at two selected community pharmacies (apotek) in Surabaya. Semi-structured interviews were conducted with three members (participants of the referring back program [PRB]) and three non-members of BPJS Kesehatan who were purposively selected based on their prescribed medicines and the frequency of visits to the selected apotek. Thematic analysis showed that the barriers to non-adherence identified by PRB patients were their busy schedules and the common use of herbal medicines. Not only did the members report both factors; non-members of BPJS Kesehatan also reported factors related to medicine (availability and price), health provider (lack of information and two-way interaction), and the unavailability of the health system to improve adherence. Moreover, non-members of BPJS Kesehatan were identified to have other patient-related factors (misperception and poor knowledge about hypertension). Despite having more barriers, the non-members of BPJS Kesehatan indicated unwillingness to participate as members due to their understanding of the impracticability of the services. Therefore, BPJS Kesehatan needs to re-arrange their programs to increase participation and to offer benefits for the hypertensive patients.

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Paper Citation


in Harvard Style

Puspitasari H., Susanti D., Maunah., Mufarrihah. and Utami W. (2017). Barriers to Treatment Adherence to Hypertension: A Comparison Between Members and Non-Members of BPJS Kesehatan at Pharmacy in Surabaya.In Proceedings of the 4th Annual Meeting of the Indonesian Health Economics Association - Volume 1: INAHEA, ISBN 978-989-758-335-3, pages 333-336. DOI: 10.5220/0007029903330336


in Bibtex Style

@conference{inahea17,
author={Hanni P. Puspitasari and Desi Susanti and Maunah and Mufarrihah and Wahyu Utami},
title={Barriers to Treatment Adherence to Hypertension: A Comparison Between Members and Non-Members of BPJS Kesehatan at Pharmacy in Surabaya},
booktitle={Proceedings of the 4th Annual Meeting of the Indonesian Health Economics Association - Volume 1: INAHEA,},
year={2017},
pages={333-336},
publisher={SciTePress},
organization={INSTICC},
doi={10.5220/0007029903330336},
isbn={978-989-758-335-3},
}


in EndNote Style

TY - CONF

JO - Proceedings of the 4th Annual Meeting of the Indonesian Health Economics Association - Volume 1: INAHEA,
TI - Barriers to Treatment Adherence to Hypertension: A Comparison Between Members and Non-Members of BPJS Kesehatan at Pharmacy in Surabaya
SN - 978-989-758-335-3
AU - Puspitasari H.
AU - Susanti D.
AU - Maunah.
AU - Mufarrihah.
AU - Utami W.
PY - 2017
SP - 333
EP - 336
DO - 10.5220/0007029903330336