Barriers to Treatment Adherence to Hypertension: A Qualitative Study with PBI and Non-PBI Patients of a Puskesmas in Surabaya

Hanni P. Puspitasari, Risa Septinia, Nur Cholifah, Mufarrihah, Umi Athijah

2017

Abstract

Non-adherence to hypertension treatment has been reported as being a major problem, leading to an increased incidence of cardiovascular diseases. A qualitative exploratory multi-case study has been designed to identify factors influencing treatment non-adherence for BPJS Kesehatan members with hypertension at a selected community health centre (Puskesmas) in Surabaya. Semi-structured interviews were conducted with four patients who were beneficiaries of the contributions(PBI) and four non-PBI patients who were purposively selected based on gender, age, blood pressure readings, and the frequency of visits to the Puskesmas, as recorded in the Puskesmas’ system for information and management (SIMPUS). Thematic analysis showed that patient-related factors, including misperception and poor knowledge about hypertension, were mostly identified as the barriers to non-adherence. Such barriers were deemed as a consequence of insufficient information given by the health providers. Lack of family support, common use of herbal medicines and unhealthy traditional foods were reported as socio-cultural barriers. Finally, the enormous number of patients served and the limited number of medicines received at thePuskesmas were identified as the health system-related barriers. Additionally, unfamiliarity with theBPJS program for patients with chronic conditions (PROLANIS) was found. The re-arrangement of national health insurance programs, thus, is a considerable need in order to offer great benefits for hypertensive patients.

Paper Citation

in Harvard Style

Puspitasari H., Septinia R., Cholifah N., Mufarrihah. and Athijah U. (2017). Barriers to Treatment Adherence to Hypertension: A Qualitative Study with PBI and Non-PBI Patients of a Puskesmas 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 325-329. DOI: 10.5220/0007029703250329

in Bibtex Style

@conference{inahea17,
author={Hanni P. Puspitasari and Risa Septinia and Nur Cholifah and Mufarrihah and Umi Athijah},
title={Barriers to Treatment Adherence to Hypertension: A Qualitative Study with PBI and Non-PBI Patients of a Puskesmas in Surabaya},
booktitle={Proceedings of the 4th Annual Meeting of the Indonesian Health Economics Association - Volume 1: INAHEA,},
year={2017},
pages={325-329},
publisher={SciTePress},
organization={INSTICC},
doi={10.5220/0007029703250329},
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 Qualitative Study with PBI and Non-PBI Patients of a Puskesmas in Surabaya
SN - 978-989-758-335-3
AU - Puspitasari H.
AU - Septinia R.
AU - Cholifah N.
AU - Mufarrihah.
AU - Athijah U.
PY - 2017
SP - 325
EP - 329
DO - 10.5220/0007029703250329