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.

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