PROLANIS PARTICIPANTS ACTIVITY TO CONTROL REFERRAL TO ADVANCED HEALTH FACILITIES

The Chronic Disease Management Program (Prolanis) is a program that synergizes the involvement of participants, health facilities, and Healthcare and Social Security Agency (BPJS Kesehatan). Health Center has not been effective in treating Non-Communicable Diseases (NCDs). This requires special efforts to prevent and control NCDs so as not to burden national health insurance program. The purpose of this study was to find out the impact of prolanis on referral control and efficiency chronic disease services. Exploratory research design was used to determine the application of prolanis policy.The population is Prolanis participants who were held at the Bengkulu City Health Center. The sample was obtained by convinence sampling with 211 subjects participated in Prolanis activities. The selected sample was prolanis participants who suffered from diabetes mellitus and hypertension. Based on correlation and regression tests, healthy living adherence with patient referral frequency indicated a weak relationship (r=0.155) and positive pattern. It means the higher compliance of participants, the lower referral frequency. The result showed that there was relationship between the compliance of healthy living participants with patient referrals in Bengkulu City (p=0.024). This means that there is significant difference between FKTL referrals before and after the participation of prolanis in Bengkulu City. Active prolanis participants can encourage participants with chronic diseases to achieve quality of life and reduce frequency of referral to FKTL. Reducing the frequency of referral FKTL can streamline the cost of health services to FKTL.