Key result
Patient knowledge, clinician engagement, and family support are linked to higher Prolanis chronic disease program utilization.
Why the study?
Despite increasing hypertension-related healthcare needs and expanding chronic disease management initiatives in Indonesia, evidence on factors associated with program utilization at the primary healthcare level remains limited.
What individual, family, and healthcare determinants are associated with the utilization of the Chronic Disease Management Program (Prolanis) among patients with hypertension in Makassar, Indonesia?
Cross-Sectional (n=211)
No
What individual, family, and healthcare determinants are associated with the utilization of the Chronic Disease Management Program (Prolanis) among patients with hypertension in Makassar, Indonesia?
Identifies patient knowledge, family support, healthcare provider engagement, and information accessibility as key factors associated with chronic disease management program utilization among hypertensive patients in primary care in Indonesia.
May inform strategies to increase Prolanis uptake in hypertension; leaves open whether targeting these factors improves utilization or outcomes.
Background: Despite increasing hypertension-related healthcare needs and the expansion of chronic disease management initiatives in Indonesia, evidence regarding factors associated with program utilization at the primary healthcare level remains limited. Objectives: This study examined determinants of utilization of the Chronic Disease Management Program (Prolanis) among patients with hypertension at Kassi-Kassi Public Health Center, Makassar, in 2024. Methods: A quantitative cross-sectional study involved 211 participants enrolled in Indonesia’s National Health Insurance (BPJS Kesehatan), recruited through accidental sampling. Data were collected using questionnaires and analyzed using univariate statistics and Chi-square tests. Results: Significant associations with Prolanis utilization were identified for knowledge (p < 0.001), the role of healthcare professionals (p < 0.001), family support (p = 0.006), ease of access to information (p < 0.001), and perceived barriers (p < 0.001). These findings indicate that utilization is associated with individual understanding, family involvement, healthcare professional engagement, informational accessibility, and perceived obstacles. Primary healthcare providers should strengthen program communication through direct counseling, social media, and accessible educational materials, while engaging families and addressing barriers to participation. Because of the cross-sectional design, the observed associations should not be interpreted as causal. Conclusion: These findings may inform more accessible, family-responsive hypertension management and follow-up services within Indonesia’s primary healthcare system.
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Zilfadhilah Arranury (2026) conducted a cross-sectional in Hypertension (n=211). Individual, family, and healthcare determinants (knowledge, healthcare professional role, family support, information access, perceived barriers) was evaluated on Utilization of the Chronic Disease Management Program (Prolanis) (p=<0.001). Knowledge, healthcare professional role, information access, perceived barriers (all p < 0.001), and family support (p = 0.006) were significantly associated with Prolanis utilization.
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