scholarly journals Effectiveness of Chronic Disease Management Program in Improving “CERDIK” Healthy Behavior in Patients with Hypertension in Gunungkidul, Yogyakarta

2020 ◽  
Vol 5 (3) ◽  
pp. 187-196
Author(s):  
Tri Puji Pangesti ◽  
◽  
Didik Gunawan Tamtomo ◽  
Bhisma Murti ◽  
◽  
...  
Keyword(s):  
Chronic Disease ◽  
Disease Management ◽  
Disease Management Program ◽  
Chronic Disease Management ◽  
Management Program ◽  
Healthy Behavior

scholarly journals Multilevel Logistic Regression Analysis on the Effectiveness of Chronic Disease Management Program in Improving “Cerdik” Healthy Behavior for Hypertensive Patients

2020 ◽  
Author(s):  
Tri Puji Pangesti ◽  
◽  
Didik Gunawan Tamtomo ◽  
Bhisma Murti ◽  
◽  
...  
Keyword(s):  
Chronic Disease ◽  
Disease Management ◽  
Community Health ◽  
Family Support ◽  
Peer Support ◽  
Disease Management Program ◽  
Chronic Disease Management ◽  
Management Program ◽  
Hypertensive Patients ◽  
Healthy Behavior

ABSTRACT Background: The chronic disease management program (prolanis) was established in Indonesia to help people achieve optimal quality of life with cost-effective and efficient health services. The user targets were national health insurance participants who suffer from chronic disease, including hypertension and diabetes mellitus. This study aimed to examine the effectiveness of prolanis in improving “CERDIK” healthy behavior for hypertensive patients. Subjects and Method: A cross sectional study was carried out at 25 community health centers in Gunungkidul, Yogyakarta, Indonesia, from January to February 2020. A sample of 200 hypertensive patients were selected by stratified random sampling. The dependent variable was healthy behavior. The independent variables were sex, education, family support, peer support, and prolanis. The data were collected by questionnaire and analyzed by a multiple logistic regression run on Stata 13. Results: Healthy behavior in patients with hypertension increased with (b= 1.95; 95% CI= 0.76 to 3.16; p= 0.001), participative in prolanis (b= 3.93; 95% CI= 2.42 to 5.44; p<0.001), strong family support (b= 1.38; 95% CI= 0.09 to 2.67; p= 0.035), strong peer support (b= 0.50; 95% CI= -0.81 to 1.91; p= 0.427), and female (b= 0.89; 95% CI= -0.35 to 2.13; p=0.160). Community health center had contextual effect on healthy behavior with ICC= 27%. Conclusion: Healthy behavior in patients with hypertension increases with high education, participative in prolanis, strong family support, strong peer support, and female. Community health center has contextual effect on healthy behavior. Keywords: chronic disease management program, cerdik health behavior, hypertension. Correspondence: Tri Puji Pangesti. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: [email protected]. Mobile: 082312657779. DOI: https://doi.org/10.26911/the7thicph.04.44

The Net Fiscal Impact Of A Chronic Disease Management Program: Indiana Medicaid

2008 ◽  
Vol 27 (3) ◽  
pp. 855-864 ◽  
Author(s):  
Ann M. Holmes ◽  
Ronald D. Ackermann ◽  
Alan J. Zillich ◽  
Barry P. Katz ◽  
Stephen M. Downs ◽  
...  
Keyword(s):  
Chronic Disease ◽  
Disease Management ◽  
Disease Management Program ◽  
Chronic Disease Management ◽  
Management Program ◽  
Fiscal Impact

Does Clinical Presentation Predict Response to a Nonsurgical Chronic Disease Management Program for Endstage Hip and Knee Osteoarthritis?

2014 ◽  
Vol 41 (11) ◽  
pp. 2223-2231 ◽  
Author(s):  
Jillian P. Eyles ◽  
Barbara R. Lucas ◽  
Jillian A. Patterson ◽  
Matthew J. Williams ◽  
Kate Weeks ◽  
...  
Keyword(s):  
Chronic Disease ◽  
Disease Management ◽  
Knee Osteoarthritis ◽  
Disease Management Program ◽  
Chronic Disease Management ◽  
Care Program ◽  
Management Program ◽  
Knee Oa ◽  
Predictors Of Response ◽  
High Level

Objective.To identify baseline characteristics of participants who will respond favorably following 6 months of participation in a chronic disease management program for hip and knee osteoarthritis (OA).Methods.This prospective cohort study assessed 559 participants at baseline and following 6 months of participation in the Osteoarthritis Chronic Care Program. Response was defined as the minimal clinically important difference of an 18% and 9-point absolute improvement in the Western Ontario and McMaster Universities Arthritis Index global score. Multivariate logistic regression modeling was used to identify predictors of response.Results.Complete data were available for 308 participants. Those who withdrew within the study period were imputed as nonresponders. Three variables were independently associated with response: signal joint (knee vs hip), sex, and high level of comorbidity. Index joint and sex were significant in the multivariate model, but the model was not a sensitive predictor of response.Conclusion.Strong predictors of response to a chronic disease management program for hip and knee OA were not identified. The significant predictors that were found should be considered in future studies.

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