A Study of Chronic Disease Management in Indonesian Primary Health Care


  • Febri Endra Budi Setyawan
  • Retno Lestari




Physician Competencies, Patient Satisfaction, Chronic Disease Management, Prolanis


Chronic disease management program in Indonesia(Prolanis) is a preventive and promotive program
developed by Indonesian national health insurance. The initial survey showed thatonly 37.04% of
primary health careperformchronic disease management programsoptimally. Prolanis can succeed and
be sustained if health care services included health care teams effectively address patient needs as well
as increasing the quality of health services.For this reason, physicians as key roles in primary health care
should enhance their competencies to deliver high-quality care. This study aimed to identify the impact
of physician competencies on patient satisfaction in Indonesian primary health care. This study used
a cross-sectional designwith multistage random sampling which included 90 chronic disease patients
in primary health care. The results revealed that the average physician competencies in providing
health services to patients were 73.57%. In addition to this, as many as 73.64% of patients expressed
satisfaction with physician skills. Lambda correlation test obtained a value of r = 0.76, so it was stated
that the physician competencies had a strong influence on chronic disease patient satisfaction. It can
be concluded that the more physicians master their competencies,the more confident patients seek
treatment at primaryhealth care.

Author Biographies

Febri Endra Budi Setyawan

Lecturer, Faculty of Medicine, Universitas Muhammadiyah Malang Jl. Bendungan Sutami 188A,
Malang, East Java, Indonesia

Retno Lestari

Lecturer, School of Nursing, Faculty of Medicine, Universitas Brawijaya Indonesia




How to Cite

Febri Endra Budi Setyawan, & Retno Lestari. (2021). A Study of Chronic Disease Management in Indonesian Primary Health Care. Indian Journal of Forensic Medicine & Toxicology, 16(1), 472–479. https://doi.org/10.37506/ijfmt.v16i1.17497