THE EFFECT OF HEALTH INSURANCE ON ASTHMA CONTROL IN RESPONDENTS WITH ASTHMA IN YOGYAKARTA, INDONESIA

Rita Suhadi, Fenty Fenty, Dita Maria Virginia, Christianus Heru Setiawan

Abstract


Asthma is a chronic disease with recurrent breath shortness. Until now, there is no particular therapy to cure the disease and long-term treatment is needed to control the disease. Health insurance has the benefit to support the asthma therapy. This study aimed to assess the effect of health insurance on the asthma control based on Asthma Control Test (ACT) score. The study was done with a cross-sectional design on respondents with asthma who agreed to sign informed consent forms in Yogyakarta. The asthma respondents (n=36) were selected non-randomly, consisting of 23 respondents with health insurance, including universal health coverage or UHC (n=15), UHC and private insurance (n=7), and private insurance only (n=1). The ratio and categorical data were analyzed with the independent T-test or Mann-Whitney test and chi-square statistics, respectively. The study demonstrated that the profiles and number of medicines were similar between groups, except for lower smoking proportion among health insurance groups; the respondents with and without health insurance had the median ACT score at 22 (partial control) and 15 (bad control) respectively, though the scores were not statistically different. Conclusion: the asthma respondents with and without health insurance were not statistically different in the asthma control.



Keywords


asthma; asthma control; Asthma Control Test (ACT) score; health insurance

Full Text:

PDF

References


Afandi, S., Yunus, F., Andarini, S. and Kekalih, A., 2013. Tingkat Kontrol Pasien Asma di Rumah Sakit Persahabatan Berdasarkan Asthma Control Test Beserta Hubungannya dengan Tingkat Morbiditas dan Faktor Risiko. Studi Longitudinal di Poli Rawat Jalan Selama Satu Tahun. Jurnal Respirasi Indonesia. 33(4), 230-243.

American Thoracic Association, Asthma Control Test (ACT). Available from: http://www.thoracic.org/members/assemblies/assemblies/srn/questionaires/act.php. [Accessed 14 July 2017].

Avallone, K.M. and McLeish, A.C., 2015. Anxiety sensitivity as a mediator of the association between asthma and smoking. Journal of Asthma. 52(5), 498-504.

Badan Penelitian dan Pengembangan Kesehatan Kementerian Kesehatan RI (BPDANP Kesehatan Kemenkes RI),-. Riset Kesehatan Dasar (Riskesdas) 2013. Available from: www.depkes.go.id/resources/download/general/Hasil%20Riskesdas%202013.pdf. [Accessed 7 Nov 2017].

BPJS Kesehatan, Jumlah Peserta dan Faskes. Available from: https://bpjs-kesehatan.go.id/bpjs/index.php/jumlahPeserta. [Accessed 9 Nov 2017].

Ferlani, Sundaru, H., Koesnoe, S. and Shatri, H., 2015. Kepatuhan Berobat pada Pasien Asma Tidak Terkontrol dan Faktor-Faktor yang Berhubungan. Jurnal Penyakit Dalam Indonesia, 2(3), 140-150.

Glaxo Smith Kline (GSK). Asthma Control Test. 2017. Available from: https://www.asthma.com/content/dam/NA_Pharma/Country/US/Unbranded/Consumer/Common/Images/MPY/documents/816207R0_asthmacontroltest_printable.pdf. [Accessed 14 July 2017].

Kelly, H.W. and Sorkness, C.A., 2008. Asthma. In: J.T. DiPiro, J.T., Talbert, R.L., Yee, G.C., Matzke, G.R., Wells, B.G., Posey, L.M. 2008. Pharmacotherapy, a Pathophysiologic Approach 7th Ed.. New York: McGraw Hill.

Patel, M.R., Brown, R.W. and Clark, N.M., 2012. Perceived Parent Financial Burden and Asthma Outcomes in Low-Income, Urban Children. Journal of Urban Health, 90(2), 329-342.

Patel, M.R. and Wheeler, J.R.C., 2014. PhysicianPatient Communication on Cost and Affordability in Asthma Care Who Wants to Talk about It and Who Is Actually Doing It. Annals of the American Thoracic Society., 11(10), 15381544.

Quirce, S., Muoz, X., Urrutia, I., Prez-Camo, I., Sabadell, C., Domnguez-Ortega, J., Barranco, P., Plaza, V., 2013. Changes in the Asthma Control Test Score in Patients with Work-related Asthma. Journal of Investigational Allergology and Clinical Immunology. 23(4), 284-285.

Ross, J.A., Yang, Y., Song, P.X.K., Clark, N.M. and Baptist, A.P., 2013. Quality of life, health care utilization, and control in older adults with asthma. The Journal of Allergy and Clinical Immunology: In Practice, 1(2), 157-162.

Saba, M., Dan, E., Bittoun, R. and Saini, B., 2014. Asthma and smoking-healthcare needs and preferences of adults with asthma who smoke. Journal of Asthma. 51(9), 934942.

Stapleton, M., Howard-Thompson, A., George, C., Hoover, R.M. and Self, T.H., 2011. Smoking and Asthma. Journal of the American Board of Family Medicine. 24, 313322.

Suhadi, R., Linawati, Y., Virginia, D.M. and Setiawan, C.H., 2015. Early Implementation of Universal Health Coverage among the Hypertension Subjects In Sleman-District of Yogyakarta. Acta Medica Indonesiana. 47(4), 311-317.

World Health Organization (WHO), 2017a. Chronic respiratory diseases, Asthma. Available from: http://www.who.int/respiratory/asthma/en/. [Accessed November 9, 2017].

World Health Organization (WHO), 2017b. Fact Sheet on Asthma. Available from: http://www.who.int/features/factfiles/asthma/en/. [Accessed on November 9, 2017].

Zaini, J., 2011. Editorial Asthma Control Test: Cara Simpel dan Efektif untuk Menilai Derajat dan Respons. Jurnal Respirologi Indonesia. 31(2), 51-52.




DOI: https://doi.org/10.24071/jpsc.001176

Refbacks

  • There are currently no refbacks.


Copyright (c) 2018 Journal of Pharmaceutical Sciences and Community

 

 

 

 

 

 

 

  

Jurnal Farmasi Sains dan Komunitas (Journal of Pharmaceutical Sciences and Community)

Published by Faculty of Pharmacy, Universitas Sanata Dharma Yogyakarta

Creative Commons Licence
This work is licensed under a Creative Commons Attribution 4.0 International License.

JPSC Stats