IMPLEMENTATION OF PATIENT CASE MANAGERS IN TUBERCULOSIS MANAGEMENT AT MUHAMMADIYAH METRO GENERAL HOSPITAL
DOI:
https://doi.org/10.54973/jham.v7i1.878Keywords:
tuberculosis, patient case manager, treatment resultsAbstract
Tuberculosis remains a major global health problem with challenges in treatment adherence, loss to follow-up, and treatment completion. Patient Case Manager (PCM) is considered an important strategy to improve tuberculosis management through systematic patient assistance and monitoring. This study aimed to analyze differences in tuberculosis treatment outcomes before and after the implementation of Patient Case Manager at Muhammadiyah Metro General Hospital. This study used a quantitative retrospective comparative design with a before–after approach. The study population consisted of all tuberculosis patients recorded in the hospital tuberculosis information system from 2021–2024. Sampling was conducted using total sampling technique. Data analyzed included number of diagnosed patients, patients undergoing treatment, and treatment success rates before and after PCM implementation. Statistical analysis used Chi-square test with significance level p<0.05. The results showed that tuberculosis case detection increased from 333 patients before PCM implementation to 818 patients after implementation. The number of patients undergoing treatment also increased from 199 to 350 patients. Treatment success rate increased from 96.0% before PCM implementation to 97.1% after implementation. Statistical analysis showed significant differences in treatment indicators before and after PCM implementation (p<0.05). In conclusion, the implementation of Patient Case Manager contributed to improved tuberculosis case detection, patient treatment participation, and treatment success rates. Strengthening the role of Patient Case Manager is recommended to optimize tuberculosis control programs in hospitals.
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Amelia, T. D., Erlina, T., Syahria, R. U., Rahmadi, N., Ilahi, N. S., Arsy, S. Al, Avrileta, N. C., Fatmawati, Y. N., Hidayat, A. D., & Jayanto, D. L. (2024). Faktor-faktor yang berhubungan dengan angka kesembuhan pengobatan pada pasien tuberkulosis di Nusa Tenggara Barat (NTB) Triwulan I dan II Tahun 2023. Jurnal Riset Pengembangan dan Pelayanan Kesehatan, 3(1), 76–81.
Badan Pusat Statistik Provinsi Lampung. (2024). Profil kesehatan Provinsi Lampung tahun 2024. Bandar Lampung: BPS Provinsi Lampung.
Byberg, L., Väster, K., Lepp, M., & Rosengren, K. (2019). Nurses’ experiences of caring for patients with tuberculosis: An interview study in Indonesia. International Archives of Nursing and Health Care, 5, 136. https://doi.org/10.23937/2469-5823/1510136
Elgazzar, S., Labib Elkashif, M., Elbqry, M., & Elmansy, F. (2023). Improving nurses’ knowledge, practice, and self-efficacy regarding caring patients with tuberculosis: A quasi-experimental design. Iranian Journal of Nursing and Midwifery Research, 28(3), 235–243. https://doi.org/10.4103/ijnmr.ijnmr_316_21
Harfiani, E., Mulyanti, M., & Nurhakim, A. D. (2020). Faktor yang mempengaruhi rendahnya tingkat pengobatan tuberkulosis di Lagoa Jakarta. Jurnal Ilmiah Kesehatan Masyarakat, 12(3), 110–117. https://doi.org/10.52022/jikm.v12i3.80
Kementerian Kesehatan Republik Indonesia. (2024). Laporan program penanggulangan tuberkulosis Indonesia tahun 2024. Jakarta: Kementerian Kesehatan Republik Indonesia.
Kementerian Kesehatan Republik Indonesia. (2020). Pedoman nasional pelayanan kedokteran tata laksana tuberkulosis. Jakarta: Kementerian Kesehatan Republik Indonesia.
Kusumaningrum, A., Wulandari, G., & Kautsar, A. (2023). Tuberkulosis di Indonesia: Apakah status sosial ekonomi dan faktor lingkungan penting? Jurnal Ekonomi dan Pembangunan Indonesia, 23(1), 1–14. https://doi.org/10.21002/jepi.2023.01
Sunpapoa, C., Na-Ek, N., Sommai, A., Boonpattharatthiti, K., Huynh, N. S., & Kanchanasurakit, S. (2023). Impact of nursing interventions on hospital readmissions in patients with pulmonary tuberculosis: A quasi-experimental study. Asian Nursing Research, 17(3), 167–173. https://doi.org/10.1016/j.anr.2023.06.002
World Health Organization. (2024). Global tuberculosis report 2024. Geneva: World Health Organization.
Zhang, J., Hu, X. Y., Ye, H., Fan, X. Q., & Lai, D. M. (2023). Construction and application of tuberculosis medical and nursing integration cooperation model. Public Health Nursing, 40(1), 97–104. https://doi.org/10.1111/phn.13135
