The DiabCare Asia 2008 study – Outcomes on control and complications of type 2 diabetic patients in Indonesia

Soewondo, Pradana; Soegondo, Sidartawan; Suastika, Ketut; Pranoto, Agung; Soeatmadji, Djoko Wahono; Tjokroprawiro, Askandar

doi:10.13181/mji.v19i4.412

Cited by 86 publications

(87 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…We found a similar number of studies at the hospital level [24,25,27,28,30,31] and at multiple hospital or diabetes centre locations [18,21-23,26,29,32]. However, only one study was considered to be nationally representative [26].…”

Section: Resultsmentioning

confidence: 78%

Challenges in diabetes management in Indonesia: a literature review

2013

Self Cite

View full text Add to dashboard Cite

Background and objectivesThe expanding diabetes epidemic worldwide could have potentially devastating effects on the development of healthcare systems and economies in emerging countries, both in terms of direct health care costs and loss of working time and disability. This study aims to review evidence on the burden, expenditure, complications, treatment, and outcomes of diabetes in Indonesia and its implications on the current health system developments.MethodsWe conducted a comprehensive literature review together with a review of unpublished data from the Ministry of Health and a public health insurer (Askes). Studies presenting evidence on prevalence, incidence, mortality, costs, complications and cost of complications, treatment, and outcomes were included in the analysis.ResultsA limited number of international, national and local studies on the burden and cost of diabetes in Indonesia were identified. National survey data suggests that in 2007 the prevalence of diabetes was 5.7%, of which more than 70% of cases were undiagnosed. This estimate hides large intracountry variation. There was very limited data available on direct costs and no data on indirect costs. The most commonly-identified complication was diabetic neuropathy.DiscussionThere were a number of limitations in the data retrieved including the paucity of data representative at the national level, lack of a clear reference date, lack of data from primary care, and lack of data from certain regions of the country.ConclusionsIf left unaddressed, the growing prevalence of diabetes in the country will pose a tremendous challenge to the Indonesian healthcare system, particularly in view of the Government’s 2010 mandate to achieve universal health coverage by 2014. Essential steps to address this issue would include: placing diabetes and non-communicable diseases high on the Government agenda and creating a national plan; identifying disparities and priority areas for Indonesia; developing a framework for coordinated actions between all relevant stakeholders.

show abstract

Section: Resultsmentioning

confidence: 78%

Challenges in diabetes management in Indonesia: a literature review

2013

Self Cite

View full text Add to dashboard Cite

show abstract

“…The generally low adherence to the recommendations of the Indonesian guideline may partly explain the finding by Soewondo et al that 68% of patients in Indonesia diagnosed with diabetes were in poor glycemic control [6]. …”

Section: Discussionmentioning

confidence: 99%

Awareness, agreement, adoption and adherence to type 2 diabetes mellitus guidelines: a survey of Indonesian primary care physicians

et al. 2014

Self Cite

View full text Add to dashboard Cite

BackgroundTo assess the degree of awareness, agreement, adoption and adherence of physicians in Indonesia to type 2 diabetes mellitus guidelines, and their association with characteristics of the responders.MethodsQuestionnaire survey among General Practitioners (GPs) attending the Indonesian Association of Family Practitioners annual conference in November 2012. The proportion of GPs who were aware of, agreed with, adopted and adhered to the seven recommendations in the guidelines (screening for diabetes, diagnosis, lifestyle modification, use of sulfonylurea, target blood glucose, target blood pressure and use of statin) were calculated in the total number of responders.ResultsOf the 399 GPs participating, 383 (89%) were aware of the existence of Indonesian type 2 diabetes guidelines. Awareness for each recommendation varied from 66 to 91%. The recommendation to use a random blood glucose test for diagnosing patients with classic diabetes symptoms had the least awareness (265/399, 66%) and least agreement (163/399, 41%). The recommendation on statin use was the least adopted (192/399, 48%), while the least adherence (7/399, 2%) was found for the recommendation on screening for diabetes for patients with risk factors. Years of practice experience and proportion of diabetes patients seen in their practice were independently related with adherence to statin prescription.ConclusionsHigh awareness of the Indonesian type 2 diabetes guideline does not necessary lead to adoption or adherence to recommendations important for outcomes and quality of care. The awareness-to-adherence model helps in identifying barriers for the use of guidelines.

show abstract

“…5 Pasien DMT2 yang memiliki pengetahuan lebih baik tentang obatnya mencapai kontrol gula darah lebih baik. 6 Masalah yang dihadapi Indonesia dalam penanganan DM adalah kontrol gula darah yang buruk, 7,8 rendahnya pengetahuan pasien DM berkaitan dengan pengelolaan penyakit dan terapinya, 9,10 serta rendahnya persentase Puskesmas yang memiliki tenaga apoteker, sehingga mengakibatkan rendahnya tingkat pelayanan farmasi klinis khususnya konseling penggunaan obat, yang kemudian berdampak pada rendahnya tingkat kepatuhan dalam menggunakan obat dan hasil terapi.…”

Section: Pendahuluanunclassified

Effect of Patient Decision Aid on Level of Knowledge, Attitude, Practice and Clinical Outcome of Type 2 Diabetes Mellitus Patients

Suradnyana

Rahem

Aditama

2018

Indones J Clin Pharm

View full text Add to dashboard Cite

AbstrakDiabetes melitus (DM) termasuk ke dalam empat besar penyakit kronis yang prevalensinya terus meningkat di seluruh dunia. Jumlah penderita DM di Indonesia pada tahun 2015 adalah sepuluh juta dan diperkirakan akan terus meningkat. Masalah yang dihadapi Indonesia dalam penanganan DM adalah kontrol gula darah yang buruk, tingkat pengetahuan pasien yang rendah tentang pengelolaan penyakit dan terapi, serta sangat sedikitnya puskesmas yang memiliki apoteker. Patient decision aid (PDA) secara substansial dan signifikan mampu meningkatkan pengetahuan pasien. PDA dirancang berdasarkan konstruk health belief model (HBM) dengan target peningkatan pengetahuan, sikap dan tindakan berkaitan manajemen DM tipe 2 (DMT2). Tujuan utama penelitian ini adalah untuk mengetahui pengaruh PDA terhadap tingkat pengetahuan, sikap, tindakan dan hasil klinis pengobatan. Penelitian ini bersifat pra-eksperimental satu kelompok dengan desain intervensi pretest-posttest yang melibatkan 28 penderita DMT2 berumur 21-65 tahun dan merupakan peserta BPJS Kesehatan yang berobat di Puskesmas I Denpasar Utara, serta belum pernah dirujuk ke fasilitas kesehatan lanjut. Subjek diberikan PDA sebagai intervensi dan hasil utama yang diukur adalah perubahan pengetahuan, sikap, tindakan dan kadar gula darah puasa. Penelitian ini menunjukkan terjadi peningkatan tingkat pengetahuan, sikap dan tindakan, serta penurunan kadar gula darah puasa subjek antara sebelum dan sesudah diberikan PDA. Pemberian PDA menyebabkan peningkatan signifikan (p<0,05) tingkat pengetahuan, sikap dan tindakan, serta penurunan signifikan kadar gula darah puasa.Kata kunci: Diabetes melitus tipe 2, kadar gula darah puasa, patient decision aid (PDA), pengetahuan, sikap, tindakan Effect of Patient Decision Aid on Level of Knowledge, Attitude, Practice and Clinical Outcome of Type 2 Diabetes Mellitus PatientsAbstract Diabetes mellitus (DM) is one of four major chronic diseases which prevalence continued to increase worldwide. The number of diabetes mellitus patients in Indonesia in 2015 were ten million and expected to increase. Several problems faced by Indonesia in handling DM were bad blood sugar control, low patient's knowledge level about disease management and its therapy, and there are few primary health care that have pharmacist. Patient decision aid (PDA) was substantially and significantly able to increase patient's knowledge. PDA was designed based on the construct of health belief model (HBM) with the target to increase knowledge, attitude, and action related with management of type 2 DM (T2DM).The main purpose of this research was to determine the effect of PDA to knowledge level, attitude, action, and clinical outcome treatment. This research used pre-experimental one group pretest-posttest design that involved 28 DMT2 patients aged 21-65 years old, were participants of Badan Penyelenggara Jaminan Sosial (BPJS) who got treatment at Puskesmas I Denpasar Utara and had never been referred to a further health care facility. The subjects were given PDA as intervention and main...

show abstract

The DiabCare Asia 2008 study – Outcomes on control and complications of type 2 diabetic patients in Indonesia

Cited by 86 publications

References 10 publications

Challenges in diabetes management in Indonesia: a literature review

Challenges in diabetes management in Indonesia: a literature review

Awareness, agreement, adoption and adherence to type 2 diabetes mellitus guidelines: a survey of Indonesian primary care physicians

Effect of Patient Decision Aid on Level of Knowledge, Attitude, Practice and Clinical Outcome of Type 2 Diabetes Mellitus Patients

Contact Info

Product

Resources

About