Profile of Stroke Patients Participants of the 2015-2020 National Health Insurance (JKN) Indonesia Treated in Advanced Referral Health Facilities (FKRTL)

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Abstract

Background
Stroke is a disease that causes the highest mortality rate in Indonesia, based on the Institute for Health Metrics and Evaluation (IHME) stroke is a non-communicable disease that causes the highest death. The purpose of this research is to get a profile picture of stroke patients in Indonesia.

Materials and methods
The research method is a quantitative cross sectional study design and statistical data analysis of Chi Square bivariate. The study used sample data from the 2015-2020 Social Health Insurance Agency (BPJS Kesehatan) with a sample size of 2,200,960 participants and those using services, advanced referral health facilities (FKRTL) with a sample size of 1,762,637 participants. While contextual sample data for stroke is information on sample data that has been diagnosed with stroke based on the International Classification of Diseases (ICD)10 at FKRTL when accessing advanced referral health facilities, with a diagnosis of ICD 10 code, namely G45, I60, I61, I62, I63 and I64. and classified into 3 types of stroke, Transient Ischemic Attack (TIA), Haemoragic Stroke, and Ischemic Stroke.

Results
The prevalence of stroke among JKN participants was 1.8%, while based on sex, men were significantly higher than women (1.9% vs. 1.6%). The types of stroke that occurred were ischemic stroke (93.5%), hemorrhagic stroke (4.4%) and TIA (2.1%). JKN participants with higher membership classes, the greater the prevalence (2.7% vs 1.8% vs. 1.4%). Meanwhile, based on the membership segment of non-employees and non-wage workers, the prevalence is significantly higher compared to other segments (6.7% and 3.6%).

Conclusions
Stroke is a non-communicable disease that often occurs in JKN participants with a prevalence of 1.8%, prompt and appropriate prevention and treatment measures will reduce the occurrence of disability or mortality. The informal worker participant segment has an indication of having a stroke significantly higher than the formal worker and contribution assistance participant (PBI).
Original languageEnglish
Title of host publicationInternational Scientific Meeting On Epidemiology (ISME) 2022
PublisherPerhimpunan Ahli Epidemiologi Indonesia (PAEI)
ISBN (Print)978-602-51965-3-9
Publication statusPublished - 22 Aug 2022

Keywords

  • stroke
  • ischemic stroke
  • hemorrhagic stroke
  • National Health Insurance

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