Universal Journal of Public Health Vol. 12(3), pp. 557 - 568
DOI: 10.13189/ujph.2024.120313
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The Survival Rate of Patients with Diabetes Mellitus in Indonesia Between 2019 and 2022

Iha Nursolihah ^1,*, Dian Agnesa Sembiring ¹, Sabrina ², Salma Khoerunnisa ², Annisa Rahma Audia ^2
1 Department of Hospital Administration, Faculty of Health Sciences, Universitas Singaperbangsa Karawang, Indonesia
² Department of Nutrition, Faculty of Health Sciences, Universitas Singaperbangsa Karawang, Indonesia

ABSTRACT

Diabetes Mellitus is a rapidly growing health concern that affects almost every country in the world. Currently, there are 537 million cases of diabetes worldwide, and this number is projected to increase to 643 million by 2030. Indonesia is the only Southeast Asian country included among the top 10 nations globally, with the highest number of people diagnosed with diabetes mellitus. Therefore, this study aims to assess the survival rate of patients with diabetes in Indonesia. This study utilized data from the "BPJS Kesehatan," the Indonesian National Health Insurance. The data pertained to a contextual diabetes participant sample. The data was analyzed using survival analysis, which involved univariable analysis, a proportional hazards assumption test, and bivariable analysis using the Cox Regression test. According to the research findings, out of the total sample of 143,496 diabetes patients observed from 2019-2022, the survival rate for diabetes patients in Indonesia was 0.7945. If analyzed by province, the survival rate ranged from 0.7496 to 0.8565. Moreover, this study found that children aged 0-5 had the highest mortality rate with a hazard ratio of 1.9 when compared to those aged 18-40. Additionally, men were found to be at a higher risk than women, with a hazard ratio of 1.5. According to the treatment class, patients in class II had the highest mortality rate, with a hazard ratio of 1.1 when compared to class I patients. On the other hand, based on participant segmentation, independent participants (PBPU) had the highest mortality rate, with a hazard ratio of 2.8 times higher than premium assistance beneficiaries (PBI) participants from the annual national budget (APBN). Finally, patients with diabetes had a higher mortality rate at General Practitioner health facilities than at Primary Clinics, with a hazard ratio of 1.1. In conclusion, the survival rate of patients with diabetes in Indonesia has witnessed a decline from 2019 to 2022, which indicates an increase in the annual mortality rate. It is imperative to address other risk factors that contribute to the decline in the survival rate of patients with diabetes.

KEYWORDS
Diabetes, Mortality, Survival Rate, BPJS, Indonesia

Cite This Paper in IEEE or APA Citation Styles
(a). IEEE Format:
[1] Iha Nursolihah , Dian Agnesa Sembiring , Sabrina , Salma Khoerunnisa , Annisa Rahma Audia , "The Survival Rate of Patients with Diabetes Mellitus in Indonesia Between 2019 and 2022," Universal Journal of Public Health, Vol. 12, No. 3, pp. 557 - 568, 2024. DOI: 10.13189/ujph.2024.120313.

(b). APA Format:
Iha Nursolihah , Dian Agnesa Sembiring , Sabrina , Salma Khoerunnisa , Annisa Rahma Audia (2024). The Survival Rate of Patients with Diabetes Mellitus in Indonesia Between 2019 and 2022. Universal Journal of Public Health, 12(3), 557 - 568. DOI: 10.13189/ujph.2024.120313.