Monitoring and Controlling System to Improve Health Services in Diabetes Mellitus: Research and Development Study

Abstract

BACKGROUND: Diabetes mellitus (DM) is a chronic disease caused by the inability of the pancreas to produce insulin or the body cannot use the insulin it produces effectively. Pekalongan City is one of the cities in Indonesia with a high prevalence of DM. The number of DM sufferers is caused by heredity, unhealthy lifestyle. AIM: The aim of the study was to create a website-based service system (e-health) that can assist the community in conducting consultation and monitoring activities for people with DM. METHODS: The method used is research and development where data and information are obtained by conducting observations, interviews and sampling both to health consultants, DM sufferers and the people of Pekalongan City. Consultants or health teams include doctors, nutritionists, psychologists and nurses. The number of people with DM was 40 respondents. RESULTS: The number of DM sufferers in Pekalongan City was 12,132 people consisting of 100 people with type-1 DM and 12,032 type-2 DM. A total of 66.7% of respondents experienced DM from heredity and 33.3% due to lifestyle and diet. As many as 48% of respondents experienced DM for <1 year, 32% between 1 and 3 years, 4% between 3 and 5 years, and 16% more than 5 years. Most (65%) respondents need online services, 10.3% really need it, 13.8% do not need it, and 10.3% do not need it. Most of the respondents needed consultation as much (56.7%), 10% essential, 13.3% less necessary, and 20% not necessary. Most require consultation with a team of health workers, as much as 62.5%, 15.6% very necessary, and 21.9% less necessary. CONCLUSION: Web-based health information system (e-health) can provide easy access for DM sufferers needed in education, consultation and monitoring, so as to reduce the number of DM sufferers in Pekalongan City.