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All Journal Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Nommensen Journal of Medicine KESANS : International Journal of Health and Science International Journal of Science and Society (IJSOC) Jurnal Ar Ro'is Mandalika (Armada) The Indonesian Journal of General Medicine Primary Care Science and Practice (PCSP)
Handoko, Marshell Timotius
Department Of Primary Care Family Medicine; Faculty Of Medicine; Universitas Pelita Harapan; Indonesia
Religion Biochemistry, Genetics & Molecular Biology Chemistry Dentistry Education Health Professions Languange, Linguistic, Communication & Media Materials Science & Nanotechnology Mathematics Medicine & Pharmacology Neuroscience Physics Public Health Social Sciences Veterinary

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Diagnostic Test and Management of Typhoid Fever with Family Medicine Approach: A Case Report Glenis, Gabrielle; Darmawan Susanto, Tirta; Timotius Handoko, Marshell
Jurnal KESANS : Kesehatan dan Sains Vol 3 No 11 (2024): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v3i11.310

Abstract

A 24-year-old man with fever, decreased appetite, diarrhea, anxiety, cannot do his job properly because he feels weak and feels unwell, wants to be able to recover without having to be hospitalized, suspected of having typhoid fever. The patient often forgets to wash his hands before eating, 1 month ago the patient had a cough and runny nose, influenza, typhoid, dengue, pneumonia vaccines -, 8 years ago the patient had typhoid. The patient uses online food delivery, spends more time in the hospital than at home, is a major medical profession student, history of social service to Larantuka in May, experienced changes in family circumstances in 2019 so that adaptation and maturity are needed. This journal emphasizes supporting examinations and management carried out in accordance with a holistic family medicine approach in terms of promotive, preventive, curative, and rehabilitative aspects that focus on patients, families and communities
Akupresur PC6 terhadap CINV Pasien Kanker dengan Kemoterapi dalam Layanan Dokter Keluarga Hendrik, Hendrik -; Handoko, Marshell Timotius; moningkey, shiley
Nommensen Journal of Medicine Vol 9 No 2 (2024): Nommensen Journal of Medicine: Edisi Februari
Publisher : Universitas HKBP Nommensen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36655/njm.v9i2.1192

Abstract

Pendahuluan : Kanker telah menjadi bagian dari masalah kesehatan global yang paling penting. kemoterapi merupakan salah satu pengobatan kanker yang ada tetapi dapat menyebabkan beberapa masalah yang dapat mempengaruhi kualitas hidup pasien seperti mual dan muntah sehingga mencari pelayanan di fasilitas primer. Penerapan pelayanan kedokteran keluarga berbasis EBM seperti Stimulasi titik akupuntur dengan akupresur dipercaya dapat mengurangi keluhan mual muntah akibat kemeterapi. Tujuan dari evidence based case report (EBCR) ini adalah untuk melihat apakah penggunaan akupresur dapat mengatasi mual muntah akibat kemoterapi. Metode : pencarian literatur dilakukan pada PubMed, Google Scholar, dan ScienceDirect. Setelah literatur ditemukan, evaluasi dilakukan dengan menggunakan kuisioner telaah kritis. Hasil : dari tiga database di temukan 7 artikel yang dilanjutkan untuk telaah kritis. akupresure titik PC 6 menunjukkan penurunan terhadap mual dan muntah pada pasien yang menjalani kemoterapi. Akupresure titik PC 6 dapat direkomendasi pada layanan primer jika pasien masih mengalami mual muntah walaupun sudah terdapat pemberian obat antimuntah berhubung lokasinya yang mudah ditemukan dibanding titik akupresure yang lain Keyword : akupresur , CINV, PC 6 , neiguan.
Implementing Lifecycle-Based Clustering and Digital Integration in Indonesia’s Primary Healthcare: A Policy Analysis of Family Medicine’s Role in Sustainable Care Handoko, Marshell Timotius
Jurnal Ar Ro'is Mandalika (Armada) Vol. 5 No. 1 (2025): JURNAL AR RO'IS MANDALIKA (ARMADA)
Publisher : Institut Penelitian dan Pengembangan Mandalika Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59613/armada.v5i1.5446

Abstract

Transforming primary healthcare in Indonesia through integrated, lifecycle-based approaches is a strategic effort to achieve a high-value, high-quality health system. This study analyzes the role of family medicine within Indonesia’s primary care model, highlighting how family doctors contribute to improved healthcare accessibility, continuity, and responsiveness. Family doctors serve as frontline providers across lifecycle clusters—including maternal and child health, productive adult care, elderly care, and infectious disease control. Their role in managing chronic illnesses, mental health, and preventive care is essential within the Indonesian context, as they deliver comprehensive services that address the biological, psychological, and social determinants of health. Digital integration through the Platform Satu Sehat and the Pemantauan Wilayah Setempat (PWS) dashboard supports real-time health monitoring, enabling family doctors to make data-driven decisions and provide proactive care. In addition, family doctors extend their impact through community engagement, leading immunization campaigns, health education, and public health initiatives. They also serve as patient advocates by coordinating multidisciplinary teams and guiding individuals through complex healthcare pathways. This Indonesia-based model demonstrates the potential of family medicine to drive sustainable, community-based primary care transformation and provides a replicable framework for other low- and middle-income countries. The findings reinforce the critical role of family doctors as a foundation for equitable access, improved quality of care, and resilient health systems.
Effectiveness of Home Visiting Programs To Prevent Maternal Depression: A Systematic Review of RCTs Liem, Jean Andrina; Rustiadi, Natalie Debora Devino; Wijovi, Felix; Heriyanto, Rivaldo Steven; Setyoputra, Bryan; Sucahyo, Emanuela Clarisa Karina; Lake, Josephus Rivaldo; Aurielle, Celine; Handoko, Marshell Timotius; Cipta, Darien Alfa
Review of Primary Care Practice and Education Vol 6, No 2 (2023): July
Publisher : Faculty of Medicine, Public Health, and Nursing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/rpcpe.82560

Abstract

During prenatal and post-partum period, 10-20% of women experience depression. The quality of life and functional capacity of these women were also significantly impacted by depression. This condition also has an adverse effect on fetal development and newborn. Furthermore, home visit have been used to reduce maternal depression. However, the evidence of this still low. Hence, this review aims to evaluate the effectiveness of home visiting in preventing maternal depression. Articles for this systematic review were collected from several databases (PubMed, Scopus, Google Scholar, and ScienceDirect) using terms related to maternal depression, prevention, and home visiting. The quality of included studies were assessed using the Newcastle-Ottawa Scale (NOS). This systematic review is comprised of 13 high quality randomized clinical trials with 4.804 participants. Eleven studies indicate that home visiting effectively reduce depressive symptoms and a study shows that mothers receiving home visiting are twice less likely to develop depressive symptoms. Home visiting are also beneficial for low-income women amidst the low rate of mental health services. Only two studies state that there is no evidence that home visiting effectively reduces depressive symptoms and increases caregiving quality. However, some studies state that the mother's cognitive, child growth, and maternal depression may improve with home visiting integrated with cognitive behavioral therapy, counseling, education such as lectures, or video. Home visiting are effective in preventing maternal depression. Further studies are needed to compare the effectiveness of the intervention plan in home visiting. 
Systematic Review: The Correlation Burnout Rate in Cancer Patient Caregivers Febrianti, Erlin; Cipta, Darien Alfa; Esperanza, Maria; Handoko, Marshell Timotius; Sembiring, Melanie Darischa; Kristianti, Naftali Intania
Review of Primary Care Practice and Education Vol 7, No 1 (2024): January
Publisher : Faculty of Medicine, Public Health, and Nursing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/rpcpe.82561

Abstract

The caregiver among cancer patients often experiences hardships while providing emotional, physical, and financial support for their family members. Cancer is one of the leading causes of death. However, due to improved cancer treatment, there is a reduced mortality rate and increased survival rate among patients with cancer, resulting in an increased and prolonged burden for both patients and caregivers. The caregiver is a professional in treating patients requiring extended outpatient care, assisting patients in their daily activities, and performing medical treatment. The method we used is a systematic review of the correlation between burnout rates in cancer patients' caregivers. Was also conducted a researcher's method uses a cross-sectional/study. We used 14 articles that correlated and searched the keyword cancer, patient cancer, burnout, and caregivers. Also, the results stated that caregivers are highly related to the level of burnout; thus, research shows caregivers have low self-esteem, adverse health effects, and depression. Ultimately, there is a high correlation between burnout in caregivers and cancer patients. Caregivers play a crucial role in the management of cancer patients. Giving caregivers the social support they need, educational resources, and supporting programs may decrease burnout because they need to provide for their mental health, which correlates with low self-esteem, adverse health effects, and depression. There is great potential for improvement in the design of cancer caregiver intervention studies to plan for future implementation, so more in-depth studies on this topic are needed. 
Factors Affecting the Level of Satisfaction of Doctors Using the YesDok Telemedicine Information System Handoko, Marshell Timotius; Lahindah, Laura
International Journal of Science and Society Vol 6 No 1 (2024): International Journal of Science and Society (IJSOC)
Publisher : GoAcademica Research & Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54783/ijsoc.v6i1.1025

Abstract

Healthcare is one of the most important things in today's society, especially with technology. Indonesia has the fewest doctors in Southeast Asia, at 0.4 doctors per thousand population. This innovation in medical services can help patients and medical personnel to be more efficient and effective. Telemedicine as the practice of using technology to deliver health services remotely. In virtual situations, trust becomes very important in online services. Doctors are the main important part of YesDok telemedicine services and the importance of doctor satisfaction as users of telemedicine information systems is the main target. Quantitative research was conducted on a sample of all YesDok in-house doctors, the data was analyzed with SPSS 25. The results showed a significant effect on the level of satisfaction of doctors using the telemedicine system on the information quality factor and the level of reliability. Showing the main important factors needed by doctors as users of the telemedicine system.
Efektivitas Intervensi Edukasi dan Program Reminder Berbasis Teori Perubahan Perilaku dalam Meningkatkan Pengetahuan dan Kepatuhan Minum Obat pada Pasien Diabetes Melitus di Wilayah Kerja Klinik Medika Utama Manggar, Balikpapan Timur Lely Sustantine Totalia; Novendy; Marshell Timotius Handoko
The Indonesian Journal of General Medicine Vol. 40 No. 1 (2026): The Indonesian Journal of General Medicine
Publisher : International Medical Journal Corp. Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70070/n075vv29

Abstract

Pendahuluan: Diabetes Melitus (DM) merupakan penyakit kronis yang memerlukan kepatuhan terapi seumur hidup. Rendahnya kepatuhan minum obat masih menjadi masalah signifikan di Klinik Medika Utama Manggar, Balikpapan Timur. Penelitian ini bertujuan menganalisis efektivitas intervensi edukasi dan program reminder yang dirancang berdasarkan teori perubahan perilaku (Health Belief Model/COM-B/PPSA/Chronic Care Model) dalam meningkatkan pengetahuan dan kepatuhan pasien DM. Metode: Penelitian menggunakan pendekatan diagnosis komunitas dengan desain pre-test dan post-test pada 30 pasien DM tipe 2 yang terdaftar dalam Program Rujuk Balik (PRB). Intervensi meliputi penyuluhan kesehatan terstruktur (media PowerPoint, leaflet) dan program reminder (kartu pengingat, pesan WhatsApp). Evaluasi menggunakan kuesioner KAP (Knowledge-Attitude-Practice) serta pemetaan determinan perilaku berdasarkan HBM, COM-B, PPSA, dan CCM. Hasil: Terjadi peningkatan rata-rata skor pengetahuan dari 76,53±11,42 menjadi 88,97±7,36 (peningkatan 12,44 poin; 96,7% peserta mengalami peningkatan). Pada aspek kepatuhan, terjadi peningkatan pengambilan obat PRB dan pemeriksaan HbA1c. Analisis HBM menunjukkan persepsi hambatan (lupa 33,3%, jarak 25%) sebagai determinan utama. Analisis COM-B mengidentifikasi kesenjangan pada opportunity (akses, reminder) dan motivasi otomatis (kebosanan, persepsi sehat). Analisis PPSA menunjukkan faktor pemungkin (enabling) sebagai prioritas intervensi. Evaluasi CCM mengkonfirmasi perlunya transformasi sistem layanan proaktif. Diskusi: Peningkatan pengetahuan signifikan mendukung HBM bahwa isyarat bertindak (cue to action) memperkuat persepsi manfaat. Program reminder mengatasi hambatan lupa dalam kerangka COM-B. Kesenjangan knowledge-practice (80% vs 67,8%) dijelaskan oleh PPSA bahwa faktor pemungkin tidak kalah penting dari faktor predisposisi. Chronic Care Model memberikan kerangka sistemik untuk keberlanjutan. Kesimpulan: Intervensi edukasi dan program reminder berbasis teori perubahan perilaku efektif meningkatkan pengetahuan dan kepatuhan minum obat pasien DM. Pendekatan multi-teori direkomendasikan untuk pengelolaan penyakit kronis di pelayanan primer.
Effectiveness and Practicality of Indonesian-Adapted Train-the-Trainer MDD Minds Module in Primary Care: A Community Based Training Implementation and Early Clinical Outcomes Study Dewanto Andoko; Nicolaski Lumbuun; Darien Alfa Cipta; Marshell Timotius Handoko; Tirta Darmawan Susanto
Primary Care Science and Practice (PCSP) Vol. 1 No. 2 (2026): July
Publisher : Center of Public Health Innovation (CPHI), Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.66641/pcsp.v1i2.27

Abstract

Background: Indonesia faces an 85% depression treatment gap, with only 0.27 psychiatrists per 100,000 population. Culturally adapted training for primary care physicians is urgently needed. This study evaluated the training effectiveness and early implementation outcomes of an Indonesian-adapted Train-the-Trainer (TtT) MDD Minds module. Methods: This Type 1 mixed-methods implementation study involved 30 primary care physicians who completed centralized TtT training (October–November 2024). Eighteen trained scholars subsequently delivered community training to 125 healthcare workers across 12 provinces (December 2024–February 2025). Patient outcomes were assessed over 3 months among 96 patients (58 with comorbid hypertension) treated by trained providers. No control group was included, consistent with the proof-of-concept design. Knowledge, perceived self-efficacy, practicality, and patient-level outcomes (PHQ-9, MMAS-8, blood pressure) were measured using validated instruments. Results: Knowledge scores improved significantly from 67.48% to 93.24% (Cohen's d=2.87, p<0.001), with sustained perceived self-efficacy at 4-week follow-up (2.3 to 3.7/5). Practicality was rated highly (3.65/4.0). Among patients, mean PHQ-9 decreased by 6.1 points (95% CI: 5.3–6.9, p<0.001); 64.6% achieved treatment response. Hypertensive patients showed improved medication adherence (MMAS-8 +1.8, p<0.001) and blood pressure control (SBP −14.4 mmHg, p<0.001). Conclusion: The Indonesian-adapted TtT MDD Minds module demonstrated significant training effectiveness, high practicality, and promising preliminary patient benefits. These proof-of-concept findings support broader dissemination pending Phase III randomized evaluation.
Empowering Vulnerable Adolescents: The Role of Targeted Education and Primary Health Care in Addressing Smoking Risk among Orphaned Adolescents Marshell Timotius Handoko
Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 8, No 2 (2025): July
Publisher : Faculty of Medicine, Public Health, and Nursing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/rpcpe.110806

Abstract

Background: Indonesia continues to face major challenges in tobacco control, with a high prevalence of smoking, including among adolescents. Orphaned adolescents constitute one of the most vulnerable populations, owing to minimal parental supervision and high exposure to psychosocial stress, both of which increase the risk of smoking behavior. This study aimed to evaluate the effectiveness of an educational intervention on the dangers of smoking for orphaned adolescents at the Maktabul Aitam Orphanage for Orphaned and Underprivileged Children (Panti Asuhan Yatim Piatu & Dhuafa Maktabul Aitam), Ivory Serpong, South Tangerang. Methods: The study employed a quasi-experimental pretest–posttest design involving 23 adolescents who received interactive education. The material covered the dangers of conventional and electronic cigarettes, the effects of passive smoking, and smoking cessation strategies. Data were collected through written pretests and posttests and analyzed descriptively and inferentially using a paired t-test. Results: The results showed that the mean baseline knowledge score was only 43/100, which increased significantly to 95/100 after the intervention (p < 0.001). These findings indicate that contextually tailored education can enhance orphaned adolescents’ understanding of and awareness regarding the dangers of smoking. Conclusion: Life-cycle-based educational programs delivered by family physicians can serve as a key strategy for disease prevention in vulnerable adolescent populations. The integration of such programs into the primary health care system is essential for long-term tobacco control and sustainable health development. 
Co-Authors Aurielle, Celine Darien Alfa Cipta Darien Alfa Cipta Darmawan Susanto, Tirta Dewanto Andoko Esperanza, Maria Febrianti, Erlin Glenis, Gabrielle Hendrik, Hendrik - Heriyanto, Rivaldo Steven Kristianti, Naftali Intania Lake, Josephus Rivaldo Laura Lahindah, Laura Lely Sustantine Totalia Liem, Jean Andrina moningkey, shiley Nicolaski Lumbuun Novendy Rustiadi, Natalie Debora Devino Sembiring, Melanie Darischa Setyoputra, Bryan Sucahyo, Emanuela Clarisa Karina Tirta Darmawan Susanto Wijovi, Felix