Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer)
The Review of Primary Care Practice and Education is a bilingual open access journal which provides scientific information on the field of ‘Primary Care’ and ‘Family Medicine’ in the form of research-based scientific articles, case reports, policy briefs and new findings from experts, civitas akademika and medical practitioners. This journal is an official journal of the College of Indonesian Primary Care Physicians in collaboration with the Department of Family and Community Medicine of the Faculty of Medicine, Universitas Gadjah Mada, with the inaugural publication in January, 2018. The limited number of scientific journals of primary care and family medicine in Indonesia encouraged the College of Indonesian Primary Care Physicians to create a journal which focuses on the primary care, family and community medical sciences, and to disseminate the information to academics, health practitioners, and the public. This journal contains scientific information on strengthening efforts of primary care, various health problems in primary care, principles of education and family medicine services, and the efforts to create a healthier and prosperous community in Indonesia and the world.
Articles
131 Documents
<![CDATA[Patient-Centered Care ]]>
<![CDATA[Hari Kusnanto]]>
<![CDATA[ Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 1, No 2 (2018): May ]]>
Publisher : <![CDATA[Faculty of Medicine, Public Health, and Nursing ]]>
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
Full PDF (317.375 KB)
|
DOI: 10.22146/rpcpe.36009
<![CDATA[..........In the context of patient services constrained by cost barriers, physicians often find it unfavorable to choose an option that prioritizes patient interest. As has been the practice of physicians since Hippocrates, physicians position themselves as the one who best knows what is the most appropriate for the patient. This is in contrary to the concept of patient-centered care. Supported by the ethical principle of patient autonomy, patient-centered services / PCC (LBP/Layanan Berpusat Pasien) empower patients through the provision of more clear and accurate information, allowing patients to be partners in decision-making concerning their health........The cultural shift and the way services are delivered to the patients must be designed, managed and rewarded financially. Patients are no longer merely customers who receive services, but partners in the process of prevention and cure of the disease. The expected benefits of patient-centered services are greater patient and family satisfaction, increased reputation of the physician or the health care provider institution, increased morale and clinical productivity of supporting staffs, and cost savings and service efficiency.......]]>
<![CDATA[The Role of Primary Care in End of Life Care ]]>
<![CDATA[Aghnaa Gayatri]]>
<![CDATA[ Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 1, No 2 (2018): May ]]>
Publisher : <![CDATA[Faculty of Medicine, Public Health, and Nursing ]]>
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
Full PDF (320.184 KB)
|
DOI: 10.22146/rpcpe.36124
<![CDATA[Primary Care has been acknowledged to be the solution towards the achievement of “Health for All” as declared in the Declaration of Alma Ata1. Its importance has been further emphasized in the World Health Organization (WHO) 2008 Report2, where the changing world is in dire need of health care that surpasses all boundaries and can be delivered to all. It is stated that current health systems that are mostly hospital-based pose the risk of fragmented and uncoordinated care for the people. The move towards primary care is aimed at solving this problem amongst many others.One of the features that distinguishes primary care from other levels of care is that it addresses the needs of people irrespective of their age, gender, and disease, thus caring for individuals from the very beginning of life until death3. Caring for the dying patient has been traditionally considered as palliative or hospice care which is being provided to terminally ill patients in secondary settings4. With the shift of population by the increasing of elderly people, chronic conditions also become a major health problem which can eventually lead to death, and these often occur at homes and at the nursing care centers5. Care for the dying patient should not be just about preparing the patient for death. It is important to manage the dying patient in terms of management of symptoms and providing psychological support. Primary care situated as the first line of health care has an important role in ensuring that end of life care is well provided from the earliest stage possible, in coordination with other services when necessary.......]]>
<![CDATA[The Practice of Home-based Direct Observer Treatment of Patients with Positive Pulmonary Tuberculosis (DOT – TB) at Kebumen District of Indonesia ]]>
<![CDATA[Timbul Pranoto]]>;
<![CDATA[Mora Claramita]]>;
<![CDATA[I Dewa Putu Pramantara]]>
<![CDATA[ Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 1, No 2 (2018): May ]]>
Publisher : <![CDATA[Faculty of Medicine, Public Health, and Nursing ]]>
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
Full PDF (442.094 KB)
|
DOI: 10.22146/rpcpe.36126
<![CDATA[Background: Tuberculosis (TB) is a major global health problem, even though TB can be prevented and treated. The WHO Global Tuberculosis Report 2015 reported 1.5 million deaths from TB, of which 1.1 million were TB with HIV-negative and 0.4 million were HIV-positive tuberculosis. As many as 25% of deaths from TB were in productive ages between 15 to 54 years. Low adherence is a major cause of treatment failure, drop-out and the rising number of cases of MDR (Multi Drugs Resistance). Adherence is also a key to improve the cure rate of treatment of TB patients. Home-based Direct Observer Treatment of patients with positive pulmonary Tuberculosis (DOT–TB) or in Bahasa Indonesia also known as Pengawas Minum Obat (PMO) may improve adherence and increase the TB cure rate and success rate. The DOT-TB has tasks to oversee, remind, motivate and assist TB patients who are undergoing the treatment process. Background of DOT–TB in improving adherence needs to be explored by examining their experiences, which can be expressed by using a phenomenological qualitative study to explore the meaning and significance of their experiences. Objectives: This study aimed to explore the efforts of DOT–TB in performing their duties, the constraints arising from these efforts, benefits, and expectations of the DOT–TB position.Methods: This study applied a qualitative approach with descriptive phenomenological methodology. The number of informants were 21 people divided into groups of DOT–TB whose patients were perfectly recovered (7 people), groups of DOT–TB whose patients were drop-out or failed (7 people) and a group of 7 TB programmers. Each group participated in the Focus Group Discussion (FGD) for 90-120 minutes.Results: The results of the study indicate that the presence of DOT–TB is very important and necessary in the management of TB. The biggest challenge of DOT–TBs in performing their duties are communication barriers due to differences in hierarchy and social status in the society. Their sense of hesitancy was a major challenge of DOT–TB in charge. According to respondents, the ideal DOT–TB is someone close to the patients, has patience, compassion, enough knowledge about TB and good communication skills.Conclusions: In order to perform their duties well, DOT–TBs require training concerning tuberculosis and communication.]]>
<![CDATA[The Effect of Family APGAR Score on Depression Rate in Type 2 Diabetes Mellitus Patients at First-Level Health Facilities ]]>
<![CDATA[Annafsul Mutmainah]]>;
<![CDATA[Hari Kusnanto]]>;
<![CDATA[Oryzati Hilman]]>
<![CDATA[ Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 1, No 2 (2018): May ]]>
Publisher : <![CDATA[Faculty of Medicine, Public Health, and Nursing ]]>
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
Full PDF (691.425 KB)
|
DOI: 10.22146/rpcpe.36211
<![CDATA[Background: Diabetes Mellitus (DM) is a group of degenerative diseases. The prevalence of DM is increasing from year after year. The uncontrolled blood sugar level is associated with the incidence of depression in patients with type 2 diabetes mellitus (T2DM). Additionally, depression will increase the risk of micro and macrovascular complications, disability, and mortality. A functional family is needed for the successful treatment of T2DM patients. A family function assessment should be performed by a family physician as an effort to prevent the occurrence of depression. Family APGAR scores have been widely known among family medicine practitioners as a simple and fast tool for measuring the function of a family.Objectives: To determine the effect of family APGAR scores on the level of depression in patients with T2DM in first-level health facilities.Methods: This study is a quantitative analytic research with a cross-sectional design. A total of 98 T2DM patients as research subjects were measured using family APGAR score questionnaires. The result of the statistical analysis showed a significant effect of family APGAR scores on depression, with correlation strength (-0.364). Furthermore, the research subjects underwent measurement of the depression level by using the HAD (Hospital Anxiety and Depression) scale. Linear regression analysis was used to determine the effect of the family APGAR score and other factors on the level of depression.Results: Data collection from six first-level health facilities obtained 98 samples. Linear regression statistical analysis showed that there is a significant effect of family APGAR scores and age towards the level of depression with sig < 0.05 (0.000). Family APGAR scores and age contributed 10.6% in predicting the depression in the T2DM patient. Another 89.4% is explained by other factors which were not studied in this research.Conclusion: There is a significant effect of family APGAR scores and age on the level of depression in a T2DM patient in first-level health facilities. ]]>
<![CDATA[Effectiveness of Mental Health Training Module Gap Action Programme (mhGAP) in Increasing Knowledge and Skills of Primary Care Physicians in Diagnosing Depression Disorders in the Gunungkidul District ]]>
<![CDATA[Novi Fitri Yani]]>;
<![CDATA[Carla R Marchira]]>;
<![CDATA[Wahyudi Istiono]]>
<![CDATA[ Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 1, No 2 (2018): May ]]>
Publisher : <![CDATA[Faculty of Medicine, Public Health, and Nursing ]]>
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
Full PDF (538.936 KB)
|
DOI: 10.22146/rpcpe.36217
<![CDATA[Background: Depression occurs in 3-8% of the population of the world and ranks fourth in the world's most prevalent diseases. Based on data from Riskesdas 2013, the rate of mental disorders (depression and anxiety) reached 6% for ages 15 and older. The mental disorder most prevalent in primary care is the depressive disorder (10%), but the diagnosis of depression by general practitioners in primary care is only 1%. Coverage of mental health in primary care is low, partly because primary care physicians who are in Community and Primary Health Care Centers (Puskesmas) are still experiencing difficulties in diagnosing mental disorders, especially depression.Objective: To determine the effectiveness of mhGAP training in improving the knowledge and skills of primary care physicians in diagnosing and treating depression in Gunungkidul.Research Methods: This study was a quasi-experimental research with pretest-posttest design with one group, in order to find a causal relationship involving one treatment group.Results: The knowledge of the primary care physician improved about diagnosis of depression before and after intervention training modules, p=0.000. Patients with depression mostly suffered in the female group ages 19-60 years old. An increase in the diagnosis of depression after training mhGAP with validation by a psychiatric specialist was at 49.41%.Conclusion: Training with modules mhGAP improved education for physicians in the diagnosis of depression and improved referral rates of depression cases from community health centers to district hospitals in Wonosari.]]>
<![CDATA[The Precision of Screening Questionnaires for Diabetes Mellitus Type 2 and Hypertension Compared with the Gold Standard in Primary Care ]]>
<![CDATA[Seta Nurhayati Mularum]]>;
<![CDATA[Hari Kusnanto]]>;
<![CDATA[Wahyudi Istiono]]>
<![CDATA[ Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 1, No 2 (2018): May ]]>
Publisher : <![CDATA[Faculty of Medicine, Public Health, and Nursing ]]>
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
Full PDF (1050.052 KB)
|
DOI: 10.22146/rpcpe.36219
<![CDATA[Background: Diabetes mellitus (DM) and hypertension are health issues that are the focus of the Indonesian government, especially in the era of Universal Health Coverage/Jaminan Kesehatan Nasional (JKN). The prevalences have been steadily increasing daily. Special Region of Yogyakarta (DIY) has the highest prevalence of DM in Indonesia, while hypertension prevalence is 25.7% according to data from Riskesdas 2013. Complications from diabetes and hypertension lead to decreased quality of life and premature death, therefore it is necessary to have a better management strategy to reduce the risks. Nowadays, there are no diabetes and hypertension screening questionnaires which have been validated and implemented in the district of Bantul. Therefore, it is important to develop screening questionnaires for early detection of diabetes and hypertension as a tool for primary care physicians to perform tasks at the preventive level.Objective: This study aimed to measure the accuracy of screening questionnaires to detect diabetes mellitus and hypertension in primary care in Bantul DIY.Methods: This study used a cross-sectional method. The subjects of the study were a group of individuals aged 40-60 years in Bantul who met the criteria inclusion and the criteria exclusion. The study subjects were asked to complete the screening questionnaires of diabetes and hypertension. The results were then compared with the gold standard of fasting blood sugar and blood pressure check. The data were analyzed by using multivariate regression tests.Results: The results of multivariate analysis showed that the risk factors were a history of baby born weight ≥ 4 kg or gestational diabetes mellitus and the abdominal circumference was an independent risk factor for the incidence of diabetes in general population. Being a baby born with weight ≥ 4 kg and abdominal circumference had p = 0.001: RR 2.75 (CI 95%: 1.5 to 5.0) and p = 0.036: RR of 8.08 (CI 95%: 1.15 to 56.8), respectively. The risk factor of age was an independent risk factor for hypertension with p = 0.003: RR of 3.1 (CI 95%: 1.4 to 6.6).Conclusion: History of a baby born with weight ≥ 4 kg and abdominal circumference were appropriate for screening DM, meanwhile the age was appropriate for screening hypertension.]]>
<![CDATA[Training Detection of Preeclampsia Risk Factors for Physicians in Primary Care with Experience-Based Learning Methods: A Quasi Experimental Study ]]>
<![CDATA[Brantas Prayoga]]>;
<![CDATA[Shinta Prawitasari]]>;
<![CDATA[Mora Claramita]]>
<![CDATA[ Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 1, No 2 (2018): May ]]>
Publisher : <![CDATA[Faculty of Medicine, Public Health, and Nursing ]]>
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
Full PDF (660.974 KB)
|
DOI: 10.22146/rpcpe.36266
<![CDATA[Background: Training for primary care physicians in the management of pregnant women often combines detection of the risk of bleeding, risk of infection and the risk of preeclampsia. Meanwhile, preeclampsia contributes to the world's largest maternal mortality rate, including in Indonesia. Primary care physicians’ knowledge about the risk factors and the early detection of preeclampsia is still very limited. It is therefore necessary to detect preeclampsia risk factors as early as possible and perform proper, fast and effective therapeutic diagnosis to prevent the onset of preeclampsia and to make efforts to safeguard maternal health and the survival and wellness of her baby. Experiential learning was selected in this training as it allows for sustainable learning.Methods: Quasi experimental study was conducted with 30 physicians of Community and Primary Health Care Center (Puskesmas) who were randomly divided into 2 groups, i.e. treatment group and control group each with 15 people. The treatment group was given training by 2 cycles of experiential learning, then both groups rated knowledge with vignette questionnaires from international sources that have been validated by experts in obstetrics, with 1-week interval time between the post-test and pre-test.Results: There was an increase of knowledge in primary care physicians after receiving training for both the treatment group (p = 0.034) or the control group (p = 0.000). The increase of knowledge in the treatment group after training was higher than the control group with the mean difference of 5.733. This result shows that the use of experiential learning methods proved effective.Conclusion: The detection training of risk factors for preeclampsia increases the physician's knowledge in managing preeclampsia in primary care.]]>
<![CDATA[Case Report: B20 Infection ]]>
<![CDATA[Lina Nur Islamiyyah Yunus]]>
<![CDATA[ Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 1, No 2 (2018): May ]]>
Publisher : <![CDATA[Faculty of Medicine, Public Health, and Nursing ]]>
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
Full PDF (443.762 KB)
|
DOI: 10.22146/rpcpe.36267
<![CDATA[.......The problem, in this case, was very complicated. We should pay attention to several aspects in the approach for HIV patients: privacy (respect patient's privacy), confidentiality (we must keep patient’s health information confidential), fidelity, and veracity (upholding truth and honesty). The confidentiality in this case was patient’s status as an HIV patient. Also, we must understand that the complaints experienced by HIV patients would be different from one and another.In addition to her physical problems, there was also her psychosocial problem. Assistances from an HIV counselor for the patient while maintaining her confidentiality were needed to manage the patient’s health problems, such as......]]>
<![CDATA[CASE REPORT: FEBRILE SEIZURES ]]>
<![CDATA[Betty Nuning Widyaningsih]]>
<![CDATA[ Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 1, No 2 (2018): May ]]>
Publisher : <![CDATA[Faculty of Medicine, Public Health, and Nursing ]]>
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
Full PDF (378.945 KB)
|
DOI: 10.22146/rpcpe.36268
<![CDATA[.......Cases of febrile seizures mostly occur in children but people still often do not understand how to deal with fever and febrile seizures.Problems experienced by patients involved the need for management of the febrile seizures immediately, carefully and precisely and with consideration of the patient’s safety. In addition, health workers are expected to respond to parents' worries about the 'sequelae' of the febrile seizures......... ]]>
<![CDATA[Idea on the Clinical Services of Primary Care Physicians ]]>
<![CDATA[Adi Heru Sutomo]]>;
<![CDATA[Fitriana Fitriana]]>
<![CDATA[ Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 1, No 3 (2018): September ]]>
Publisher : <![CDATA[Faculty of Medicine, Public Health, and Nursing ]]>
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
Full PDF (350.703 KB)
|
DOI: 10.22146/rpcpe.41690
<![CDATA[The increasing needs and health problems that exist in the community and the more critical the community-related health problems that require the ability of a primary care doctor able to handle existing health problems in the community. Primary care doctor complies with Alma Ata Declaration in 1978 as the backbone of health that makes direct contact with the community, so it is essential for a primary care doctor to involve the patient or the patient as part of the team. Patient experience information or patients given to primary care doctors is expected to further improve the quality of patient health services as individuals and is part of the family and society or community....................]]>
