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Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer)
Published by Universitas Gadjah Mada
ISSN : 2613943X     EISSN : 26205572     DOI : https://doi.org/10.22146/rpcpe
Core Subject : Health, Education,
Education Health Professions Medicine & Pharmacology Public Health
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.
Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)
Articles 131 Documents
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General Practitioners’ Autonomy in the Management of Non-Communicable Diseases (NCDs) in the JKN Era: Is It Feasible? Nur Afrainin Syah
Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 2, No 3 (2019): September
Publisher : Faculty of Medicine, Public Health, and Nursing

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (360.607 KB) | DOI: 10.22146/rpcpe.49971

Abstract

Demographic, epidemiological, and nutritional transitions increase life expectancy, changes in lifestyles and behaviors of Indonesian people. These changes are resulting in a growing contribution of non-communicable diseases (NCDs) to morbidity and mortality, especially metabolic disorders, such as type 2 diabetes mellitus (DM), hypertension, and dyslipidemia. Approximately 10.9% of the Indonesian population above 15 years old suffers from type 2 DM (21.2 million) and 34.1% have hypertension (66.3 million) in 2018. These figures increase significantly from 2013 figure; 6.9% and 25.8% respectively1. The metabolic disorders, which in turn, are responsible for vascular problems such as renal failure, stroke, and heart attack. Not surprisingly, then, 60% of Indonesian national health insurance (JKN) funds are spent on the NCDs. This condition causes a deficit and threatens the sustainability of the JKN program.
“Bonus of Demography” as an Opportunity to Build Indonesian’s Welfare (Through the Role of Doctors in Primary Care in the STBM Program for Decreasing the Prevalence of Stunting) Mariatul Fadilah
Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 2, No 3 (2019): September
Publisher : Faculty of Medicine, Public Health, and Nursing

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (334.07 KB) | DOI: 10.22146/rpcpe.50205

Abstract

Demographic bonus is a condition where the composition of the population of productive age (age range 15-65 years old) is greater than the number of non-productive age population. According to BPS predictions, in 2020-2045 Indonesia has the opportunity to experience a demographic bonus, in which the country will have around 180 million productive-aged people, while those who are not productive are 60 million. Currently, 3 to 4 unproductive people will be rewarded by 10 productive people. In 2018 the total population of Indonesia is 265 million with a composition of 133.17 million women and 131.88 million men, where the population dependency ratio of Indonesia is 47.9%, which means there are 47 to 48 unproductive residents (aged under 15 years old and over 65 years old) who will be borne by 100 productive age population (15-65 years old). The problem is not the quantity of productive population but more towards its quality, so large a number will really make a bonus for the development of the Indonesian nation or on the contrary the explosion of population in this productive age will be a disaster for this beloved nation.
Quality of Health Services in the First Level Health Facilities and the Role of Quality and Cost Control Team in Lampung Province Asep Sukohar; Arli Suryawinata; Aulian Mediansyah
Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 3, No 1 (2020): January
Publisher : Faculty of Medicine, Public Health, and Nursing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/rpcpe.54162

Abstract

Background: The National Health Insurance/Jaminan Kesehatan Nasional (JKN) program is a public health protection guarantee held by the Social Securite Management Agency/Badan Penyelenggara Jaminan Sosial Kesehatan (BPJS) to ensure that all Indonesians receive comprehensive, fair, and equitable health care benefits. The health services are provided using a tiered service system with the first stage in the First Level Health Facilities/Fasilitas Kesehatan Tingkat Pertama (FKTP) acting as a gatekeeper. In conducting these duties, they must always be maintained with good cost-efficiency to be able to provide optimal health service quality. The audit function is imposed by the Quality and Cost Control Team/Tim Kendali Mutu Kendali Biaya (TKMKB) which partners with BPJS. Until now, various efforts to improve the quality of services continue to be developed, one of which is the capitation-based service commitment/Kapitasi Berbasis Komitmen Pelayanan (KBK) payment method. Quality of health services in FKTP can be seen through the high number of FKTP that are affected by the capitation-based service commitment (FKTP KBK-K) payment. Additionally, the high number of FKTP KBK-K can also be a measure of the success of the quality and cost control program implemented by the regional TKMKB. Objective: To assess the quality of health services in FKTP and the TKMKB performance of Lampung Province. Methods: This research was a descriptive-analytic study using data from the BPJS report of Lampung Province and TKMKB in the first and second quarters of 2019. Results: There was an increase in the number of FKTP KBK-K in Lampung Province in the second quarter of 2019, not achieving the minimum contact number, with a low ratio of Prolanis Routine Participants Visiting/Rasio Peserta Prolanis Rutin Berkunjung (RPPRB) especially at the FKTP non-Primary Health Care Centers (non-Puskesmas) in Lampung Province. Conclusion: An increase in the number of FKTP KBK-K that is not accompanied by an increase in the clinical ability of primary health care providers (such as family doctors/primary care doctors) can reflect suboptimal health services in FKTP. Also, this can further serve as a benchmark that the performance of the provincial TKMKB is not yet optimal.
Understanding Cough Ethics and Changes of Behavior of Kindergarten Teachers in the Work Area of Puskesmas Sedayu I: Community-Based Health Efforts Sistia Utami; Mora Claramita; Wahyudi Istiono
Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 3, No 1 (2020): January
Publisher : Faculty of Medicine, Public Health, and Nursing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/rpcpe.54163

Abstract

Background: Cough cases are increasing every year. The most common cause is a virus. Coughing is influenced by endurance, Cough Ethics, and Handwashing with Soap/Cuci Tangan Pakai Sabun (CTPS). Transmission occurs through droplets in the air from the patient when coughing or sneezing. We need to educate the community to minimize transmission, especially among children. Ultimately, this speeds up the healing process. Objective: This study aimed to provide an understanding of Cough Ethics and behavior change using narrative in action to kindergarten teachers. Method: This study used descriptive-analytic qualitative methods with narrative in action. The subjects of the study were a population of kindergarten teachers in the working area of the Puskesmas Sedayu 1, selected purposive snowball sampling. Retrieval of data was done through the observation stage, pre-narrative in action activities, the narrative in action, post narrative in action activities, and the final observation stage in kindergarten. Result: Observations were done at the school to find out the infrastructure. Observation before and after the demonstration showed there were improvements and concluded that all can demonstrate the Cough Ethics and CTPS. Watching the Cough Ethics video, CTPS, followed by the dialogue, motivation, education, persuasion, promotion were empowering for the teachers to change their behavior. All groups when coughing or sneezing covered their nose and mouth with a tissue, mask, or the inner side of elbow arm or expelled phlegm on the ground, lodong/special place like a jar, and toilet. Conclusion: Narrative in action activities are an alternative way of providing understanding to change behavior. Watching videos makes it easy to explain the Ethics of Cough. Practice is needed to improve the skills of narrative in action.
Effect of Terra Exercise on Increasing Quality of Life Scores for Postmenopausal Women Nawang Sukestiningsih; Denny Agustiningsih; Wahyudi Istiono
Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 3, No 1 (2020): January
Publisher : Faculty of Medicine, Public Health, and Nursing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/rpcpe.54165

Abstract

Background: The number and proportion of the Indonesian female population aged 60 years and over from year to year have experienced a significant increase. Women who have gone through menopause and enter old age are described as having many physical and psychological changes, sometimes resulting in a crisis and psychological symptoms. Eighty percent of women report discomfort that can significantly reduce their quality of life. Terra exercise is an exercise movement that is adapted to the anatomical and physiological conditions of the elderly person’s body (low impact). Terra exercise is used to train stamina both physically and mentally. Objective: This study aimed to examine the effect of Terra exercise on the quality of life of postmenopausal women in Kemanukan Village, Bagelen District, Purworejo Regency. Method: This study used a quasi-experimental pre-test-post-test design with a control group. The samples were selected by purposive sampling with the following inclusion criteria: postmenopausal women aged 60-75 years, who did not experience kidney failure, heart disease, rheumatism, blood pressure below 160/90 mmHg, did not have a mental disorder (schizophrenia) nor violent behavior, have a level of independence in the category of sufficient or more, can communicate verbally, and willing to be respondents with a signature/thumbprint of approval to follow the study. Quality of life was measured using the Older People’s Quality of Life Questionnaire (OPQOL-35). Hypothesis testing used paired t-test and Mann-Whitney tests to see the average differences between treatment groups. Result: There was a significant change in the mean pre-test-post-test scores of quality of life of the intervention group with Terra exercise. Conclusion: Terra exercise can improve the quality of life of women after menopause.
Inter-Professional Collaboration in Prevention and Management Problems of Infant and Toddler Nutrition Retno Asti Werdhani
Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 3, No 1 (2020): January
Publisher : Faculty of Medicine, Public Health, and Nursing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/rpcpe.54167

Abstract

One of the functions of the primary care/family physician in case management is as a care coordinator/coordinator of the patient’s management1. McDonald defines a care coordinator as a patient’s management activity in healthcare that involves two or more participants (including patients) to improve the quality of health services. The definition emphasizes the need for collaboration between doctors and various parties including patients, families, and other health workers in managing health problems2. This paper emphasizes coordination and collaboration between health workers and families, which aims to increase knowledge and perceptions of families and communities to prevent malnutrition events such as failure to thrive, or obesity in children in the management of the first 1000 days of life.Management of the first 1000 days of life and growth and development monitoring needs doctors who motivate as well as parenting guidance to be able for caring and feeding the baby, as well as directly monitor the growth and development of their children. Many perceptions and stigmas develop in community can affect parenting parents towards their children. Accordingly, the function of the family physician is expected to have the ability as a care coordinator to support the successful management of the first 1000 days of life. This service requires collaboration between doctors and other healthcare professionals. This is in line with a spirit of partnership and cross-sector cooperation3. Primary care/family physician responsible for providing health services sustainably and comprehensively to individuals, families, and the community, in collaboration with other health workers. Primary care/family physicians manage various resources for the benefit of patients and families. Health services in primary care services provide primary to tertiary prevention services4, which doctors cannot do alone. Primary care/family physician is not only responsible for primary prevention and screening, however, must also be prepared to manage health problems in the first 1000 days of life, growth, and development, including facilitating referral and reconciliation. This responsibility proves the importance of collaboration practice in primary care services.
Pulmonary Tuberculosis Relapse Putu Parmi Asih
Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 3, No 1 (2020): January
Publisher : Faculty of Medicine, Public Health, and Nursing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/rpcpe.54168

Abstract

The patient is a 27-year-old married male, who does not work. Since contracting the tuberculosis (TB) illness, the patient complained of feeling tired and weak so he decided to stop working. The patient usually feels that rest helps the healing process of the pain and by not working, they feel more focused on the treatment of the disease because it requires them to go to the Puskesmas every day to get treatment. The patient’s wife works as a rice trade worker. The patient has a 3.5-year-old daughter. The patient originally came from the Karangasem Regency, Tulamben, which is included in the red zone of the eruption of Mount Agung. So actually, this patient is a refugee. But he did not complete the documents as a refugee, so the patient did not get the recognized rights as a refugee like getting free medical treatment. The patient who does not have the Indonesia Health Card/Kartu Indonesia Sehat (KIS) is considered to not have any health insurance and is included in the lowest economic status.
Adaptation of Home Falls and Accidents Screening Tool (HOME FAST) as a Fall Risk Screening Tool for the Elderly in First Level Health Facilities at Purworejo Regency Dewi Susilowardani; Wahyudi Istiono; I Dewa Putu Pramantara
Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 3, No 2 (2020): May
Publisher : Faculty of Medicine, Public Health, and Nursing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/rpcpe.33984

Abstract

Background: The Home Falls and Accidents Screening Tool (HOME FAST) is used for early detection of unsafe environmental conditions at home and risk factors for falls in the elderly. However, in Indonesia there are no data on the adaptation of this instrument. Objective: To determine if the HOME FAST adaptation can be used as a screening tool for the risk of falling in the elderly in the First Level Health Facilities/Fasilitas Kesehatan Tingkat Pertama (FKTP) of Purworejo Regency. Methods: This research was a quantitative study with a cross-sectional design. Subjects were elderly with age over 65 years in the Puskesmas Loano working area that met the inclusion and exclusion criteria. Results: After the adaptation of the HOME FAST instrument was completed, a validity test was performed and a r table result of 0.361 was obtained, indicating all questions were valid. Reliability testing using the Cronbach Alpha formula obtained 0.8461. Subjects were 300 respondents with a distribution of 135 men (45%) and 165 women (55%). The results of the bivariate analysis found three factors that were statistically significantly related, namely gender, age, and the total score of the HOME FAST adaptation instrument. Gender was statistically significantly correlated with a history of falls p = 0.045 (95% CI 2.14-2.56) with RP 1.57 while age was significant with p = 0.046 with (95% CI: 2.85-3.46), and the risk of unsafe total HOME FAST scoring with p = 0.024. From the 2x2 table calculations, the sensitivity of the HOME FAST adaptation scoring method was low with 46% and the specificity of 67%. Conclusion: The adaptation of HOME FAST has a sensitivity of 46% and a specificity of 67%. The prevalence of adaptation results from HOME FAST risk of falling was 36.66%, with the number of safe houses were 190 housing units and 110 unsafe houses.
Prediabetes Screening with American Diabetes Association (ADA) Scoring in the Primary Health Care Yogyakarta (Development And Validation Of Scoring Systems) Yaltafit Abror Jeem; Hari Koesnanto; Muhammad Robikhul Ikhsan
Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 3, No 2 (2020): May
Publisher : Faculty of Medicine, Public Health, and Nursing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/rpcpe.50503

Abstract

Background: Numerous studies have shown  the increasing of prediabetes incidence from the time being. Some of the prediabetes screening methods that can be performed at primary health care were American Diabetes Association (ADA) scoring for prediabetes. However, there was no data that describes the validity and applicability of the ADA scoring on prediabetes patients in Indonesia. Objective: To discribe prediabetes screening and to find out the applicability of the ADA scoring method in Yogyakarta primary health care. Method: The diagnostic test by scoring system of the ADA questionnaire was compared with OGTT (oral glucose tolerance test) as the gold standard. The subjects were patients of primary health care in Yogyakarta who fulfill the inclusion and exclusion criteria. Result: The subjects were 279 respondents with 227 female  (81.4%) and 52 male patients (18.6%). The mean age of the study subjects was 50.4 years (SD 12.81). The sensitivity and specificity of the scoring method of ADA was 61% and 71%. This could be influenced by the difference in BMI standard as one of the scoring items. Conclusion: Prediabetes prevalence was 11.1% in the study population. The sensitivity and specificity of the scoring method of ADA is 61% and 71%. The scoring method of ADA could not be used in primary health care.
The Need of Trusted Primary Care: Lesson Learnt from The COVID 19 Outbreak in Indonesia Trevino Aristarkus Pakasi
Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 3, No 2 (2020): May
Publisher : Faculty of Medicine, Public Health, and Nursing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/rpcpe.57624

Abstract

Indonesia declared COVID 19 as an outbreak since March 2020, where the President of Indonesia announced the fist two cases who were cured already. Since then a lot of publication, as well as information, spread out through social media. The hoax buster of the government had already put 134 hoaxes in the website only in one month 1. Thus, one can imagine how difficult for Indonesian people to understand the situation of the outbreak and to properly respond to it. Cases increased exponentially and it was estimated that Indonesia would reach 20,000 cases at the end of March 2020 2. The fact is up till the 6th of April 2020, Indonesia reported 2,491 cases 3.What happens to the estimation? Was it wrong or a lot of underreported cases occur in the community? Is it because of the intervention that the government launched effectively?

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