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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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New Civilization in the Post-Covid-19 Health World & Lesson Learned from the Netherlands Armyn Nurdin; Tjay Tan; Isti Ilmiati Fujiati
Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 3, No 3 (2020): September
Publisher : Faculty of Medicine, Public Health, and Nursing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/rpcpe.62771

Abstract

New Civilizations in the Post-Covid-19 World Health There  are  several  possibilities  that  will happen  after  the Covid-19  outbreak  ends.  This  is  the  other  side  of  the Covid-19 pandemic.  There  is  a  term  called  see  the  un- seen, or seeing something before it happens. An illustrative example is that everyone sees the apple falling down, but only one person sees why or what causes the apple to fall down. This  is  Isaac  Newton.  Based  on  this phenomenon, the formula for the gravitational force or the gravitational force of the earth is triggered. This paper focuses on what might happen in the future.Indeed, the earth repairs itself in its own way, and that is for the benefit of mankind. The Covid-19 outbreak that is currently happening is a very positive thing for human life. Under the earth there are shifts in the earth’s plates which cause tectonic earthquakes. What is the goal? The aim is to stabilize the earth so that an asteroid collision does not occur. There is a plague on earth, what does it mean? Its meaning is  to  improve  human  life.  So,  let’s interpret  the  current outbreak as something positive. Previously in Europe, there were millions of deaths due to PES disease. At that time, most farmers died, so the land owners were short of labor. What is the meaning? First, farmers have a high bargaining position. Second, after the plague occurred, then there was the collapse of feudalism. In the past, peasants worked in a kind of forced labor. Then the modern economic system was  born.  It was  started  at  that  time  when  farmers  were paid in cash which had never happened before. This was the beginning of the growth of the modern economic system2. 
Starting Online Services at University Clinics at the Beginning of the Covid-19 Pandemic Dhanasari Vidiawati Trisna; Riri Indriyanti; Mora Claramita
Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 3, No 3 (2020): September
Publisher : Faculty of Medicine, Public Health, and Nursing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/rpcpe.62772

Abstract

The UI Makara Satellite Clinic (KSUI) is a university clinic that serves UI residents and the public as well as a vehicle for  education  and  health  research  in  primary  services.  It has been  a  BPJS  Outpatient  Service  Clinic  (KPRJ)  since October  2018.  It  is  called  a Satellite  Clinic  because  it  is planned  to  become  a  satellite  for  university  hospitals  in the academic health system at the University of Indonesia. Currently, KSUI is located on the Depok campus and the Salemba campus. In its daily services at the Depok campus, KSUI provides  services  for  doctors,  dentists,  nursing, pharmacy,  laboratories,  action  rooms, and psychological counseling.KSUI’s mission is not the same as an ordinary outpatient clinic, but because KSUI is a health service facilitated by the university, KSUI has a mission to maintain the health of the academic community, and not only treat them when they fall  ill.  Therefore,  in  addition  to  services that  respond  to patients coming to the clinic, KSUI also organizes periodic health check services, facilitates Posbindu activities in the faculties and office buildings on campus, and participates in medical care at any gathering or sports activities provided on campus.With  the  Covid-19  case  being  found  in  Indonesia,  KSUI decided  to  change  its service  method  as  quickly  and  as firmly  as  possible  from  face-to-face  services  to online services,  following  the  Chancellor’s  Decree  to  close  the campus  from  face-to-face  learning  and  other  student activities.  With  the  return  of  the  UI  dormitory students and  the  implementation  of  work  from  home  (WFH)  for lecturers  and education  staff,  KSUI  must  provide  safe services during a pandemic and can be accessed by service users  without  having  to  come  to  campus.  Therefore,  this article is a brief piece of information that has been done by KSUI when it decided that services should be carried out online.  It  is  not  easy  for  the  officer,  because  it  has  never been done, and it is not easy for the patient.
Health-Seeking Behavior of People in Five Sub-Districts in Karawang Regency Iqbal Ainnun Azis; Nita Arisanti; Helni Mariani; Dwi Agustian; Wulan Mayasari; Budi Sujatmiko
Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 4, No 2 (2021): May
Publisher : Faculty of Medicine, Public Health, and Nursing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/rpcpe.63490

Abstract

Background: Health-seeking behavior is an individual’s action to maintain and improve their degree of health and/or search for treatment, and it is influenced by many factors. The objectives of this study were to identify the preferences and reasons of people to visit healthcare facilities.Methods: This study was a descriptive study, conducted on November 5th 2019 at five sub-districts in Karawang Regency. Data were collected from all respondents using a guided questionnaire by trained enumerators. The respondents who did not complete the questionnaire were excluded from this study. Data were analyzed using Microsoft Office Excel 2013 and presented in percentages.Results: Out of 430 subjects, 18.6% were male and 81.4% were female, who were mostly in the age range of ≥ 18 years (99.5%). The sub-district health community center (Puskesmas) was the healthcare facilities most frequently visited and most preferred (39.7% and 40.9%), followed by a private clinic (21.3% and 22.3%) and a midwife (18.1% and 17.9%). Additionally, accessibility, affordability of the treatment cost, and waiting time were the main factors that influence people’s decision in using the healthcare facilities.Conclusion: The sub-district health community center was the healthcare facilities most frequently visited and most preferred by respondents. Accessibility, cost affordability, and waiting time were the factors that influence people’s decision in using the healthcare facilities.
The Role of Doctors in Facing the COVID-19 Pandemic in the Indonesian Worker Community Linda Dewanti
Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 4, No 1 (2021): January
Publisher : Faculty of Medicine, Public Health, and Nursing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/rpcpe.64851

Abstract

COVID-19, which is caused by the SARS-CoV-2 virus, first entered and infectedIndonesians on March 1, 2020. A woman (31 years old) felt sick two days afterdancing with a Japanese citizen living in Malaysia, who was also recently confirmedto have COVID-19. The woman's mother (64 years old) was finally infected andconfirmed as a sufferer of COVID-19. Since then, among all contacts from Japanesecitizens (33 people consisting of drivers, guides, restaurant waiters, and other guestsat the dance) and from the first COVID-19 case in Indonesia (80 people), most peoplewere those who worked directly related to the case tracing 1 . A total of 11 people wereconfirmed to have an infection, with 2 of them were asymptomatic cases. Of the 11people, 10 were contacts of the foreign nationals; and 1 case was the first Indonesiancitizen's mother.The next COVID-19 cluster description in the community is very similar to the firstcluster, namely work-related contacts and family contacts. New clusters continue toemerge from various industries and offices that dominate the number of new cases inIndonesia.
Managing Rare Disease for Practicing Primary Care Physicians Cipta Mahendra
Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 4, No 2 (2021): May
Publisher : Faculty of Medicine, Public Health, and Nursing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/rpcpe.65031

Abstract

Primary care physicians (PCPs) are trained to provide care for a wide scope of medical conditions within their patient population. They are supposed to be the very first healthcare provider the patient should visit when having an illness. Accordingly, it is customary for PCPs to encounter many types of patient cases in their practice. In addition to common diseases, some patients may present with symptoms of a rare disease (RD).Unfortunately, PCPs often lack knowledge to promptly detect and manage the patients with such disease. A research from Ireland reveals that only a third of PCPs were able to establish a diagnosis for RD and refer the patient to the appropriate specialist1. In Spain, more than half the PCPs were deemed fair or poor in knowledge of RD2. Similar result was also obtained from an expert survey in Belgium, stating that the basic RD knowledge of most PCPs in the country is low3. It is therefore justifiable for Evans to say that many patients with RD are un- or misdiagnosed4 and thus, it may take years to finally get a correct diagnosis3. In Indonesia, there has been no published local- or nationwide research surveying the PCP’s knowledge concerning presentations of RD. 
Impact of Foot Care Education Program Using WhatsApp Group on Knowledge and Foot Care Practice in Diabetic Patients Yogi Fitriadi; Hari Kusnanto Josef; Cornelia Wahyu Danawati
Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 4, No 2 (2021): May
Publisher : Faculty of Medicine, Public Health, and Nursing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/rpcpe.65439

Abstract

Background: Diabetic ulcers are still one of the complications of diabetes that cause high costs for treatment and cause disability in diabetic patients due to leg amputation. Diabetic ulcers can be prevented by properly controlling blood sugar levels and foot care practice. Primary care doctors can provide knowledge about foot care practice to the community through Whatsapp Group. Whatsapp Group as one of the social media that is easily accessible via mobile phone can be used to carry out health education to the community continuously.Objectives: Determine the impact of foot care education through Whatsapp Group on knowledge and foot care practice of diabetic patients.Methods: Quasi experimental one group pretest and posttest design was be utilized in this study. Samples were obtained by purposive sampling from diabetic patients who visited and participated in Program Penanggulangan Penyakit Kronis activity in a primary healthcare clinic in Semarang at December 2020 until January 2021. Data were analyzed using the Friedman test and post Hoc Wilcoxon test.Results: Thirty six diabetic patients met the inclusion criteria. The median, minimum, and maximum score of the foot care knowledge before education through Whatsapp Group was 10 (4-13) and the score of foot care practice was 40 (21-56). Immediately after education, the score of knowledge was 12 (9-14) and foot care practice was 49.5 (23-69). One month after education, the knowledge score was 13 (9-14) and the foot care practice score was 50 (26-73). From the Friedman test, it was obtained p value = 0.00 (<0.05) and the Wilcoxon post hoc test p value = 0.00 (<0.05) for the knowledge and foot care practice before and immediately-one month after education. The post hoc Wilcoxon test results p value = 0.24 and p value = 0.79 for the score of knowledge and foot care practice immediately and one month after education.Conclusion: Foot care education through Whatsapp Group has an impact on knowledge and foot care practice for diabetic patients. There is an increase in knowledge and foot care practice after providing education through Whatsapp Group.Keywords: Foot Care Education, Whatsapp Group, Knowledge, Foot Care Practice, Diabetes
Case Report: Type 2 Diabetes Mellitus for The Elderly with Less Family Support Fitria Saftarina
Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 4, No 2 (2021): May
Publisher : Faculty of Medicine, Public Health, and Nursing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/rpcpe.67181

Abstract

Mrs. R, 65 years old came to Puskesmas B with complaints of fatigue during activities accompanied by weakness since 1 week ago. The patient has been diagnosed with Diabetes Mellitus since 2 years ago, but the patient admitted that she sometimes went to the health center once every 2 or 3 months depending on her complaints. According to the patient's acknowledgment, initially complaints of fatigue were felt rarely but gradually became more frequent and appeared during light activities and felt continuously. Complaints are not accompanied by blurred vision or numbness.The patient admitted that if the medicine from the Puskesmas ran out, complaints in the form of frequent thirst, frequent urination, hunger, and fatigue were felt again which indicated that the patient's blood sugar was rising, and the patient admitted that the highest blood sugar reached 600 mg/dL. During Mrs. R's treatment, she not only went to the health center for treatment but also frequently went to midwives and paramedics near the house.Mrs. R took the drugs metformin and glimepiride if she had just gone to a health professional when she had a complaint. Additionally, Mrs. R admitted that because of the complaint of feeling weak, Mrs. R often consumed date juice 3 X 1 spoon every day. Mrs. R is often given explanations by health workers to maintain her diet, but according to her she still cannot regulate her diet properly. Mrs. R still can be active and currently the patient is active as a housewife. Every Saturday, Mrs. R follows the exercise program from the village, namely elderly gymnastics, while on other days Mrs. R does not do sports, and only does home activities. Mrs. R denied smoking history, denied drinking alcohol, and denied taking drugs. Mrs. R currently lives with her husband and one grandson.
Geriatric Assessment in Elderly People by Using ABCDE (Ability Balance Cognitive Diseases Emotion) Method at Posyandu for Elderly People Nunik Sulistyaningsih; Mora Claramita; I Dewa Putu Pramantara
Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 4, No 3 (2021): September
Publisher : Faculty of Medicine, Public Health, and Nursing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/rpcpe.33772

Abstract

Background: Elderly populations have increased in line with the increased life expectancy. Currently, the balance of disease burden on the elderly has shifted towards chronic disease. Cardiovascular disease, diabetes, cognitive impairment and depression are chronic diseases that cause suffering and death in elderly populations. Therefore, it is necessary to conduct a comprehensive and multidimensional health assessment as a preventive effort to reduce morbidity in the elderly.Objective: The general objective of this research was to obtain a description of elderly health status at the Posyandu for the elderly using a geriatric assessment called the ABCDE (Ability, Balance, Cognitive, Diseases, Emotion) method.Methods: This research used a cross-sectional design. The subjects were elderly persons ≥ 60 years old who participated in the Posyandu for the elderly and who had fulfilled inclusion and exclusion criteria. The estimated minimum sample size was 242 selected using stratified random sampling. The statistical analysis in this research employed univariate, and bivariate analysis using Chi square tests.Results: Elderly participants had light dependency (34.2%) with average activities of daily living (ADL) value of 19.39 ± 1.32, positive Romberg test 3.7%, and Sharpened Romberg Test 50%. The prevalence of cognitive impairment was 43.4%, while the average score of Mini Mental State Examination was 23.31 ± 6.08, hypertension prevalence 73.14%, hypercholesterolemia 13.22%, and diabetes mellitus 10.33%. Elderly who had depression and probable depression were 12.81%, consisting of mild depression 11.57% and moderate depression 1.24%. Balance disorders had a statistically significant correlation with ADL (p = 0.012; Ratio Prevalence (RP) = 1.422: 95% CI), cognitive impairment (p = 0.039; RP = 1.31: 95% CI), and depression (p = 0.034; RP = 1.63: 95% CI).Conclusion: The prevalences of hypertension, cognitive impairment, and balance disorder on sharpened Romberg test were high. There were statistically significant correlations between balance disorder and ADL, cognitive function, and depression. These findings support the application of geriatric assessment by using ABCDE which can be applied in primary care setting for elderly people.
Characteristics of Pulmonary Tuberculosis Patients in RSUD Prof. DR. W. Z. Johannes Kupang Evelyn Danielle Wijaya; Minarni Wartiningsih
Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 4, No 3 (2021): September
Publisher : Faculty of Medicine, Public Health, and Nursing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/rpcpe.55880

Abstract

Tuberculosis is an infectious disease caused by the bacteria Mycobacterium tuberculosis and contributes to one of the top 10 causes of death in the world. Tuberculosis sufferers in Indonesia are ranked as the 2nd most in the world. Tuberculosis cases in the province of East Nusa Tenggara continue to increase from year to year, especially in the Kupang city. Data of inpatient pulmonary tuberculosis patients in RSUD Prof. Hospital DR. W.Z. Johannes Kupang from 2017 to 2018 increased with 238 cases to 275 cases. This study aims to determine the characteristics of pulmonary tuberculosis patients hospitalized in RSUD Prof. DR. W.Z. Johannes Kupang. This research was conducted using the descriptive observational methods. Data collected using medical records with purposive sampling obtained a sample size of 51. The results of the study and conclusions showed that the majority of pulmonary tuberculosis patients hospitalized in RSUD Prof. DR. W.Z. Johannes Kupang consist of 60.8% of the male sex, 35.3% of the 45-55 year age group, 35.3% of primary school education status, and 54.9% of AFB smear-positive sputum.
Knowledge, Attitude, and Practice of Malaria Community Worker towards Prevention and Control of Malaria in Kokap, Kulon Progo: A Pilot Study Noor Afif Mahmudah; Intan Esaputri; Halwan Fuad Bayuangga; Nova Yuli Prasetyo Budi; Alif Kurniawan; Ditha Marissya Daud; Jonathan Hasian Haposan
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.59710

Abstract

Background: Malaria Community Worker (CMW) has a crucial role in malaria prevention and control in the community. However, a number of studies showed that there is a lack of competence from MCW in carrying out its duties. Knowledge, attitudes and practice (KAP) can represent the behavior about health services. Objective: This study aimed to assess the knowledge, attitudes and practice of the Malaria Community Worker towards prevention and control of malaria in Kokap, Kulon Progo. Methods: KAP survey with cross-sectional design was conducted in this study. CMW from Puskesmas Kokap I (n = 8) was asked to fill out a KAP questionnaire. Descriptive statistics and inferential tests were used to analyze the data. Data were analyzed by IBM SPSS Statistics Version 25. Results: The study found that 100% of respondents (n = 8) obtained high knowledge scores with the highest aspect on understanding about malaria and the lowest on diagnosis. The attitude score showed a moderate attitude for 100% of respondents (n = 8) with the highest aspect was fogging for malaria prevention and the lowest was the attitude that malaria is a serious disease. Meanwhile, the score of practice described good practice in 100% of respondents (n = 8) with the lowest part was compiling daily/weekly reports to the malaria program coordinator of Primary Health Care. From the observations, there was no significant correlation (p> 0.05) between demographic characteristics and between knowledge, attitudes and practice. Conclusion: The CMWs had a high knowledge score, moderate attitude, and good practice towards malaria prevention and control. Further studies with a larger sample are recommended for future study. CMW training is also recommended to improve the KAP of CMW.

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