BLOK KEDOKTERAN

KELUARGA
“DOKTER KELUARGA”
KELOMPOK A-5
Ketua : Daffa Arkananta P Y 1102015050
Sekretaris : Fathimah Ayu R 1102015075
Anggota : Adhe Sukma Kirana S 1102015005
Afifah Hanum R 1102015010
Akbar Rabani M 1102015014
Anisa Carina 1102015028
Balqish Trisnania R 1102015045
Dandy Abdi Cita G 1102015051
Abbiyyu Ghiyats M 1102015002
Arya Nugraha K 1102014040
SKENARIO

Family doctor
A 45-year-old woman came to the Primary clinic for medical treatment for high blood
pressure which she had suffered for 5 years. The patient came to this clinic at the
suggestion of his friend.
According to his friend, the Primary Clinic is very good, both the way it approaches and
the types of services available because the doctors who practice in this clinic are family
doctors who are somewhat different from ordinary general practitioners.
Still according to his friend this family doctor not only treats patients in the clinic, but
also can provide home visit services, health education and provide guidance to families
around the clinic.
HIPOTESIS

■ The role of family doctors in health services at the Pratama clinic includes a holistic
approach to counseling in a preventive, promotive, curative, rehabilitative
manner. Competencies that must be possessed by family doctors are effective
communication, clinical skills, problem processing skills, health screening ability,
being able to interpret laboratory, ECG, ACLS, ATLS, commonly available APLS
training by participating in the A-D package training from PDKI . The advantage of
getting treatment at a family doctor is that treatment has been preventive, home
care and home visits, and the doctor digs deeper into the patient.
SASARAN BELAJAR

■ Understanding and Explaining Family Medicine

■ Understanding and Explaining the Principles and Standards of Family Medical
Services
■ Understanding and Explaining the Role of Family Physicians in Primary Health
Services
 LI 1. UNDERSTANDING
AND EXPLAINING FAMILY
MEDICINE
■ Definition
■ Family doctors are general practitioners, only in practice using a family medicine
approach. The family medical approach is the principle there are 4, services that are
personal (individual) not family, services that are primary means only serve as a
primary care doctor, then comprehensive means family doctors as general
practitioners serve 4 service areas, namely preventive, promotive, curative, and
rehabilitative. Then the fourth is continuous, this is often overlooked by general
practitioners even though it is very important, the continuity of care, or continuity of
service.
Differences GENERAL FAMILY DOCTOR

from general PRACTITIONER

Service Coverage Limited Wider

practitioners
Comprehensive, Plenary,
are seen based Nature of Service Complaints
not just complained

on their duties Service Method

Case by case with Case by case with lifelong
momentary observation continuity

More towards prevention,

More curative only for
Kind of service without ignoring treatment
certain diseases
and rehabilitation
More attention and
Family role Less considered
involvement
Promotive and
Not a concern So the main concern
prevention
Doctor-patient Doctors - patients -
Doctor - patient
relationship colleagues and consultants
Individually as part of the
Early service Individually family community and
environment
How to become a family doctor

to obtain special competencies as a family doctor, it must be done by training in a

programmed and sustainable manner. In recent years many programs have been carried out
and efforts to convert from general practitioners to family doctors are certified and
recognized through training. The curriculum agreed upon from the results of the formulation
of a tripartid collaboration on the development of family doctors (IDI / KDKI-FK-Depkes)
includes four packages, namely:
■ Package A: introduction to the concept of family medicine,
■ Package B: management of family medicine services,
■ Package C: practical clinical skills,
■ Package D: cutting-edge clinical knowledge based on age
Family Doctor Criteria
■ Medisin Family Specialist (SpFM)
■ Family Doctor Terms
 LI 2. UNDERSTAND AND
EXPLAIN THE PRINCIPLES
AND STANDARDS OF
FAMILY DOCTOR SERVICES
The principle of family doctor

■ Holistic and comprehensive service

■ Continuous service
■ Services that prioritize prevention
■ Coordinative and collaborative services
■ Personal service for each patient as an integral part of his family
■ Services that take into account family, work environment, and neighborhood (family
doctor must diagnose holistically and treat comprehensively).
■ Services that uphold ethics, morals and law (to avoid abuse of doctors)
■ Cost-conscious and quality-conscious services (to control quality and costs that are
not excessive or lacking).
■ Audited and accountable (not making it up and not misusing data)
■ Competence
■ The competencies of doctors in primary medical services are contained in the 2006 Indonesian
Medical Council (KKI) document entitled "DOCTOR COMPETENCE STANDARDS" which describes 7
competency areas:
■ Effective Communication Area
■ Area of Clinical Skills
■ Medical Science Foundation area
■ Area of Health Problems Processing
■ Information Management Area
■ Self Awareness and Self Development Area
■ Areas of Ethics, Morals, Medical Sciences, and Professionalism and Patient Safety
■ Family doctors have 5 functions that they have, namely (Azrul Azwar et al. 2004):
■ Care Provider (Health Service Provider)
■ Communicator (Liaison or Message Submitter)
■ Decision Maker
■ The manager
■ Community Leader
 Standard family doctor services
■ Healthcare Standards in Clinics (Standards of clinical care)
– Full Service Standards (standard of comprehensive of care)
– Medical Service Standards (standard of medical care).
– Comprehensive Service Standards (standard of holistic of care)
– Integrated Service Standards (standard of integration of care)
– Standard of continuum care
■ Standards of Conduct in Practice (Standards of behavior in practice)
– Standards of behavior towards patients (patient-physician relationship standard)
– Standards of behavior with work partners in the clinic (Standard of partners relationship in practice)
– Standard of working with colleagues
– Standards for developing knowledge and practice skills (Standard of knowledge and skill development)
– Standards for participation in community activities in the health sector (standard as community leaders)
■ Practice Management Standards (Standards of practice management)
– Human resource standards (Standard of human resources)
– Financial management standards (Standard of finance management)
– Clinical management standards (Standard management of clinic for practice)
■ Facilities and Infrastructure Standards (Standards of Facilities)
– Standard of practice facilities
– Clinical equipment standards (standard of practice equipments)
– Standards of practical support processes (Standard of clinical supports process)
 LI 3. UNDERSTANDING AND
EXPLAINING THE ROLE OF FAMILY
PHYSICIANS IN PRIMARY HEALTH
SERVICES
■ Benefits of Family Doctors:
■ The benefits of family doctor services (Cambridge Research Institute, 1976) are:
– Handling cases of illness as a whole person.
– Disease prevention services are held and guaranteed continuity of service.
– Arrangement of specialist needs is more directed
– Integrated health services
– Family, health and social vulnerability can be utilized.
– Calculated various factors that can cause disease.
– Relieve health costs 8. Prevent the use of various advanced medical devices.
Core competencies and characteristics of family doctors