Spesific Problem Solving

SPESIFIC PROBLEM SOLVING

ADOLFINAMASTER OF FAMILY MEDICINE, GMU

DEFINITION

Pengambilan keputusan yang spesifik, yang ditentukan oleh prevalensi dan inidensi ‘illness’ tersebut di komunitas

Memanajemen masalah kesehatan pasien yang akut maupun yang kronik secara bersama sama

Terdapat 6 kemampuan yang perlu dikembangkan terkait dengan prinsip ini

▪ Mengkaitkan proses pengambilan keputusan dengan prevalensi dan insidensi ‘illness’ di masyarakat

▪ Mengumpulkan dan mengintrepretasikan informasi dari anamnesis, pemeriksaan fisik, investigasi dan mengaplikasikan nya untuk membuat rencana pengelolaan yang sesuai bagi pasien

▪ Untuk mengadopsi prinsip kersa yang sesuai menggunakan waktu sebagai alat dan untuk mentoleransi ketidakpastian

▪ Untuk memutuskan sesuatu yang ‘urgent’ jika diperlukan

▪ Mengelelola kondisi yang dapat muncul di awal dan di tengah-tengah

▪ Membuat intervensi diagnosis maupun terapeutik yang efektif dan efisien.

▪ Problems are presented to family doctors in the community in a very different way from the presentations in secondary care. The prevalence and incidence of illnesses is different from that which appears in a hospital setting and serious disease presents less frequently in general practice than in hospital because there is no prior selection. This requires a specific probability based decision-making process which is informed by a knowledge of patients and the community. The predictive value, positive or negative of a clinical sign or of a diagnostic test has a different weight in family medicine compared to the hospital setting . Frequently family doctors have to reassure those with anxieties about illness having first determined that such illness is not present.

Pengambilan keputusan yang spesifik, yang ditentukan oleh prevalensi dan inidensi ‘illness’ tersebut di komunitas

▪ Family medicine must deal with all of the health care problems of the individual patient. It cannot limit itself to the management of the presenting illness alone, and often the doctor will have to manage multiple problems. The patient often consults for several complaints, the number increasing with age. The simultaneous response to several demands renders necessary a hierarchical management of the problems which takes account of both the patient's and the doctor's priorities.

Memanajemen masalah kesehatan pasien yang akut maupun yang kronik secara bersama sama

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