Beruflich Dokumente
Kultur Dokumente
List of Content
Planners Team
Facilitators
Reserve Facilitators
10
Time Table
11
23
Assessment Method
23
Module 1 18
24
Curriculum Mapping
60
List of Modules
Day 1: MODULE ~ 1
p.24
Introduction to Health System and Primary Health Care: The Basic Principles
Day 2 -3: MODULE ~ 2
Health Indicators and Health Services Related Problems
p.29
p.31
p.33
p. 35
p.37
p.39
p.41
p.43
p.45
p. 49
p. 53
p. 55
p.57
p.59
p. 63
p. 65
CURRICULUM
Health System Based Practice
Competency
Statements
Instructional
Goals
Learning Objectives
Topics
Manage health
services in
primary health
system
1. Demonstrate
ability to provide
health services
in accordance
with a countrys
health system
Health
Indicators and
Health Services
Related
Problems
5.
Introduction to
Health System
and Primary
Health Care:
The Basic
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
Principles
care system.
Competency
Statement
Instructional
Goals
Learning Objectives
Topics
National Health
System
(Sistem
Kesehatan
Nasional
(SKN)) 2012
Health Care
System in
Several
Countries
Competency
Statement
Instructional
Goals
2. Demonstrate
ability to apply
the concept of
management to
provide health
services at
primary level
Learning Objectives
Topics
Primary
Health Care
and Health
Promotion
Basic theories
underlying
health
promotion
Puskesmas
as a Primary
Health Care
Service
a. Askes
b. Askeskin/JPKMM
c. General patients
5. Describe the application of
private and public health
services
management
in
puskesmas.
Instructional
Goals
Learning Objectives
6.
7.
8.
9.
Topics
Health
Management
Concepts in
Health
Services
(Management
of people,
facilities,
information,
finance, and
quality)
3. Apply family
medicine
approach in
primary
health
services
Managed
Care
Health
Insurance and
SJSN
Family
Medicine
Practices:
Family as a
Unit of Care
Instructional
Goals
Learning Objectives
Topics
Health
delivery
system and
family
medicine
Instructional
Goals
Learning Objectives
Topics
Diseases
management
skill
~ PLANNERS TEAM ~
No
Name
Department
Phone
Community/Preventive
08123924326
Community/Preventive
082147092348
Community/Preventive
087860380028
Community/Preventive
081337005360
Community/Preventive
08124696647
Community/Preventive
08123816424
Community/Preventive
0818560008
6
7
~ FACILITATORS ~
Regular Class (Class A)
No
Name
Department
Phone
Group
Room
Number
A-1
A.3.09
Public Health
082147092348
A-2
A.3.10
Biochemistry
08123982504
A-3
A.3.11
A-4
Anatomy Pathology
08113803933
A.3.12
Pharmacy
0811399886
A-5
A.3.13
Interna
08123803985
A-6
A.3.14
ENT
08113809882
A-7
A.3.15
Pharmacology
08123687288
A-8
A.3.16
A-9
A.3.17
A-10
A.3.19
Surgery
Interna
Histology
08123826430
08155736480
08123925104
10
Name
Department
Phone
Group Room
Number
Parasitology
08123662311
B-1
A.3.09
Anatomy
085103043575
B-2
A.3.10
Public Health
0818560008
B-3
A.3.11
Interna
08123853700
B-4
A.3.12
B-5
A.3.13
B-6
A.3.14
B-7
A.3.15
B-8
A.3.16
Clinical Pathology
0817569021
Orthopaedi
0811385263
Andrology
081338605087
Orthopaedi
0811388859
Interna
08123989192
B-9
A.3.17
Orthopaedi
081338493832
B-10
A.3.19
Reserve Facilitators
No
Name
Department
Phone
Com/Prev
08123816424
Com/Prev
0817340145
Com/Prev
081337005360
Com/Prev
08123924326
~ TIME TABLE ~
11
Time
Activity
Venue
Lecturers
Theatre Room
(4th floor)
dr. I Nyoman
Sutarsa,
MPH
Introductory Lecture
08.00
09.00
1
Tuesday
14th of April
09.00 11.00
11.00 12.30
SGD (Task-1)
12.30
13.00
Independent Learning
13.00
14.00
09.00
10.00
10.00 11.00
11.00 12.00
Break/Lunch
Wednesday
15th of April
12.00
15.00
09.00
10.00
Class Room
(CR) 3.01
CR 3.01
CR 3.01
dr. I Nyoman
Sutarsa,
MPH
DR. Luh Seri
Ani, SKM.,
M.Kes
dr. I Nyoman
Sutarsa,
MPH
DR
CR 3.01
CR 3.01
dr. I Nyoman
Sutarsa,
MPH
3
Thursday
16th of April
Discussion
Room (DR)
Introductory lecture
Introductory Lecture
2
Theatre Room
(4th floor)
10.00 11.00
11.00 12.00
Break/Lunch
12.00
15.00
Independent Learning
12
Days/
date
Activity
Time
Venue
Introductory Lecture
09.00
10.00
4
Friday
17th of
April
10.00 11.00
11.00 12.00
Break/Lunch
Lecturers
CR 3.01
CR 3.01
SGD (Task-4):
12.00
15.00
DR
09.00
10.00
CR 3.01
CR 3.01
CR 3.01
CR 3.01
5
Monday
20th of
April
10.00 11.00
11.00 12.00
Break/Lunch SGD
12.00
15.00
Independent Learning
09.00
10.00
Introductory Lecture
Primary Health Care and Health
Promotion
Introductory Lecture
6
10.00 11.00
11.00 12.00
Break/Lunch
Tuesday
21st of
April
SGD (Task-6):
12.00
15.00
DR
SGD (Task-7):
Basic Theories underlying Health
Promotion
13
Days/
date
09.00 10.00
7
Wednesday
22nd of April
Activity
Time
10.00 11.00
Break/Lunch
12.00 15.00
Independent Learning
CR 3.01
CR 3.01
Introductory Lecture
23rd of April
CR 3.01
Introductory Lecture
8
Thursday
Lecturers
11.00 12.00
09.00 10.00
Venue
10.00 11.00
11.00 12.00
Break/Lunch
CR 3.01
SGD (Task-8):
12.00 15.00
DR
SGD (Task-9):
Health Workforce and Human
Resource Management
09.00 10.00
9
Friday
24th of April
10.00 11.00
CR 3.01
11.00 12.00
Break/Lunch
12.00 15.00
Independent Learning
CR 3.01
14
Days/
date
10
Monday
27th of April
Activity
Time
09.00 10.00
Introductory Lecture
Quality Management (1)
10.00 11.00
Introductory Lecture
Quality Management (2)
11.00 12.00
Break/Lunch
Venue
Lecturers
CR 3.01
dr. I Nyoman
Sutarsa, MPH / dr.
Ni Luh Putu
Ariastuti, MPH
CR 3.01
dr. I Nyoman
Sutarsa, MPH / dr.
Ni Luh Putu
Ariastuti, MPH
SGD (Task-10):
12.00 15.00
DR
SGD (Task-11):
Quality Management (2)
11
Tuesday
28th of April
09.00 10.00
10.00 11.00
11.00 12.00
Break/Lunch
12.00 15.00
Independent Learning
CR 3.01
dr. I Nyoman
Sutarsa, MPH / dr.
Ni Luh Putu
Ariastuti, MPH
CR 3.01
dr. I Nyoman
Sutarsa, MPH / dr.
Ni Luh Putu
Ariastuti, MPH
Introductory Lecture
09.00 10.00
12
Wednesda
y
29th of April
Management of Facilities,
Information, and Finance
CR 3.01
10.00 11.00
Introductory Lecture
Managed Care
CR 3.01
11.00 12.00
Break/Lunch
DR. dr. GN
Indraguna Pinatih,
MSc, SpGK, Akp
DR. dr. I Wayan
Weta, MS, SpGK
SGD (Task-12):
12.00 15.00
Management of Facilities,
Information, and Finance
DR
SGD (Task-13):
Managed Care
13
Thursday
30th of April
09.00 10.00
10.00 11.00
11.00 12.00
Break/Lunch
12.00 15.00
Independent Learning
CR 3.01
CR 3.01
DR. dr. GN
Indraguna Pinatih,
MSc, SpGk, Akp
DR. dr. I Wayan
Weta, MS, SpGK
15
Days/date
14
Monday
4th of May
Time
Activity
Venue
Lecturers
09.00 10.00
Introductory Lecture
Health Insurance and SJSN
CR 3.01
dr. I Nyoman
Sutarsa, MPH
10.00 11.00
Introductory Lecture
Family Medicine Practices:
Family as a Unit of Care
CR 3.01
11.00 12.00
Break/Lunch
SGD (Task-14):
Health Insurance and SJSN
SGD (Task-15):
Family Medicine Practices:
Family as a Unit of Care
DR
CR 3.01
09.00 10.00
10.00 11.00
11.00 12.00
Break/Lunch
12.00 15.00
Independent Learning
09.00 10.00
Introductory Lecture
Health Delivery System and
Family Medicine Practices
10.00 11.00
Introductory Lecture
Disease Management Skills
11.00 12.00
Break/Lunch
12.00 15.00
SGD (Task-16):
Health Delivery System and
Family Medicine Practices
12.00 15.00
15
Tuesday
5th of May
16
Thursday
7th of May
dr. I Nyoman
Sutarsa, MPH
CR 3.01
CR 3.01
CR 3.01
DR. dr. GN
Indraguna Pinatih,
MSc, SpGk, Akp
DR
SGD (Task-17):
Disease Management Skills
17
Friday
8th of May
09.00 10.00
10.00 11.00
11.00 12.00
Break/Lunch
12.00 15.00
Independent Learning
CR 3.01
CR 3.01
DR. dr. GN
Indraguna Pinatih,
MSc, SpGk, Akp
16
Days/date
18
Monday,
11th of May
19
Tuesday, 12th
of May
20
Wednesday,
13th of May
Time
Activity
Venue
Lecturers
CR 3.01
Team
CR 3.01
Team
CR 3.01
Team
Final Examination
Team
17
~ TIME TABLE ~
English Class (B)
Days/
date
Time
Activity
Venue
Lecturers
Theatre Room
(4th floor)
dr. I Nyoman
Sutarsa,
MPH
Introductory Lecture
08.00
09.00
09.00 11.00
Tuesday
14th of April
11.00 12.30
Independent Learning
12.30
14.00
SGD (Task-1)
14.00
15.00
09.00
12.00
12.00
13.00
13.00
14.00
14.00
15.00
2
Wednesda
y
15th of April
3
Thursday
16th of April
09.00
12.00
12.00
13.00
13.00
14.00
14.00
15.00
Theatre Room
(4th floor)
Discussion
Room (DR)
Class Room
(CR) 3.01
dr. I Nyoman
Sutarsa,
MPH
Independent Learning
Break/Lunch
Introductory lecture
Health Indicators and Health
Services Related Problems
Introductory Lecture
Health Care System in Several
Countries
SGD (Task-2): Health Indicators
and Health Services Related
Problems
CR 3.01
CR 3.01
dr. I Nyoman
Sutarsa,
MPH
DR
CR 3.01
CR 3.01
dr. I Nyoman
Sutarsa,
MPH
18
Days/
date
Activity
Time
09.00
12.00
12.00
13.00
13.00
14.00
4
Friday
17th of
April
14.00
15.00
Venue
Lecturers
Independent Learning
Break/Lunch
Introductory Lecture
National Health Care System of
Indonesia 2012
Introductory Lecture
Puskesmas as a Primary Health
Care Service
CR 3.01
CR 3.01
SGD (Task-4):
09.00
12.00
DR
5
Monday
20th of
April
12.00
13.00
13.00
14.00
14.00
15.00
09.00
12.00
12.00
13.00
13.00
14.00
21st of
April
14.00
15.00
CR 3.01
6
Tuesday
Break/Lunch SGD
Independent Learning
Break/Lunch
Introductory Lecture
Primary Health Care and Health
Promotion
Introductory Lecture
Basic Theories underlying Health
Promotion
CR 3.01
CR 3.01
19
Days/
date
Activity
Time
Venue
Lecturers
SGD (Task-6):
09.00 12.00
7
Wednesd
ay22nd of
April
12.00 13.00
13.00 14.00
14.00 15.00
Break/Lunch
Student Presentation and
Feedback:
Independent Learning
12.00 13.00
Break/Lunch
23rd of
April
CR 3.01
09.00 12.00
13.00 14.00
CR 3.01
Introductory Lecture
8
Thursday
DR
SGD (Task-7):
CR 3.01
14.00 15.00
CR 3.01
20
Days
/date
Activity
Time
Venue
Lecturers
SGD (Task-8):
09.00 12.00
DR
SGD (Task-9):
Health Workforce and Human
Resource Management
9
Friday
24th of
April
12.00 13.00
13.00 14.00
14.00 15.00
10
Monday
27th of
April
Break/Lunch
Student Presentation and
Feedback:
CR 3.01
CR 3.01
09.00 12.00
Independent Learning
12.00 13.00
Break/Lunch
13.00 14.00
Introductory Lecture
Quality Management (1)
14.00 15.00
Introductory Lecture
Quality Management (2)
CR 3.01
dr. I Nyoman
Sutarsa, MPH / dr.
Ni Luh Putu
Ariastuti, MPH
CR 3.01
dr. I Nyoman
Sutarsa, MPH / dr.
Ni Luh Putu
Ariastuti, MPH
SGD (Task-10):
09.00 12.00
DR
12.00 13.00
Break/Lunch
13.00 14.00
14.00 15.00
CR 3.01
dr. I Nyoman
Sutarsa, MPH / dr.
Ni Luh Putu
Ariastuti, MPH
CR 3.01
dr. I Nyoman
Sutarsa, MPH / dr.
Ni Luh Putu
Ariastuti, MPH
21
Days/
date
12
Wednes
day
29th of
April
Time
Activity
09.00 12.00
Independent Learning
12.00 13.00
Break/Lunch
Venue
Lecturers
CR 3.01
DR. dr. GN
Indraguna Pinatih,
MSc, SpGK, Akp
Introductory Lecture
13.00 14.00
14.00 15.00
Management of Facilities,
Information, and Finance
Introductory Lecture
Managed Care
CR 3.01
SGD (Task-12):
09.00 12.00
13
Thursda
y
30th of
April
14
Monday
4th of
May
Management of Facilities,
Information, and Finance
DR
SGD (Task-13):
Managed Care
12.00 13.00
Break/Lunch
13.00 14.00
14.00 15.00
09.00 12.00
Independent Learning
12.00 13.00
Break/Lunch
13.00 14.00
Introductory Lecture
Health Insurance and SJSN
14.00 15.00
Introductory Lecture
Family Medicine Practices:
Family as a Unit of Care
CR 3.01
DR. dr. GN
Indraguna Pinatih,
MSc, SpGk, Akp
CR 3.01
CR 3.01
dr. I Nyoman
Sutarsa, MPH
CR 3.01
SGD (Task-14):
Health Insurance and SJSN
15
Tuesday
5th of
May
09.00 12.00
SGD (Task-15):
Family Medicine Practices:
Family as a Unit of Care
12.00 13.00
Break/Lunch
13.00 14.00
DR
CR 3.01
CR 3.01
14.00 15.00
dr. I Nyoman
Sutarsa, MPH
DR. dr. I Wayan
Weta, MS, SpGK
22
16
Thursday
7th of
May
Days/date
09.00 12.00
Independent Learning
12.00 13.00
Break/Lunch
13.00 14.00
Introductory Lecture
Health Delivery System and
Family Medicine Practices
14.00 15.00
Introductory Lecture
Disease Management Skills
Time
09.00 12.00
17
Friday
8th of May
18
Monday,
11th of May
19
Tuesday,
12th of May
20
Wednesda
y, 13th of
May
Activity
SGD (Task-16):
Health Delivery System and
Family Medicine Practices
CR 3.01
CR 3.01
DR. dr. GN
Indraguna Pinatih,
MSc, SpGk, Akp
Venue
Lecturers
DR
SGD (Task-17):
Disease Management Skills
12.00 13.00
Break/Lunch
13.00 14.00
14.00 15.00
CR 3.01
CR 3.01
DR. dr. GN
Indraguna Pinatih,
MSc, SpGk, Akp
CR 3.01
Team
CR 3.01
Team
CR 3.01
Team
Final Examination
Team
23
1. Monday
2. Tuesday
No
Class
Group SGD
Activity
Regula
r
Group Discussion
Regula
r
Group Discussion
Break/Lunch
Time/Place
English
Group Discussion
English
Group Discussion
Guidance:
1. Each group is required to bring at least one laptop.
2. Each group will be provided with data/report of a community health center and will
discuss the data based on a guideline. The data/report and the discussion guideline
will be provided before the first discussion session.
ASSESSMENT METHOD
Student assessment of this block consists of:
1. a paper test with multiple choice questions at the end of the block with a proportion
of 80% of the total score
2. a student project with a proportion of 15% of the total score
3. evaluation of activity during the small group discussion with a proportion of 5% of the
total score
24
Day 1
MODULE ~ 1
MODULE~1
Introduction to Health System and Primary Health Care:
The Basic Principles
dr. I Nyoman Sutarsa, MPH
AIMS:
Demonstrate ability to provide health services in accordance with a countrys health system
LEARNING OUTCOMES:
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
Page 25
Page 26
Page 27
2.
3.
4.
Explain challenges that are faced by every country in arranging health care system!
5.
What dilemmas are possibly to appear in developing health care system? Explain your
answer!
6.
What are the roles of Family Medicine in health care system? Explain your answer!
7.
8.
What will be the ultimate objective of health care system? Explain your answer!
9.
10. Describe problems and challenges that are possibly to be faced by every country in
developing health care system.
11. Explain why delivering Primary Health Services has an important role in health care
system.
12. What strategies must be prepared to solve the problems in developing health care
system? Explain your answer!
Page 28
Day 2 - 3
MODULE~2
Health Indicators and Health Services Related Problems
DR. Luh Seri Ani, SKM., M.Kes
AIM:
Demonstrate ability to provide health services in accordance with a countrys health system
LEARNING OUTCOMES:
1.
2.
3.
4.
CURRICULUM CONTENTS:
Health Indicators and Health Services Related Problems
ABSTRACT
(References: Gan GL, et al, pp.14-21)
There are three dimensions of health delivery service namely: patient, health provider and
payment system. In general, the medical service is expensive, because it implements high
competency of human resources, sophisticated medical technology and some kinds of drug
regiments. If there is no medical guarantee (insurance) system, patient often complaints a
high cost of medical service that is not affordable. This problem usually appears in countries
where there is no social health guarantee systems conducted by the state or health
insurance.
Page 29
Rate
68.0
81.0
450
6.5
Males
Females
55
60
25
40
40
8. Interpret the community health status in sub-district of Sundari Loka year 2006 (Compare
to data in Indonesia (available in Gan, G.L.))
Self Assessments:
1. Describe several aspects that are related to health problem and health care services.
2. Explain the rights and duties of medical doctor as a health provider in health care
system.
3. Describe the prevalent health problems related to health care services in a clinic
(hospital).
4. What necessary choices that should be prepared to anticipate the health problem?
Page 30
MODULE~3
Health Care System in Several Countries
dr. I Nyoman Sutarsa, MPH
AIMS:
Demonstrate ability to provide health services in accordance with a countrys health system
LEARNING OUTCOMES:
1. Describe various types of health care system which have been or being adopted by a
certain country.
2. Explain advantages and disadvantages of each system.
3. Describe the role of government and private sector in each system.
4. Describe various professions in health care system.
5. Explain the effect of health care financing to the health status of people.
6. Describe basic principles of WHO recommendation to the National Health Care
System
CURRICULUM CONTENTS:
Health Care System in Several Countries
ABSTRACT
(References: Taylor, RJ, pp.133-144 & Boelen C, et al, pp.1-36)
The topic covers a wide range of Health Care System which has been or being
adopted by many countries. In one hand, such system is totally own and control by the
government (totalitarian) while the other is totally private (liberal). In addition, combination of
the two systems is also being practiced by many countries in which government and private
working side by side in synergy. Description of advantages and disadvantages of each
system and the role of primary care/private sector are also covered in this topic. Further
description concerning the role of various professions in Health Care System and allocation
of fund are also discussed in this topic. No matter which Health System is adopted, the basic
principle of WHO recommendation should always be put into consideration which include
optimum health status of people, responsiveness and fair financing.
Page 31
A child in the family suffering from short breathing, coughing and extreme
raise of body temperature!
c. One family member suffering from prominent chest pain followed by cold
sweating. He has been experiencing similar symptoms previously!
d. A 60 years old grandfather is suffering from chronic coughing and blood strip in
his sputum. He also lost his appetite and body weight.
Self Assessment
1. Describe 3 types of National Health Care System which have been or being adopted
and give at least 1 example of the country!
2. Explain the advantages and disadvantages of each system!
3. What is the role of the government and private sectors in each system!
4. Define various types of professions and their role in National Health Care System
and average budget allocation among them depending upon the economic status of
the country!
5. Describe 3 basic fundamental principles of WHO recommendation that should be
considered in developing National Health Care System!
Page 32
Day 4 - 5
MODULE~4
Page 33
What components should be considered to find the solution of various problems above?
How is the application of public and private health services in Indonesia?
How public and private services will be applied based on SKN 2012?
Can SKN 2012 give the solution of all problems above? Explain the several possibilities!
What facilities need to be prepared and optimal zed in order to apply the SKN 2012
concept?
Self Assessment
1. What is the background of SKN 2012?
2. What are the subsystems of SKN 2012? What are the relevancies of each subsystem
toward health problems in Indonesia?
3. Who are the subjects of SKN 2012? What are the roles of each subject?
4. How is the financing system of public health services based on SKN 2012?
5. How is the financing system of private health services based on SKN 2012?
6. How should the following system be done to deliver comprehensive, holistic, integrative
and continuous services?
a. Financing system
b. Services approaches
c. Teamwork of the subjects
Page 34
MODULE~5
Puskesmas as a Primary Health Care Service
dr. I.B Wirakusuma, MOH
DR. dr. I Wayan Weta, MS, SpGK
_____________________________________________________
AIM
Demonstrate ability to apply the concept of management to provide health services at
primary level.
LEARNING OUTCOMES
(Reference: Azwar, A.)
1.
2.
3.
4.
a. Askes
b. Askeskin/JPKMM
c. General patients
5. Describe the application of private and public health services management in
puskesmas.
CURRICULUM CONTENTS
Puskesmas as a Primary Health Care Service
SCENARIO AND LEARNING TASK
Scenario:
Sub-district of Sundari Loka with population of 30,000 people, most of them work as
farmers, their income not constant depend on climate and natural condition, the average
income only sufficient for simple daily life. In Sub-district there are one Public Health Center
(PHC/Puskesmas), 4 health satellites (Puskesmas Pembantu), and 8 villages midwifes
(bidan di desa). There are also 2 private medical doctors, 4 private midwifes, and 2 nurses.
Beside of the conventional health provider, there are also 3 traditional healers.
The six basic programs that are served by Public Health Center namely:
1. Mother and child health and family planning.
2. Communicable and non communicable disease program
Udayana University Faculty of Medicine, DME
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Environmental health
Community nutrition program
Health education
Polyclinic services
People who go to public health center pay less than those who go to private health
services. People choose whether the public or private health services, depend on their
perception and financial situation.
Task 5
1. Describe the characteristics and examples of public health services!
2. Describe the characteristics and examples of private health services!
3. Discuss the differences between public and private health services!
4. Based on the above scenario, discuss how the health care system in Sundari Loka is!
5. Discuss the concept of integrated health services!
6. Discuss the concept of comprehensive health services!
Self Assessment
1. Differentiate the finance resources, facilities and human resources between public and
private health services!
2. Discuss the differences between structured and unstructured health services!
3. Discuss the differences between structure of public health services and private health
services!
Day 6 - 7
MODULE~6
Primary Health Care and Health Promotion
dr. Komang Ayu Kartika Sari, MPH
dr. Ni Luh Putu Ariastuti, MPH
AIMS:
Demonstrate ability to provide health services in accordance with a countrys health system.
LEARNING OUTCOMES:
1.
2.
3.
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Explain the strategic role of Health Education and Health Promotion in achieving
optimum health status of every individual
CURRICULUM CONTENTS:
Primary Health Care and Health Promotion
ABSTRACTS
(Reference: FHI, WHO, Jirojwong, S.)
This topic contains major factors affecting health status. It also describes the definition of
Health Education and Health Promotion and their strategic roles in improving health status of
every individual in the community. It explains how the aspects of health promotion
conceptualised by The Ottawa Charter. The topic also describes some health behaviors that
need to be practiced by every individual in order to be able to maintain his/her health status.
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MODULE~7
Basic Theories underlying Health Promotion
dr. Komang Ayu Kartika Sari, MPH
dr. Ni Luh Putu Ariastuti, MPH
AIM:
Demonstrate ability to provide health services in accordance with a countrys health system.
LEARNING OUTCOMES:
1.
2.
3.
4.
CURRICULUM CONTENTS:
Basic Theories underlying Health Promotion
ABSTRACT
(References: FHI, WHO, Nutbeam, D.)
This topic discusses basic theories underlying Health Education and Health Promotion and
their relationship to basic principles of diffusion of innovations and decision making process.
Moreover, the topic also summarized major theories of behavior change and health
promotion glossary.
SCENARIO AND LEARNING TASK
Task 7
Discuss in your group the following topics or aspects of Public Health:
1.
2.
3.
4.
5.
6.
Self Assessments:
1. Describe the definition of Public Health.
2. Compare the previous definition of health with the latest one.
Udayana University Faculty of Medicine, DME
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Day 8 - 9
MODULE~8
AIMS:
Demonstrate ability to apply the concept of management to provide health services at
primary level
LEARNING OUTCOMES:
Describe the principles of management in health care services.
CURRICULUM CONTENTS:
Health Management in Health Services
ABSTRACT
(Reference: Gan GL, et al, pp.78-87)
A doctor is often the manager of the practice. Managing is to get work done through the
efforts of others. Managing is also producing an aoutput from input and process. The four
basic functions of a manager are planning, organizing, leading and control. The process
whereby one person influences the thoughts and behaviors of others is a definition of
leadership. Between the extrems of complete autocracy on the one hand and a totally
permissive approach on the other, there exists a continuum of possible leadership styles.
Each of us has a basic personal leadership style and may be motivating or demotivating
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MODULE~9
Health Workforce and Human Resource Management
dr. Komang Ayu Kartika Sari, MPH
DR. dr. GN Indraguna Pinatih, MSc, SpGK, Akp
AIM:
Demonstrate ability to apply the concept of management to provide health services at
primary level.
LEARNING OUTCOME:
Comprehend the concepts of managing people in health services
CURRICULUM CONTENTS:
Health Workforce and Human Resource Management
ABSTRACT
(Reference: Gan GL, et al, pp.78-87)
Motivating staff to contribute their best is a big challange. There is a need for an ongoing
appraisal of the motivation level of staff. Channels for upward communication must be open
for staff dissatisfaction to be identified and dealt with before it has caused widespread
motivational problems. People management also requires the ability and willingness to deal
with unpleasant issues, such as grievances, discrepancies and absenteeism.
SCENARIO AND LEARNING TASK
Task 9
CASE-1
Cleaning services have a lot of duties including cleaning the clinic and open the clinics door
every morning. Ambulances driver has duties to bring the referred patients to hospital and
take the doctor to patients house for oncall services.
a. Which model of leadership that is needed for those cases?
b. Discuss your reason in your group!
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Explain the diagram that shows the scope of human resources management.
How many factors that influence motivation? Explain each of the components!
Describe the meaning of grievances and give 1 example.
Describe the meaning of discrepancies and give 1 example.
Explain how we can solve absenteeism problem!
Describe the meaning of one minute manager!
Day 10 - 11
M O D U L E ~ 10 - 11
Quality Management 1 & 2
dr. I Nyoman Sutarsa, MPH
dr. Ni Luh Putu Ariastuti, MPH
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Day 12 - 13
M O D U L E ~ 12
2.
3.
CURRICULUM CONTENTS:
Management of Facilities, Information, and Finance
ABSTRACT
Managing Facilities
(Reference: Gan GL, et al, pp.87-90)
The supplies and stores system deals with ordering, receipt, maintenance, and issue when
required. The supplies can range from drugs and pharmaceuticals to syringes and needles
as well as general use items like stationery. Stocks of pharmaceuticals and medical require
close monitoring to ensure they do not deteriorate or reach expiry dates, they are not pilfered
and their storage and usage comply with existing regulations.
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CASE-2
Dr. Drupadis clinic is going very well. The number of patients has already increased from 510 patients per day in first few years, to 20-30 patients per day now. The nurse finds
difficulties to look for medical records of the patients. The doctor also finds difficulties in
making diagnosis because the previous medical records cannot be found.
a.
b.
c.
d.
e.
f.
What are the benefit of using medical records? Why is it very important?
What are the principles of managing patients medical records?
What are the differences between SOMR and POMR? Which one is better?
What steps should be taken to manage the medical record better?
How are the principles of computer usage in managing medical records?
How is the using of PDA to look for an information?
CASE-3
One day, Dr. Drupadi saw somebody in medical record room whom are known as a
boyfriend of a nurse in that medical record room. She saw him openned and read several
medical records on the nurses table. After gave advices and told him to go out, dr. Drupadi
called some nurses that worked in medical records room.
a. What information will dr. Drupadi tell to her nurses?
b. When are medical records able to be informed to people other than patients?
CASE-4
After being operated for 5 years, dr. Drupadis clinic shows an increasing of the number of
patients. However, she has never got a high income even though the finance capital has
never runned out. Her wish to develop a clinic in Kuta has not been realized. All this time, dr.
Drupadi manage her clinics finance, helped by one of her nurse.
1. What should be done to manage a clinics finance?
2. What is the meaning of:
a. financial records?
b. financial statement?
c. financial audit?
3. Do we need to do an external audit?
CASE-5
Based on an audit result of a public accountant, the doctor and the nurse has already made
a complete finance records. However dr. Drupadi has not made a good financial planning,
particularly in calculating the unit cost of each services in the clinic.
a. What is the meaning of financial planning?
b. What is the definition of unit cost?
c. Why is it mportant to determine the unit cost?6
CASE-6
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AIMS:
Demonstrate ability to apply the concept of management to provide health services at
primary level
LEARNING OUTCOMES:
1. Explain the concept of managed care.
2. Describe the types of managed care.
CURRICULUM CONTENTS:
Managed Care
ABSTRACT
(References: Sulastomo; Thabrany H.;Subawa)
There are two models of health care depend on their financing systems, namely:
1. Indemnity care: post paid direct payment, fee for service-out of the pocket, curative
oriented.
2. Managed care: prospective payment, capitation, comprehensive care oriented.
Managed (health) care is the system that integrates both financial and health care services.
Health care services through managed care approach will produce more cost-effective
services.
Characteristics of managed health care are:
-
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Did dr. Cespleng use the managed care approach in his practice? Explain the reasons
of your answer!
2.
What were the possible reasons why dr. Cespleng uses that kind of practice method?
3.
How is the cost effectiveness of the medical care given by dr. Cespleng?
4.
Mention several factors why dr. Cesplengs patients feel satisfied with the services!
5.
Did his ability to satisfy the patients mean he had already worked professionally?
6.
Describe several consequences that are possible to happen if the above services are
applied for patients with health insurance.
7.
SELF ASSESSMENT
1.
Describe the differences between conventional indemnity care and managed care.
2.
Describe what the backgrounds of managed care concepts (such as HMO, PPO, etc)
are.
3.
Explain several reasons why managed care concept is applied by almost all countries in
the world?
4.
5.
6.
7.
What are the differences between bipartite and tripartite managed care? Describe the
advantages and the disadvantages of those managed care.
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Day 14 - 15
M O D U L E ~ 14
Health Insurance and SJSN
dr. I Nyoman Sutarsa, MPH
AIMS:
Demonstrate ability to apply the concept of management to provide health services at
primary level.
LEARNING OUTCOMES:
1.
2.
3.
4.
5.
CURRICULUM CONTENTS:
Health Insurance and SJSN
ABSTRACTS
(References: Sulastomo; Thabrany H.; Subawa)
Insurance is a social device for reducing risk of financial loss, which involves the principle of
pooling or co mining separate exposure so that the risk for the group is reduced by the
operation of the law of overage. Health insurance includes all such devices with reduces the
risk of financial loss from ill-health (Deckerson, 1963, in Sulastomo, 2004). There are three
kinds of it namely, social, private voluntary, and regulated private health insurance. Social
health insurance is not profit oriented. Private voluntary and regulated private health
insurance are profit oriented. There are some differences of sharing risk among these
insurances. Social health insurance has most complete sharing risk (rich-poor, ill-health, oldyoung, high risk-low risk), and private voluntary has the least (only ill-health). Social health
insurance applies comprehensive health care approach, but in private voluntary and
regulated private health services depend on selective contract. Social health insurance is
usually conducted by the state, while private voluntary and regulated private are generally
operated by insurance companies.
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2.
3.
4.
5.
6.
Why should managed care be applied for patients that are covered by health insurance?
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AIMS:
Apply family medicine approach in primary health services
LEARNING OUTCOMES:
1. Describe the definition of a family.
2. Describe the functions of family.
3. Explain the cycle of family development including the main objective in each step.
4. Describe the influence of family toward the health status of its members.
5. Differentiate the characteristics of a happy and an unhappy family.
6. Describe the roles of family doctor in assisting an unhappy family
7. Explain the level of a doctors involvement in a family with health problems.
8. Describe the family dynamics that affecting health status of family member.
9. Draw and describe a family genogram.
CURRICULUM CONTENTS:
Family Medicine Practices: Family as a Unit of Care
ABSTRACTS
(Reference: Gan GL, et al, pp.56-62)
This topic covers a wide range of aspects related to family as a unit of care. It describes who
forms a family and how an individual enters and leaves the family. The general role of family
is also covered particularly in seeking health care delivery. It also describes reasons of
individual to form a family and family life cycle starting from married couple without children
until ageing family members and is ended up with the death of both spouses. Each stage of
family cycle is completed with its specific role and functions and estimated length of time for
each period.
The familys influence on the individual health is also discussed in this subject. In addition,
the characteristics of a happy and unhappy family are identified to be used by the physician
to give the best possible support for specific health problem to each family. The level of
physician involvement to family members suffering a health problem is also specified in this
subject. There are a few examples of emergency care and house calls commonly dealt by
physician at the front line of health care services. Finally, this topic assesses the family
dynamic which includes its structure (genogram) and relationship among members in the
family.
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Day 16 - 17
M O D U L E ~ 16
Health Delivery System and Family Medicine Practices
DR. dr. I Wayan Weta, MS, SpGK
AIMS:
Apply family medicine approach in primary health services
LEARNING OUTCOMES:
1.
2.
3.
4.
5.
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Holistic approach to the patient and his/her problem that contribute to ill-health and well
being not only physical, but also social and psychological dimensions (the bio-psychosocial model of ill-health) as well as from the family and community.
Emphasize on preventive medicine, because it has greater long term impact on health
status than curative medicine.
Looks after whole spectrum of age (specialist in breadth, unlike hospital specialist- in
depth).
Looks after patient not only in consultation room but also at home and other settings.
Skill:
General clinical skill
Special clinical skill:
1.
Doctor-patient relationship
2.
Communication
3.
4.
5.
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M O D U L E ~ 17
Disease Management Skills
DR. dr. GN Indraguna Pinatih, MSc, SpGk, Akp
AIMS:
Apply family medicine approach in primary health services
LEARNING OUTCOMES:
1. Describe the differences between acute and chronic diseases management.
2. Explain how to help patients to evaluate their conditions.
3. Describe how to educate patients with chronic diseases in order to empower them in
diseases management.
4. Describe how to make similar perception of diseases with patients and how to determine
the objectives to be achieved together.
5. Explain how to design and to apply the clinical management of chronic diseases.
CURRICULUM CONTENTS:
Disease Management Skills
ABSTRACTS
(Reference: Gan GL, et al, pp.145-155)
Medical services must be constructed depend on type of illnesses whether acute or
chronic disease. There are two approaches of care: doctor centered and patient centered.
Doctor centered only works in acute care, not works effectively in chronic disease care. New
disease paradigm is needed for chronic disease care. Effective chronic disease care
requires two things; the medical care team and an active involved patient (patient centered).
Patients must be empowered to solve their problems, they can change their behavior. The
Udayana University Faculty of Medicine, DME
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Day 18 & 19
M O D U L E ~ 18
Basic Clinical Skills
(Discussion of Student Project)
Data/report and discussion guidelines will be provided before the first discussion
session
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~ CURRICULUM MAP ~
Smstr
10
Senior Clerkship
Senior Clerkship
Senior clerksh
ip
Medical
Emergency
(3 weeks)
Special Topic:
-Travel medicine
(2 weeks)
Clinic
Orientation
(Clerkship)
(6 weeks)
BCS (1 weeks)
The Respiratory
System and
Disorders
(4 weeks)
The Cardiovascular
System and
Disorders
(4 weeks)
The Reproductive
System and Disorders
(3 weeks)
BCS (1 weeks)
Alimentary
& hepatobiliary systems
& disorders
(4 Weeks)
BCS (1 weeks)
The Endocrine
System, Metabolism
and Disorders
(4 weeks)
BCS (1 weeks)
Clinical Nutrition and
Disorders
(2 weeks)
BCS (1 weeks)
Elective Study II
(1 weeks)
BCS (1 weeks)
BCS (1 weeks)
BCS (1 weeks)
Musculoskeletal
system &
connective
tissue disorders
(4 weeks)
Neuroscience
and
neurological
disorders
(4 weeks)
Behavior Change
and disorders
(4 weeks)
BCS (1 weeks)
Hematologic
system & disorders & clinical
oncology
(4 weeks)
BCS (1 weeks)
Immune
system &
disorders
(2 weeks)
BCS(1 weeks)
Infection
& infectious
diseases
(5 weeks)
BCS
(1 weeks)
The skin & hearing
system
& disorders
(3 weeks)
BCS (1 weeks)
Medical
Professionalism
(2 weeks)
BCS(1 weeks)
Evidence-based
Medical Practice
(2 weeks)
BCS (1 weeks)
Health System-based
Practice
(3 weeks)
BCS(1 weeks)
Community-based
practice
(4 weeks)
BCS (1 weeks)
Studium
Generale and
Humaniora
(3 weeks)
Medical
communication
(3 weeks)
BCS (1 weeks)
The cell
as biochemical machinery
(3 weeks)
Growth
&
development
(4 weeks)
BCS (1 weeks)
BCS(1 weeks)
BCS: (1 weeks)
Special Topic :
- Palliative
medicine
-Compleme
ntary &
Alternative
Medicine
- Forensic
(3 weeks)
Elective
Study II
(1 weeks)
Special Topic
- Ergonomi
- Geriatri
(2 weeks)
Elective
Study I
(2 weeks)
The Visual
system &
disorders
(2 weeks)
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