Dokter Keluarga 2012 Cardio.
Dokter Keluarga 2012 Cardio.
Dokter Keluarga 2012 Cardio.
Kes
P EN G A N TA R P ELAYA N A N
D O K TER K ELU A R G A
KARAKTERISTIK
PRIMER
SEMUA UMUR
SEMUA ORGAN
KLINIS
PELAYAN AN D O KTER
KELU ARG A
KOMPREHENSI
F
KOLABORATIF
HOLISTIK
PRINSI
P
KOORDINATIF
COTINUING
H um an D isease:Three M odels
Medical Model
Epidemiological
Model
Biopsychosocial
Model
Human Disease
M edicalM odel
Emphasis on medical treatment
Youre either healthy or youre not.
Agent
Environme
nt
BiopsychosocialM odel
Health (and illness) are
Health is on a continuum
BiopsychosocialM odelof
D isease
Biology
Age, sex
Psychology
Disease state
Attitudes/beliefs
Genetics/heredity
Mood state
Physical
Behaviors
symptoms
Religiosity/spiritual
Meds/drugs/addic
ity
tion
Environment
School/work place
Social
Church
Support:
Social norms / cultural
formal/informal
norms
Roles:
Community / Health
work/family/peers
services
Physician-patient
Neighborhoods / National
relationship
economy
Socioeconomic
Mass media
status
Policy / laws
Im plications
Consider biological, psychological, and
social factors
Relationships are significant to health
Patient and doctor
Patient and family, friends, others
Exam ple:hIPERTEN SI
Biology
CARDIOVASCULAR
family history
CEPHALGIA, fuzzy
vision,
Environment
Healthcare at VA, has to
travel
Dclass offered
Fast food everywhere;
supersized portions
2nd hand smoke triggers
desire to smoke
Cultural norm
embarrassed by weight
ST RESSFULL Env
Psychology
Its always in the
back of my mind
Guilt: cant work as
much
Depression, stress
I just miss DELICIOUS
FOOD
Social
Marriage suffering
Doesnt trust doctor
(non-compliant)
Boss did not
promote
Cant play with
grandkids