Kedokteran Keluarga

Arsita Eka Prasetyawati, dr. , M.Kes.

Cetakan pertama, Penerbit Rineka Cipta

DAFTAR ISI
Kata Pengantar............................................................................................................................................v
BAB I KEDOKTERAN KELUARGA DAN WAWASANNYA.............................................................................1
A. Pendahuluan.................................................................................................................................1
B. Batasan..........................................................................................................................................2
C. Standar Kompetensi Dokter Keluarga...........................................................................................6
D. Karakteristik Pelayanan Dokter Keluarga......................................................................................9
E. Standar Pelayanan Kedokteran Keluarga....................................................................................13
F. Tujuan Pelayanan Dokter Keluarga.............................................................................................25
G. Manfaat Pelayanan Dokter Keluarga...........................................................................................26
H. Sejarah Perkembangan...............................................................................................................27
I. Ruang Lingkup.............................................................................................................................32

BAB II DOKTER KELUARGA DALAM SISTEM KESEHATAN NASIONAL......................................................37

A. Pendahuluan.................................................................................................................................37
B. Penataan Pelayanan Kesehatan....................................................................................................39
C. Memilih Intervensi........................................................................................................................42
D. Merasionalkan Pelayanan.............................................................................................................50
E. Mengorganisasikan Pelayanan Kesehatan....................................................................................54

BAB III DINAMIKA, PERAN, DAN PENGARUH KELUARGA.......................................................................67

A. Karakteristik Keluarga Sehat.........................................................................................................67
B. Keluarga Dalam Keadaan Krisis.....................................................................................................68
C. Hal- hal yang Tampak pada Keluarga yang Salah Fungsi...............................................................68
D. Pasien dan DInamika Keluarga......................................................................................................69
E. Siklus Hidup Keluarga....................................................................................................................71
F. Keluarga dan Konsultasi Medis.....................................................................................................76
G. Langkah- langkah untuk Mengembalikan Perubahan Tingkah Laku (Behavioral Change) ...........77
H. Perkawinan yang Tidak Harmonis.................................................................................................78
I. Konsultasi Dasar untuk Pasangan.................................................................................................79
BAB IV PRAKTIK DOKTER KELUARGA........................................................................................................80
A. Pendahuluan.................................................................................................................................80
B. Kedudukan dan Peranan Praktik Dokter Keluarga........................................................................80
C. Bentuk Praktik Dokter Keluarga....................................................................................................82
 D. Peralatan dan Tenaga Pelaksana..................................................................................................84
E. Pelayanan pada Praktik Dokter Keluarga......................................................................................86

BAB V PELAYANAN KEDOKTERAN MENYELURUH, TERPADU, DAN BERKESINAMBUNGAN..................91

A. Pendahuluan.................................................................................................................................91
B. Batasan.........................................................................................................................................92
C. Karakteristik Pelayanan Kedokteran Menyeluruh.........................................................................93
D. Manfaat Pelayanan Kedokteran Menyeluruh...............................................................................96
E. Faktor Penghambat Pelayanan Kedokteran Menyeluruh.............................................................97
F. Penyelenggaraan Pelayanan Kedokteran Menyeluruh.................................................................99
G. Syarat Pelayanan Kedokteran Menyeluruh.................................................................................103

BAB VI PELAYANAN YANG BERPRINSIP PENCEGAHAN.........................................................................106

A. Definisi........................................................................................................................................106
B. Praktik Kedokteran Pencegahan oleh Dokter Umum..................................................................109
C. Strategi Global untuk Peningkatan Kesehatan............................................................................111

BAB VII KOMUNIKASI DOKTER KELUARGA – PASIEN.............................................................................114

A. Hubungan Dokter- Pasien...........................................................................................................114

B. Kemahiran Berkomunikasi..........................................................................................................129
C. Konseling dalam Pelayanan........................................................................................................145

BAB VIII PELAYANAN DOKTER KELUARGA DI TEMPAT PRAKTIK..........................................................153

A. Manajemen Diagnostik Pasien dan Keluarga..............................................................................153

B. Meningkatkan Kepatuhan Pasien...............................................................................................160
C. Menghadapi Pasien Lanjut Usia ( Lansia) ...................................................................................171

BAB IX PELAYANAN DI KELUARGA (HOME VISIT) ................................................................................181

A. Manajemen Kunjungan Rumah..................................................................................................181

B. Pembinaan Keluarga...................................................................................................................193
C. Pelayanan Paliatif........................................................................................................................199

BAB X KONSULTASI DAN RUJUKAN, KOORDINATOR PELAYANAN SERTA ASPEK MEDIKOLEGAL........201

A. Konsultasi dan Rujukan...............................................................................................................201

B. Aspek Medikolegal dan Etika Praktik Persetujuan Tindakan Medis............................................216
C. Peran Partisipatif Dokter Keluarga dalam Pelayanan Rawat Inap...............................................228
D. Aspek Hukum Praktik Dokter......................................................................................................243

DAFTAR PUSTAKA...................................................................................................................................259

INDEKS.....................................................................................................................................................262

BIODATA PENULIS.................................................................................................................................. 273