Perceptions of Internship Doctors on Promotive and Preventive Health Services in Puskesmas (Community and Primary Health Care Center)

Mariatul Fadillah; Murwani Emasrissa Latifah

doi:10.22146/rpcpe.33880

Perceptions of Internship Doctors on Promotive and Preventive Health Services in Puskesmas (Community and Primary Health Care Center)

https://doi.org/10.22146/rpcpe.33880

Mariatul Fadillah^(1*), Murwani Emasrissa Latifah⁽²⁾

(1) Department of Community Health Sciences-Community Medicine; Faculty of Medicine; Universitas Sriwijaya; Indonesia
(2) Department of Community Health Sciences-Community Medicine; Faculty of Medicine; Universitas Sriwijaya; Indonesia
(*) Corresponding Author

Abstract

Background: Health care services are any efforts that are self-administered or done jointly within an organization to maintain and improve health, prevent and cure diseases and restore the health of individuals, families, groups and/or communities. Promotional and preventive services are conducted by individuals or groups in improving health and preventing the occurrence of outcomes unwanted by the community. Community Primary Health Care Centers (Puskesmas) are primary health care centers for the community which serve as the location of the new family doctors internship program in Indonesia. Objectives: The purpose of this study is to investigate the perception of internship doctors on the promotion and preventive services at the Puskesmas where they are placed for internship. Methods: This research is a quantitative analytical study with cross-sectional research design through the distribution of a questionnaire in the form of a Google survey form to all internship doctors in 571 Puskesmas in Indonesia. The questionnaire contains a list of questions that have been categorized according to the parent theory used, namely the Lawrence Green theory. The samples obtained in this study included 218 internship doctors. Results: From this study it was found that as many as 130 people (59.6%) of intern doctors who conducted promotive and preventive health services at Puskesmas came from State Universities. As many as 86 people (39.4%) of interns who conducted promotive and preventive health services at Puskesmas were 25 years old, with 143 (65.6%) females and 184 people (84.4%) unmarried. From the results of logistic regression analysis of Awareness Level, Knowledge Level, Time, Potential Revenue and Government Support, all factors have significant influence on the internship doctors’ perceptions on the promotive and preventive health care services (p<0.05). Conclusion: In this research, there are profiles and factors that significantly influence the internship doctor’s perceptions on health promotion and preventive services at Puskesmas.

Keywords

behavior; internship doctor; promotive and preventive; Lawrence Green theory; Puskesmas.

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References

1. Nuraminullah D. The study of preventive health services in Puskesmas Sei, Merdeka, Samboga sub-district, Kutainegara regency. Ejournal Ilmu Pemerintahan (Public Administration Ejournal) Faculty of Social and Political Sciences, University of Mulawarman. 2015.

2. Indonesia PR, Indonesia PR. Regulation Number 23 Tahun 1992 about Health. Indonesian Regulation. 1992(23):1-31.

3. Indonesia PR. Indonesian Regulation Number 36 Tahun 2009 about Health. State Gazette of Republic of Indonesia Number. 2009;144.

4. Campanini B. The World Health Report: Reducing Risks, Promoting Healthy Life, Geneva. World Health Organization. 2002.

5. Luquis RR, Paz HL. Perceptionss about and practices of health promotion and prevention among primary care providers. Health promotion practice. 2015 Sep;16(5):74555.

6. Konsil Kedokteran Indonesia (Indonesian Medical Council). Indonesian Medical Council Regulation Number 1/KKI/PER/1/2010 about Indonesian physicians program registration. 2010.

7. Prasetyawati AE. Community and Primary Health Care Centre (Puskesmas). Jakarta : Rineka Cipta. 2010.

8. Indonesian Dictionary. Language Center of Ministry of National Education. Jakarta: Balai Pustaka. 2012.

9. Rubio-Valera M, Pons-Vigués M, Martínez-Andrés M, Moreno-Peral P, Berenguera A, Fernández A. Barriers and facilitators for the implementation of primary prevention and health promotion activities in primary care: a synthesis through meta-ethnography. PLOS one. 2014 Feb 28;9(2):e89554.

10. Calderón C, Balagué L, Cortada JM, Sánchez Á. Health promotion in primary care: how should we intervene? A qualitative study involving both physicians and patients. BMC health services research. 2011 Mar 23;11(1):62.

11. Geense WW, van de Glind IM, Visscher TL, van Achterberg T. Barriers, facilitators and perceptionss influencing health promotion activities in general practice: an explorative pilot study. BMC family practice. 2013 Feb 9;14(1):20.

12. Lambe B, Collins C. A qualitative study of lifestyle counselling in general practice in Ireland. Fam Pract. 2009;27(2):219–23.

13. Fairhurst K, Huby G. From trial data to practical knowledge: Qualitative study of how general practitioners have accessed and used evidence about statin drugs in their management of hypercholesterolaemia. BMJ. 1998;317(7166):1130–4.

14. Moreno-Peral P, Conejo-Cerón S, Fernández A, Berenguera A, Martínez-Andrés M, Pons-Vigués M, Motrico E, Rodríguez-Martín B, Bellón JA, Rubio-Valera M. Primary care patients’ perspectives of barriers and enablers of primary prevention and health promotion—a meta-ethnographic synthesis. PloS one. 2015 May 4;10(5):e0125004.

15. Kardakis T, Weinehall L, Jerdén L, Nyström ME, Johansson H. Lifestyle interventions in primary health care: Professional and organizational challenges. Eur J Public Health. 2013;24(1):79–84.

16. Mays N. Qualitative research in health care: assessing quality in qualitative research. BMJ. 2000;320(7226):50–2.

DOI: https://doi.org/10.22146/rpcpe.33880