Choosing Doctors and Hospitals

I intend to have a family doctor close to home. Because of my experience in the area, has a better family doctor in maintaining family health. Similarly, in choosing a hospital, I will follow my family doctor's advice. Please opinion doctor.

N in J

I agree with your opinion. In our country, because most members of society pay for medical expenses from his own pocket, and there is freedom to choose doctors. In fact the government encourages us to use a tiered health care. We first use of primary health care, the health centers and practices of general practitioners or family doctors. If the disease is difficult enough, then referred to secondary care (specialist doctor), even if it should be referred back to the consulting physician. The experience in Thailand that uses a system of national health insurance financing, it was about 80 percent of public health problems could be helped in primary care.

Medical education in our country to grow rapidly. Now, the number of medical school has exceeded fifty. However, every medical school to get guidance and supervision so that the quality of education is expected to be good. To become a registered general practitioners, medical school students both public and private sector need to follow the general practitioner competency exam. Thus, we expect a general practitioner from any faculty we already have the skills required to become a general practitioner.

You are right, general medical education is very solid. A medical student must work hard to be able to pass to become a doctor. He not only must have the ability to understand the disease of all kinds of aspects, but also must have the skills and attitudes that support to become a doctor.

Our general practitioners who pursue advanced training overseas doctors to compete with graduates of other countries. In fact, the best of my knowledge, both at the ASEAN level and even international level, graduates of Indonesian doctors often ranked first. So it is not in place if we lowered our general medical graduates.

Family doctor

Family doctor service has the advantage because the family doctor can perform continuous health care. He knows the state of health of family members more thoroughly. Patients are often moved around the doctor will face a new reality that their doctors will try to know him and his illness was not in a short time. The doctor will examine more laboratory tests and other investigation. Conversely, family physicians, because longer recognize the patient, will be more selective in requesting the investigation. But more importantly, communication with family physicians may be more familiar as you describe.

Every doctor is taught to know its capabilities, and if he faces problems beyond their means, he must send patients to physicians who have the necessary skills. Doctors generally have the ability to widen their field, but not deep making it suitable to address the various diseases that are common in the community. While the disease is more difficult will be referred to a specialist, or if very specific to the consulting physician. So, in fact if it is not necessary cough cold pain medication directly to a specialist.

Hospital services

The quality of hospital care is assessed through the achievement of treatment. For example, the incidence of decubitus (wounds on his back from a long lay) a low, low infusion former infection, infections in hospitals are low, and high success rate of therapy.

The quality of hospital services do not always match the physical appearance of the hospital. In fact, among the medical profession known leading hospitals. The hospital may develop a certain superior capability in that field beyond other hospitals. Doctors usually know seeded-seeded so that they can choose the hospital in accordance with the health problems faced by patients.

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Poor patients are still complaining Service

Asien still complain of poor hospital care. Complaint related administrative services, nurses, doctors, healthcare facilities and infrastructure, advances hospitalization, the cost of drug purchases, as well as other hospital services.

This is revealed in a survey of Citizen Report Cards (CRC) 2010 by Indonesia Corruption Watch (ICW) on 986 poor patients cardholder Community Health Insurance (Assurance), the Regional Health Insurance (Jamkesda), poor family cards (Gakin-Jakarta), and certificate can not afford (SKTM) in 19 government and private hospitals in the area of ​​Jakarta, Bogor, Depok, Tangerang, and Bekasi.

One result, about 70 percent of respondents still complained about hospital services.

In addition, the poor are still found in patients who are reluctant to use the card Jamkesmas, Jamkesda, and Gakin at the beginning of treatment, refused treatment for fear of a fine by the hospital. Rejection accompanied by reasons, such as bed management, had no medical equipment, and doctors or drugs are not available.

"This proves that the hospital services for poor patients do not get better," said health researcher ICW, Ratna Kusumaningsih, Monday (27/12).

Administrative complaint

Ratna said the administrative proceedings is the service most patients complained of by the poor. Of the 989 total respondents, 47.3 percent are still complaining about the service. Other complaints related to services of doctors, nurses, other hospital personnel, advances, rejection of the hospital, as well as facilities and hospital facilities.

In addition to complaints against the service, turned out to poor patients still spend some money for various fees. Complaints are still a cost, especially from patients who use SKTM.

Administrative proceedings SKTM also assessed the respondent takes time and considerable expense. SKTM card users are usually derived from patients' Sadikin "-a little sick to be poor-who do not get free medical treatment card (Jamkesmas, Jamkesda, or Gakin to Jakarta). They had to take care of medical expenses relief (SKTM) being unable to cover the cost. It's just that the maintenance of SKTM require substantial time and cost.

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When do the Poor Can Be Doctors

Education budgets of poor countries, like Bangladesh, Nepal, or Ethiopia, is greater than the country of Indonesia. In Bangladesh, the education budget allocated 2.9 percent of gross national product (GNP). While recent studies mentioned, the budget for education in Indonesia was only able to be allocated at 1.4 percent of GNP and farther than Nepal (3.1 percent), Ethiopia (4.0 percent), and Malawi (5.5 percent).

However, the current problem is not merely to increase the education budget, but rather on the distribution of the budget itself. If you have been enlarged still prevalent corruption, the magnitude of the budget is certainly not a way out of all the current problems in the world of national education.
"It must be proved that education in Indonesia is really prorakyat. All people have equal rights in their studies," he said.

Hetifah said, actually, the issuance of Government Regulation No. 66 of 2010 is a breath of fresh air for the little people to enjoy education. In tesebut rules, he added, there are allocations for those not able to at least 20 percent of new students to get an education.

Second, there is a quota of scholarships for high achievers. Third, provide educational grants for students who are unable, at least 20 percent of the number of learners. Finally, college (PT) must capture 60 percent of new students from the pattern of national revenue.

"Special PT, presumably the government must also intervene directly because the 60 percent figure it certainly will not be realized if the PT, including state universities (PTN), to privatize, like UI, UGM, ITB, Padjadjaran University, and USU, which has been officially declare themselves ready to be privatized and changed its status to a state-owned legal entity, "said Hetifah.

By doing so, he added, PTN-PTN was finally set free a few hundred million for the faculties of medicine or engineering favorite.

"Then, when poor people can be doctors," he said.

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Indonesian people to the doctor Rarely

Although knowledge of the community towards better health, it came to the doctor to check their health or treat illness has not become a habit of Indonesian society. Based on a survey, 55 percent of the public almost never see a doctor and only 31 percent who visited a doctor several times a year.

A survey conducted by Philips has involved 1004 respondents in several cities in Indonesia by phone. The survey results also revealed that 4 out of 10 people tend to seek the views of friends and family first before seeing a doctor when sick.

However, as much as 30 percent of respondents choosing a doctor as a primary source of health information, followed by television (11 percent) and Internet (5 percent). The respondents also agreed that technology brings changes to better their lives, both in terms of education and ease of communication, and create better health diagnosis.

Responding to this survey, Dr. Kartono Muhammad, former Chairman of the Indonesian Doctors Association, said that the results of this survey can not be compared with the results of Philips which also conducted a survey in 30 countries.

"It must be seen also the cultural aspects and socio-economic. Perhaps the people of Indonesia do not see a doctor because of fear of injections, fear can be expensive, or fear of the doctor sternly. However, the person who paid for by insurance or his office would be directly to the doctor when sick," he said in exposure events Health and Wellbeing Index Survey 2010 by Philips in Jakarta, Tuesday (14/12/2010).

The survey also said 43 percent of Indonesia's population feel they are in healthy condition and 65 percent said they do not stress. "Indonesian people are very happy to gather with friends and family. It is they believe as one way to improve the health and welfare," said Teguh Purwanto, General Manager of Philips Healthcare PT Philips Indonesia, in equal opportunities.

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Doctor May Not Distinguish Patients

A doctor charged in addition to professional  work also must not discriminate  patients, both in terms of religion, ethnicity, class, or rich and poor, said the rector of Muhammadiyah University of Yogyakarta  Dasron  Hamid. "Suppose the patient is your own. Treat them regardless of religion, tribe, rich or poor,"

According to him, a doctor should treat patients in a professional, because basically what is done solely for the welfare and health of society as a whole.

Representatives of the Central Executive Council Diktilitbang (PP) Muhammadiyah Murdiyanto Joko said the medical profession can not be separated from two things, namely professionalism and humanism.

"In this case, a doctor must give priority to the interests of others, for example, was awakened at one o'clock in the morning because there are sick people who ask for treatment, it must be willing to help. A doctor must work to serve," he said.

In addition, doctors also need to learn all the time to add knowledge and abilities. Doctors also have to establish good communication with patients and their families.

"So far the problems between doctor and patient in the absence of good communication exists," he said.

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Indonesian Doctors Perform Liver Transplant Success

The team of doctors from Cipto Mangunkusumo successfully performed the first liver transplant in Indonesia. Achievements gained under the supervision of the liver transplant team from Hangzhou, China in collaboration with RS. Puri Indah Jakarta.

Liver transpantasi process conducted on December 13, 2010 against Abdul Mukri (44) of patients with hepatitis B with donors Nisa Zahra (18) to her first child. The second operation performed in pediatric patients, Aulia (6) suffering from autoimmune hepatitis by donor's father committed Hariyanto December 15, 2010.Kedua operation was declared successful.

RSCM Director dr.Akmal Taher, Sp.U mention liver transplant surgery is the most complex operations in the medical world because it requires preparation RSCM team physician for 6 months.

"Post-surgery patients still need the supervision of a doctor for 2 months. Because it is only now that we dare to declare a second operation was successful," he said.

Patients with hepatitis who require liver transplant, according to dr.Sastiono Sp.B are patients who are in end-stage or cirrhosis. Indonesia has a lot of patients who need a liver transplant but the donor's constrained.

"Not many people, even his own family members who want to give his heart," he said.

In fact, he said, liver transplant is different from other organ transplants. "In principle, only some of the cut liver because the liver has a nature can regenerate or grow back," added the head of the liver transplant team of doctors from RSCM is in the handover ceremony of patients to the institution where the patient worked.

Added by dr.Irsan Hasan, Sp.PD, liver transplantation surgery is still in the phase transfer of knowledge under the supervision of Professor Shu-Sen Zheng from Zhejiang University School of Medicine, Hangzhou, China.

"After a successful liver transplant surgery until 6 the next time a team of doctors we will do it myself. Right now we are preparing phase 2 operation to be performed in the near future," he explained.

RSCM liver transplant team of doctors consisting of 34 doctors from a variety of expertise, including surgeons, anesthesia, pathology clinics, pediatricians, up to a nutritionist. This success is also expected to prove that the doctor is able to give the homeland of international standard service with up to 50 percent cost savings compared to the cost of similar operations overseas.

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Thorough More Foreign Doctors

Former Vice President Jusuf Kalla stated that approximately five percent of the rich  Indonesia  choose to go  to Singapore because they assess the doctor in the country more closely in dealing with  patients.

less telitinya inspection in Indonesia, partly because the number of patients who are very much in exchange for cheap enough, but the price of expensive medicine.

To overcome this problem, he continued, the government needs to create a scholarship program education specialist, doctor's fees for an accurate and inexpensive.

"A university should be able to answer these challenges and can prepare the appropriate human resources needed by the market," he said.

Universities and colleges also need to promote competition better, faster and cheaper. This is the key to achieving success, said Kalla.

Vice Rector I UNS Ravik Karsidi on the same occasion said the nation's competitiveness is still low compared with neighboring countries.

Colleges that relied upon to score a reliable human resources sometimes also experiencing delays, and these all need to be thought together, he said.

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