Académique Documents
Professionnel Documents
Culture Documents
Comprehensive Management
Discussion Topics
The Role of Family Doctor
Level of Physician Involvement in the Family
The Application of Holistic Approach in the
Management of Patient
Decision
maker
Manager
FIVE-STAR
DOCTOR
Community
leader
Communicator
Health
care
provider
Health
Organization & Administrator/
Management
Manager
Life-long
learner/
researcher
FIVE-STAR
FAMILY
DOCTOR
Health
educator
Health Promotion,
Disease Prevention &
Life-style modification
Patient
Family
Physician
(Doherty & Baird, 1980)
Notes:
Family-centered FD thinks family in every 10-15
encounter with a patient
Most non-family-oriented physicians operate at level 1
Most FDs move between levels 2 and 4 at any given
time
FDs who pay attention to the family save time, energy &
money & yield favorable results for the physician & the
patient
To provide quality health care, family-oriented physicians
use the most basic resources available to them: the
patient & his/her family
the family is the natural partner in health care
The therapeutic triangle in medicine: involves the
clinician, the patient & the family working together in a
medical-care partnership
Bio-psycho-social
model
Holistic
Diagnosis
Holistic
Management
Understanding
the whole
person
Finding
Common
ground
Disease
Patient
Presents
cues
CONTEXT
PROBLEMS
PERSON
Illness
Illness
Mutual
Decision
Disease
Ideas, expectations
Feelings, effect on
functions
Enhancing
Patient-doctor
relationship
GOALS
ROLES
Incorporating
Prevention and
Health promotion
Being realistic
Culture
Community
lifestyle
Personal
behavior
Sick
care
system
spirit
body
Human
biology
Psycho-socioEconomic
Environment
work
mind
Physical
environment
Human-Made Environment
Biosphere
Holistic intervention:
History of
Patient:
Personal
social
history
Disease &
illness
Risk
factors
Impact
of
Illness
Genogram
Patient
Family Map
Holistic
History
Taking
Family
assessment
tools
Physical
Exam
Investigations
Medical
Diagnosis
Medical
Intervention
Based on EBM
Preventive Measures
Holistic
Diagnosis
Comprehensive
Management
Psychosocial
Diagnosis
LPI: level 2-4
Psychosocial
Intervention
Family
Life Cycle
Family
Life Line
Family
APGAR
Family
SCREEM
Diagnosis Holistik
PPOK Derajat Ringan Eksaserbasi Akut pada LakiLaki Paruh Baya Tidak Menikah, Mantan Perokok
Sedang dengan Status Ekonomi Rendah dengan
Ketidaktahuan dan Kekhawatiran terhadap
Penyakitnya dengan Fungsi Keluarga yang Kurang
Sehat pada Rumah Tangga yang Tidak berperilaku
Hidup Sehat
Manajemen Komprehensif:
* Promotif =
* Preventif =
* Kuratif =
* Rehabilitatif =
Learning Points...???