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Journal : Medical Journal of Indonesia

Leadership in doctor-patient relationship: Implementation on patient’s case management in primary care Werdhani, Retno A.
Medical Journal of Indonesia Vol 26, No 2 (2017): June
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (494.556 KB) | DOI: 10.13181/mji.v26i2.1877

Abstract

As a care coordinator, primary care physicians (PCP) need planning, organizing, implementation, and evaluation. A model of leadership in medicine needs to be implemented in primary care. Transformational leadership is defined as a leadership style that is suitable for health services. It is similar to a patient-centered approach. Case management should be well prepared and explained in accordance with patient needs, can be agreed upon, as well as implemented with appropriate respective roles. A leader needs to do various aspects related to the managerial process for carrying out the required activities. The same process can also be done by PCPs to achieve patient’s target management. Such activities include planning up to building networks. PCPs are expected to have leadership competencies and transformational leadership to support their performance as care coordinators. This can be obtained through a holistic, comprehensive, integrated, and continuous approach, as well as building relationships with other stakeholders.
Efficacy of removable rigid dressing after transtibial amputation in diabetes mellitus patients Hidayati, Evi R.N.; Ilyas, Elida; Murdana, I N. N.; Tarigan, Tri J.E.; Werdhani, Retno A.
Medical Journal of Indonesia Vol 22, No 1 (2013): February
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (338.817 KB) | DOI: 10.13181/mji.v22i1.516

Abstract

Background: The aim of this study was to evaluate the RRD’s efficacy in decreasing stump edema and pain compared to elastic bandage for diabetic mellitus patients after transtibial amputation.Methods: Interventional research was using consecutive  sampling. Subjects were randomized into two groups: RRD and elastic bandage. Twenty-three subjects were analyzed. Stump  edema volume was measured by the amount of water spilled out from volume glass. Elastic bandage was reapplied every 4 hours  and RRD was refitted every 7 days during evaluation time. Stump edema volume was evaluated every 7 days during the 8 week observation.Results: There was a significant decrease of stump volume in RRD group during the first and second week (p = 0.03, p = 0.01) and the edema decreasing time was also significant (p = 0.03).  The average decrease of edema volume in RRD was 63.85% of second week and in the elastic bandage group was 34.35%. There were a tendency of pain reduction time in RRD group (4.83 ± 1.95 weeks) compared to elastic bandage group (5.18 ± 2.31weeks). Cox regression result of decreasing edema volume time was 3.088 (CI 95%: 1.128 – 4.916).Conclusion: This study found that there was stump edema  volume acceleration in RRD group, it was three times faster for stump to become not edematous compared to elastic bandage group. There was a tendency of faster decreasing stump pain in  RRD group than elastic bandage group, eventhough this result  was not statistically significant. (Med J Indones. 2013;22:16-21)Keywords: Diabetes mellitus, removable rigid dressing, transtibial amputation