Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer)
Vol 5, No 1 (2022): January

Making and Validating a Promotive and Preventive Effort Model for Stages 1-5 of Chronic Kidney Disease in Primary Care Services

Anita Rahman Hajam (Family Doctor of BPJS Kesehatan
Primary Care Clinic “Indomoro”
Kebumen
Central Java
Indonesia)

Bambang Djarwoto (Department of Internal Medicine
Subdivision of Kidney and Hypertension
Faculty of Medicine UGM/ Dr. Sardjito General Hospital
Yogyakarta
Indonesia)

Mora Claramita (Department of Family and Community Medicine
Faculty of Medicine
Public Health and Nursing
Universitas Gadjah Mada
Yogyakarta
Indonesia)



Article Info

Publish Date
09 Mar 2022

Abstract

Background: The prevalence of Chronic Kidney Disease (CKD) is continuously increasing worldwide, including in Indonesia and has become a global public health problem. With the increased number of patients with CKD and the limited number of nephrologists, primary care physicians and specialists should play an important role in providing quality sustainable prevention and treatment by improving promotive and preventive efforts in primary care. Most patients with CKD can be managed by doctors in primary care in collaboration with specialist doctors in secondary and tertiary care. However, clinical practice guidelines for promoting and preventing CKD in primary care apparently have not been optimally implemented.Objective: This research aimed to make a promotive and preventive model for stages 1-5 of CKD in primary care.Methods: This research employed a research and development strategy with the following stages: (1) Preliminary study stage (literature review), (2) Development stage (initial draft of the model) and (3) Resources validation stage (in-depth interviews).Results: Five primary care physicians, two internists and one nephrologist participated in the validation stage for the initial draft of the model. The three stages of this research obtained the pattern of doctor's practice for CKD and the feedback related to the model to be adjusted according to the condition of primary care in Indonesia.Conclusion: There is a lack of understanding and awareness of primary care physicians about prevention and treatment of CKD, and a lack of supporting examination facilities for serum creatinine and albuminuria in primary care for screening of the risk factors of CKD. A promotional and preventative model of stages 1-5 for CKD in primary care was successfully made and validated.

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Journal Info

Abbrev

rpcpe

Publisher

Subject

Education Health Professions Medicine & Pharmacology Public Health

Description

The Review of Primary Care Practice and Education is a bilingual open access journal which provides scientific information on the field of ‘Primary Care’ and ‘Family Medicine’ in the form of research-based scientific articles, case reports, policy briefs and new findings from experts, ...