Leadership in doctor-patient relationship: Implementation on patient’s case management in primary care

Werdhani, Retno Asti

doi:10.13181/mji.v26i2.1877

Cited by 6 publications

(9 citation statements)

References 3 publications

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“…Both show the physician’s role in the doctor–patient interaction (micro-level) as well as the connection between the micro-levels and the meso-levels (head of healthcare facilities), to ensure that healthcare organization standards are aligned with patient and professional needs (bottom up). However, without leadership support from meso- and macro-level health systems (top down) as well as external organizational factors, healthcare reform will not occur, no matter how good the service is at the micro-level 13…”

Section: Discussionmentioning

confidence: 99%

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Correlation of leadership and care coordinator performance among primary care physicians

Werdhani¹,

Sulistomo²,

Herqutanto³

et al. 2018

JMDH

Self Cite

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PurposePrimary care physicians have to deal with many aspects of the patients’ health problem, which needs cooperation with other health professionals or even nonhealth individuals. To achieve effective results, the primary care physicians should have leadership and coordinating skills, especially when dealing with the health challenges in Asia Pacific region. The care coordinator role of primary care physicians is important to create the bridge between population and health. This study aims to determine the correlation between care coordinator performance and leadership factors among primary care physicians.Materials and methodsA cross-sectional study was conducted, and data collection involved a total of 84 primary care physicians who were randomly selected from a total of 44 subdistricts and worked in 40 randomly selected village government-owned primary healthcare facilities in Jakarta. Pearson’s correlation, independent t-test, and one-way ANOVA were used to measure the correlation between care coordination and clinical leadership, transformational leadership, commitment, job satisfaction, and organizational culture, as well as the sociodemographics of the physicians and the professional practice factors. Multiple regressions were conducted to determine the most important factors influencing care coordinator performance.ResultsRespondents were mainly female (94%) with an average age of 36 years and were mostly medical doctors without any additional postgraduate degrees (95.2%). There was no correlation between care coordinator scores and organizational culture or commitment. There were positive and significant correlations between care coordinator scores and clinical leadership score (r=0.66; P<0.001), transformational leadership score (r=0.54; P<0.001), job satisfaction score (r=0.31; P=0.004), physician’s age (r=0.34; P=0.002), length of time since graduation (r=0.30; P=0.005), duration of employment at their health center (r=0.33; P=0.003), training in family medicine (P=0.04), and employment status (P=0.005). The most important factors in care coordinator performance were clinical leadership (r=0.53; P<0.001) and transformational leadership (r=0.23; P=0.03), with the total R2 being 0.47.ConclusionClinical leadership and transformational leadership were the most important factors for care coordinator performance. Therefore, the leadership skills of primary care physicians are important to be considered as a certain competency in practice to manage various resources and coordinate with related healthcare providers for controlling patients’ illness as well as dealing with the challenges and managing the overall health.

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Section: Discussionmentioning

confidence: 99%

“…The function of primary care physicians as care coordinators and their interactions with patients cannot be separated from their leadership ability, although the physician is not formally the head of the healthcare center 13. Several factors contribute to leadership, such as organizational culture, commitment, and job satisfaction 14.…”

Section: Introductionmentioning

confidence: 99%

Correlation of leadership and care coordinator performance among primary care physicians

Werdhani¹,

Sulistomo²,

Herqutanto³

et al. 2018

JMDH

Self Cite

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“…Case management in Primary Care requires medical team and health personnel who collaborate and contribute to discuss cases/health service issues, clarifying each other tasks, contributing to patient's needs, and improving team building 6 . For the management of the first 1000 days of life, in addition to collaborating between health workers and patients, the medical team personnel also collaborate with families and specialist for the benefit of patients.…”

Section: The Collaboration Model Of the First 1000 Days Of Life In Prmentioning

confidence: 99%

Inter-Professional Collaboration in Prevention and Management Problems of Infant and Toddler Nutrition

Werdhani

2020

rpcpe

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One of the functions of the primary care/family physician in case management is as a care coordinator/coordinator of the patient’s management1. McDonald defines a care coordinator as a patient’s management activity in healthcare that involves two or more participants (including patients) to improve the quality of health services. The definition emphasizes the need for collaboration between doctors and various parties including patients, families, and other health workers in managing health problems2. This paper emphasizes coordination and collaboration between health workers and families, which aims to increase knowledge and perceptions of families and communities to prevent malnutrition events such as failure to thrive, or obesity in children in the management of the first 1000 days of life.Management of the first 1000 days of life and growth and development monitoring needs doctors who motivate as well as parenting guidance to be able for caring and feeding the baby, as well as directly monitor the growth and development of their children. Many perceptions and stigmas develop in community can affect parenting parents towards their children. Accordingly, the function of the family physician is expected to have the ability as a care coordinator to support the successful management of the first 1000 days of life. This service requires collaboration between doctors and other healthcare professionals. This is in line with a spirit of partnership and cross-sector cooperation3. Primary care/family physician responsible for providing health services sustainably and comprehensively to individuals, families, and the community, in collaboration with other health workers. Primary care/family physicians manage various resources for the benefit of patients and families. Health services in primary care services provide primary to tertiary prevention services4, which doctors cannot do alone. Primary care/family physician is not only responsible for primary prevention and screening, however, must also be prepared to manage health problems in the first 1000 days of life, growth, and development, including facilitating referral and reconciliation. This responsibility proves the importance of collaboration practice in primary care services.

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“…In terms of primary health care, they are required to be able to manage health problems in individuals, families, and societies in a comprehensive, holistic, sustainable, coordinated, and collaborative way. 7 Based on these principles, their actions in identifying and managing diphtheria cases at health centres should be revaluated.…”

Section: Introductionmentioning

confidence: 99%

Roles of doctors at health centres in applying principles of family medicine to prevent diptheria in Banda Aceh

Aini

Pamungkasari

Probandari

2019

JKKI

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Background: They are expected to be able to apply principles of familybased health treatments by prioritizing preventive, coordinative, and collaborative services. Based on the principles, identifying and managing diphtheria cases at some of health centres should be evaluated because there have been an increase of diphtheria cases, especially in Banda Aceh city.Objective: This study aimed to evaluate roles of doctors in the health centres to prevent the diphtheria. Furthermore, this research also aimed to determine obstacles of the diphtheria treatments encountered by the doctors. Methods: This study was a multiple case study. Its data were collected by in-depth interviews with doctors at five health centres in Banda Aceh. Data from the interviews were verified by using source and technical triangulation methods at the health offices and governmental hospitals in Banda Aceh. Result: Doctors' efforts at the health centres in Banda Aceh to apply principles of family medicine for the immunization experienced some obstacles. For example, they had less understanding about developing problems in their societies, namely issues of illegitimate (haram) vaccines and KIPI (post-immunization follow-up events). They also did not make active efforts to identify diphtheria cases by making coordination with their colleagues in other health service units. Conclusion:The doctors at the health centres of Banda Aceh had not fully implemented the principles of family medicine.berkembang dimasyarakat yaitu isu vaksin haram dan KIPI (kejadian Ikutan Pasca Imunisasi). Dokter juga tidak melakukan upaya aktif penemuan kasus difteri melalui koordinasi dengan teman sejawat di unit layanan kesehatan lain. Kesimpulan: Dokter puskesmas di Kota Banda Aceh belum sepenuhnya melaksanakan prinsip kedokteran keluarga yaitu komprehensif, kontinyu dan koordinasi.

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Leadership in doctor-patient relationship: Implementation on patient’s case management in primary care

Abstract: ABSTRAK

Cited by 6 publications

References 3 publications

Correlation of leadership and care coordinator performance among primary care physicians

Correlation of leadership and care coordinator performance among primary care physicians

Inter-Professional Collaboration in Prevention and Management Problems of Infant and Toddler Nutrition

Roles of doctors at health centres in applying principles of family medicine to prevent diptheria in Banda Aceh

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