Factors Related to the Knowledge of Physical Disabilities, Individual Health Service and Public Health Service Practice of General Practitioners in Primary Health Care

H. Julianti, A. Tulaar, T. Tamin, Tanti Ajoe Kesuma, Endang Ambarwati, S. Wahyudati
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Abstract

The purpose of this study was to determine factors related to the level of knowledge about physical disabilities and the practice of individual health services (IHS) and public health services (PHS) for patient with physical disabilities of General Practitioner (GP) in Primary Health Care. The design of this study was cross sectional. Participants of this study were 23 Primary Health Care GP in Wonosobo District. Data were tested with chi-square, significance level <0.05. Most of the participants were women (65.20%); the average length of work was 7.48 years, 60.90% worked more than 5 years; 56.0% were civil servants, 34.80% were BLUD employees, 8.70% were temporary contract employees; 56.50% have a lack of knowledge; 69.60% lack in IHS practices and 95.70% lack in PHS practices. Gender (Prevalence Ratio (PR) = 3.43, 95% CI = 0.52-22.80, p = 0.19); length of work (PR = 0.20, 95% CI = 0.03-1.21, p = 0.07), employment status (PR = 0.63, 95% CI = 0.12-3.31, p = 0.58) not related to the level of knowledge about physical disabilities. Gender (PR = 4.67, 95% CI = 0.45-48.26, p = 0.17); length of work (PR = 0.80, 95% CI = 0.13-4.87, p = 0.81), employment status (PR = 2.50, 95% CI = 0.37-16.89, p = 0.34) not related to IHS and PHS practice. Level of knowledge (PR = 5.50, 95% CI = 0.78-38.69, p = 0.07) not related to IHS practice. Level of knowledge (PR = 1.11, 95% CI = 0.90-1.37, p = 0.24) not related to PHS practice. Most of Primary Health Care GP have a lack of knowledge about physical disabilities; lack in IHS and PHS practices.. There were no relationship between the level of knowledge and the practice of IHS and PHS.
初级卫生保健全科医生身体残疾知识、个人卫生服务和公共卫生服务实践的相关因素
本研究的目的是确定与初级卫生保健全科医生(GP)对身体残疾患者的个人卫生服务(IHS)和公共卫生服务(PHS)的知识水平和实践相关的因素。本研究采用横断面设计。本研究的参与者为沃诺索博区23名初级卫生保健全科医生。数据采用卡方检验,显著性水平<0.05。参与者以女性居多(65.20%);平均工作年限为7.48年,5年以上的占60.90%;公务员占56.0%,BLUD员工占34.80%,临时合同工占8.70%;56.50%的学生缺乏知识;69.60%缺乏IHS实践,95.70%缺乏小灵通实践。性别(患病率(PR) = 3.43, 95% CI = 0.52-22.80, p = 0.19);工作时长(PR = 0.20, 95% CI = 0.03-1.21, p = 0.07)、就业状况(PR = 0.63, 95% CI = 0.12-3.31, p = 0.58)与身体残疾知识水平无关。性别(PR = 4.67, 95% CI = 0.45-48.26, p = 0.17);工作时长(PR = 0.80, 95% CI = 0.13-4.87, p = 0.81)、就业状况(PR = 2.50, 95% CI = 0.37-16.89, p = 0.34)与IHS和PHS实践无关。知识水平(PR = 5.50, 95% CI = 0.78-38.69, p = 0.07)与IHS实践无关。知识水平(PR = 1.11, 95% CI = 0.90-1.37, p = 0.24)与小灵通实践无关。大多数初级卫生保健全科医生缺乏关于身体残疾的知识;缺乏IHS和小灵通实践…知识水平与IHS和PHS的实践没有关系。
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