dody firmanda 2011 - evidence-based medicine (ebm), penilaian teknologi kesehatan (health technology...
TRANSCRIPT
-
8/3/2019 Dody Firmanda 2011 - Evidence-based Medicine (EBM), Penilaian Teknologi Kesehatan (Health Technology Assessment/HTA) dan Mutu Profesi Medis
1/18
Evidence-based Medicine (EBM)
danMutu Profesi Medis
-
8/3/2019 Dody Firmanda 2011 - Evidence-based Medicine (EBM), Penilaian Teknologi Kesehatan (Health Technology Assessment/HTA) dan Mutu Profesi Medis
2/18
-
8/3/2019 Dody Firmanda 2011 - Evidence-based Medicine (EBM), Penilaian Teknologi Kesehatan (Health Technology Assessment/HTA) dan Mutu Profesi Medis
3/18
-
8/3/2019 Dody Firmanda 2011 - Evidence-based Medicine (EBM), Penilaian Teknologi Kesehatan (Health Technology Assessment/HTA) dan Mutu Profesi Medis
4/18
UU No. 29/2004Praktik Kedokteran
Psl 44 ayat 3Standar Pelayanan
Kedokteran
SPKPNPK
SPO
Dibuat : ProfesiDisahkan: Menkes
Dibuat & ditetapkan:Pimpinan RS
Panduan Praktik Klinis (PPK)
Dikoordinasikan: Komite MedisDisusun: SMF
RINGKASAN PERATURANMENTERI KESEHATAN
No. 1438/Menkes/Per/IX/2010
PerMenKesNo 1438/IX/2010Standar PelayananKedokteran (SPK)
Berita NegaraTahun 2010 No 464
24 Sept 2010
Algoritme Protokol Prosedur Standing Order
1. Pengertian (Definisi)2. Anamnesis3. Pemeriksaan Fisik4. Kriteria Diagnosis5. Diagnosis
6. Diagnosis Banding7. Pemeriksaan Penunjang8. Terapi9. Edukasi10.Prognosis11. Kepustakaan
DF2010
-
8/3/2019 Dody Firmanda 2011 - Evidence-based Medicine (EBM), Penilaian Teknologi Kesehatan (Health Technology Assessment/HTA) dan Mutu Profesi Medis
5/18
LANGKAH LANGKAH
PENYUSUNAN :1. STANDAR PELAYANAN
KEDOKTERAN (SPK)2. PANDUAN PRAKTEK KLINIS
(PPK)BERDASARKAN
EVIDENCE-BASED MEDICINE (EBM)
SPK/PPK
-
8/3/2019 Dody Firmanda 2011 - Evidence-based Medicine (EBM), Penilaian Teknologi Kesehatan (Health Technology Assessment/HTA) dan Mutu Profesi Medis
6/18
Usefulness of Medical Practice = Validity X RelevanceEasy to access
Validity Relevance
(Research design) Important ApplicableDiagnostic Cross-sectional Likelihood ratios Self-
assessmentPrognosis Cohort Survival curves Self-
assessmentRCT NNT
erapy ys em c rev ews(Meta-analysis)
Economic analysisClinical decision
analysis
Cost/QALYUtilisation
e -assessment
Harm Cohort/case-control/
case reports
NNH Self-
assessmentGuidelines # Flow-chart
# Cost-effectivenessQI Self-
assessment
Dokumentasi: DF - 1997
-
8/3/2019 Dody Firmanda 2011 - Evidence-based Medicine (EBM), Penilaian Teknologi Kesehatan (Health Technology Assessment/HTA) dan Mutu Profesi Medis
7/18
SPK/PNPK PPK
-
8/3/2019 Dody Firmanda 2011 - Evidence-based Medicine (EBM), Penilaian Teknologi Kesehatan (Health Technology Assessment/HTA) dan Mutu Profesi Medis
8/18
FORMAT PANDUAN PRAKTIK
KLINIS(PPK)
-
8/3/2019 Dody Firmanda 2011 - Evidence-based Medicine (EBM), Penilaian Teknologi Kesehatan (Health Technology Assessment/HTA) dan Mutu Profesi Medis
9/18
FORMAT PANDUAN PRAKTIK
KLINIS
(PPK)
-
8/3/2019 Dody Firmanda 2011 - Evidence-based Medicine (EBM), Penilaian Teknologi Kesehatan (Health Technology Assessment/HTA) dan Mutu Profesi Medis
10/18
FORMAT PANDUAN PRAKTIK
KLINIS(PPK)
-
8/3/2019 Dody Firmanda 2011 - Evidence-based Medicine (EBM), Penilaian Teknologi Kesehatan (Health Technology Assessment/HTA) dan Mutu Profesi Medis
11/18
CONTOH BUKUPANDUANPRAKTIK
KLINIS (PPK)
-
8/3/2019 Dody Firmanda 2011 - Evidence-based Medicine (EBM), Penilaian Teknologi Kesehatan (Health Technology Assessment/HTA) dan Mutu Profesi Medis
12/18
CONTOH BUKUCLINICAL
PATHWAYS
-
8/3/2019 Dody Firmanda 2011 - Evidence-based Medicine (EBM), Penilaian Teknologi Kesehatan (Health Technology Assessment/HTA) dan Mutu Profesi Medis
13/18
CONTOH BUKUCLINICAL
PATHWAYS SMF KESEHATAN ANAK
-
8/3/2019 Dody Firmanda 2011 - Evidence-based Medicine (EBM), Penilaian Teknologi Kesehatan (Health Technology Assessment/HTA) dan Mutu Profesi Medis
14/18
Evidence-based Practice
EVALUASI1. Topik2. Jadwal Berkala3. Daftar Hadir
Evidence-basedPractice
.5. % Critical Appraisal6. % Diagnosis7. % Prognosis8. % Terapi9. % Profilaksis95% CI: A + 2 SE9. Tindak Lanjut
-
8/3/2019 Dody Firmanda 2011 - Evidence-based Medicine (EBM), Penilaian Teknologi Kesehatan (Health Technology Assessment/HTA) dan Mutu Profesi Medis
15/18
EBM
EBM dan Program Patient Safety
SPK/PNPK PPK
-
8/3/2019 Dody Firmanda 2011 - Evidence-based Medicine (EBM), Penilaian Teknologi Kesehatan (Health Technology Assessment/HTA) dan Mutu Profesi Medis
16/18
EBM
EBM dalam Kendali Mutu dan Biaya
SPK/PNPK PPK
-
8/3/2019 Dody Firmanda 2011 - Evidence-based Medicine (EBM), Penilaian Teknologi Kesehatan (Health Technology Assessment/HTA) dan Mutu Profesi Medis
17/18
Hubungan SPK/PPK/CP & Instrumen Peniaian Peserta Program Pendidikan Dokter/Spesialis
-
8/3/2019 Dody Firmanda 2011 - Evidence-based Medicine (EBM), Penilaian Teknologi Kesehatan (Health Technology Assessment/HTA) dan Mutu Profesi Medis
18/18