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Indonesia

Population (2017): 264 Million

Income per capita (2018): 4,130.66 US

Percentage of GDP on Healthcare (2015): 3.35

training

Type of Training – No postgraduate program, advanced professional training program in family medicine

Length of Training – advanced professional training program in family medicine (3 years)

Year Family Medicine established – 2013

Number of family medicine residents graduating each year – N/A

Number of institutions that offer family medicine – 8


practice

Number of family doctors – unknown

Physician to population ratio – unknown

DALY: 23,854/100,000 individuals (due to all causes).

Life Expectancy:

  • Females 2017: 73.0 years

  • Males 2017: 69.0 years

Mortality rate 2017:

  • Males: 202 per 1,000 male adults.

  • Females: 141 per 1,000 female adults.

Infant Immunization-HepB3: % of 1-year-old children received: 79%

College of Family Physicians (Y or N):

  • Indonesian Association of Family Physicians

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healthcare system

Need to find through interviews

training

There is no postgraduate training for family medicine currently, however a graduate general practice will be introduced (Claramita, Mora, et al., 2018).

The Association of Indonesian Family Physicians (IAFP) provides an advanced professional training program in family medicine (WONCA Europe). Upon completion of the training program, graduates will be called family doctors (WONCA Europe).  Hence there is a difference between basic medical doctor and family doctor; a family doctor has more advanced achievement in primary care competencies compared to a basic medical doctor (WONCA Europe).

The government of Indonesia has recognized the importance of family medicine and has funded the development of postgraduate specialty training program in family medicine at 17 leading university medical schools (WONCA). The program will be for 3 years for recent medical graduates, and there is a fast-track option for experienced primary care doctors (WONCA). The formal assessment at the end of the training will lead to the Fellowship of the Indonesian College of Primary Care Physicians (WONCA).

practice

The role of family physician is not similar to what is seen in other countries, since a study found that they do not provide the same services (Widyahening, Indah S., 2014).  The family physicians tend to do more house call services and less acupuncture and hypnotherapy compared to those who are not family physicians (Widyahening, Indah S., 2014).  Family physicians practicing more than 30 hours a week have the facilities to provide emergency care, substance abuse program, treadmill assessment, urine examination, blood glucose test, ECG, minor surgery, and soft tissue infiltration (Widyahening, Indah S., 2014). Further, these physicians have a separate register for chronic disease and electronic medical record compared to those who practice less than 30 hours a week (Widyahening, Indah S., 2014).

References

Claramita, M., Ekawati, F.M., Gayatri, A., Istiono, W., Sutomo, A.H., Kusnanto, H., and Graber, M.A. "Preparatory Graduate Professional Training in General Practice by Using the Experiential Learning Framework." Asia Pacific Family Medicine17, no. 1 (2018). doi:10.1186/s12930-018-0042-1.

Widyahening, I.S., Thuraiappah, D.M., Han, T.M., and Vidiawati, D. "Indonesian Primary Care Physicians Profile in 2011: Did Practicing Hours and Conversion Program for Family Medicine Differentiate Their Services and Continuing Medical Education Activities?" Asia Pacific Family Medicine13, no. 1 (2014). doi:10.1186/s12930-014-0016-x.

WONCA Europe. "FAMILY MEDICINE POSTGRADUATE PROFESSIONAL TRAINING IN INDONESIA." Retrieved from http://www.woncaeurope.org/content/family-medicine-postgraduate-professional-training-indonesia.

WONCA Europe. "From the President Family Medicine Challenges in Japan & Indonesia." Retrieved from https://www.wonca.net/News/FromthePresidentFamilyMedicinechallengesinJapanIndonesia.aspx.