UNIVERSITAS AIRLANGGA



Detail Article

Folia Medica Indonesiana

ISSN 0303-7932

Vol. 41 / No. 1 / Published : 2005-01

Order : 7, and page :36 - 42

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Original Article :

Adequate help for patients with cervical cancer? the referral system in indonesia. a descriptive comparison study in four provinces

Author :

  1. Linda S Nooy *1
  2. Sjahjenny *2
  3. E Schadé*3
  1. Academical Medical Centre, University of Amsterdam (AMC-UvA)
  2. Airlangga University, Surabaya
  3. Head Department of General Practice/Family medicine, AMC-UvA. Chairman Division Clinical Methods and Public Health

Abstract :

Background: The objectives are the quality of the diagnostic system and the referral for patients with a suspicion of cervical cancer. This research was done in four provinces in Indonesia in the framework of the Community-based Cancer Control Program in Indonesia. Methods: Focus Group Discussions with doctors from the district hospital and Primary Health Care doctors, nurses and midwives as well as interviews with employees from several governmental health departments and a literature study. Results: The referral for patients with a suspicion of cervical cancer works similar in the four provinces. It depends on the facilities available in the district hospital, whether the patient is helped there or referred to the provincial hospital. The facilities available in the district or provincial hospital differ much between the four provinces visited, although they are sufficient to help all patients with (a suspicion of) cervical cancer. Patients are not obliged to follow the referral system. Most cancer patients come to the health care services in a late stage of their disease. A lot of patients drops out to alternative health care. Most of the patients do not have enough money to pay for the treatment. These problems make curative treatment often very difficult. Conclusion: Education about cancer is very important as well as changes in financing of the health care system. Through the education patients are stimulated to seek health care in an earlier stage of their disease and to go to regular health care instead of alternative health care providers.

Keyword :

public health care system, chain of diagnosis and treatment, cervical cancer, Indonesia,


References :

Bowling A,(1997) Research Methods in Health, Investigating Health and Health Services Buckingham, Philadelphia : Open University Press

Roemer Milton I,(1991) National Health Systems of the World, volume 1, the countries Oxford, New York : Oxford University Press





Archive Article

Cover Media Content

Volume : 41 / No. : 1 / Pub. : 2005-01
  1. Editorial Vol 41 No 1 2005
  2. Opinion: Research In The Development Of Medical Science And Technology
  3. The Association Of Mitochondrial Dna Mutation G3316a And T3394c With Diabetes Mellitus
  4. The Effects Of Unilateral Testicular Torsion Upon Immunity Modulation And Apoptosis Of Germinal Cells In The Contralateral Testis. An Experimental Study In Rats
  5. The Effect Of 5α Reductase Inhibitor And Estrogen In Prostate Proliferation. An Experimental Study In Rats
  6. Quality Of Refilled Drinking Water In Surabaya City
  7. Adequate Help For Patients With Cervical Cancer? The Referral System In Indonesia. A Descriptive Comparison Study In Four Provinces
  8. In Vitro Drug Sensitivity Of Trypanosoma Evansi Bangkalan Isolates
  9. Comparison Of Dead Victims Due To Burn Between Periods
  10. Serum Osmolal Gap In Healthy Persons. Comparison Of Eleven Formulas For Calculating Osmolality
  11. Traumatic Optic Neuropathy In The Division Of Neuro-ophthalmology, Department Of Ophthalmology, Dr Soetomo Teaching Hospital, Surabaya
  12. The Potential Role Of α-lipoic Acid In The Management Of Diabetes Mellitus. Possible Molecular Mechanism
  13. Review Article And Clinical Experience: Metabolic Syndrome Vs Insulin Resistance Syndrome (a Cluster Of Components And Strategies For Treatment)

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