metode penilaian scrining

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    METODE EPIDEMIOLOGI

    UNTUK MENILAIDIAGNOSIS PADA SCRINING

    OLEH :

    SAID TAUFIQ, M.Kes

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    Pendekatan penyakit padamasyarakat

    Dua hal yan !a"a# !$la%u%an !ala& !$an's$s!$n$: (. Mene#ahu$ "enya%$# se!$n$ &un%$nse)a%#u #$&*u% e+ala %l$n$s, . Mene#ahu$"enya%$# se*elu& e+ala %l$n$s #a&"a%

    Saa# $n$ "enea%an !$an's$s "enya%$# #e-u#a&as#lh $n!$$!u se/a-a "-$*a!$ &en/a-$ "en'*a#an.

    se*a$an %e/$l %asus yan !$'*a#$ !$ !$an'sa!ala& s#a!$u& as$&"#'&a#$%.

    Hal $n$ !$se*a*%an &as$h %u-annya "-'-a&su-e$lans

    Mena%$*a#%an an%a "eny. &enahun &en$n%a#

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    Pengertian scrining

    Penya-$nan a!alah sua#u $!en#$0$%as$ "enya%$#yan se/a-a %l$n$s *elu& +elas. Usaha $n$ !a"a#!$la%u%an !enan "e&e-$%saan #e-#en#u a#au"-'se!u- #e-#en#u yan se/a-a #e"a# !a"a#

    &e&*e!a%an '-an yan #e-l$ha# seha# #e#a"$&e&"unya$ %e&un%$nan sa%$# !an '-an yan*e#ul1*e#ul seha#.

    Pe&e-$%saan yan has$l #esnya "'s$#$0 a!a%e&un%$nan '-an #e-se*u# *e#ul1*e#ul sa%$#a#au #$!a% sa%$#, hal $n$ !$se*u# "'s$#$0 se&u 20alse"'s$#$03.

    Penya-$nan &e-u"a%an salah sa#u su-eye"$!e&$'l'$ u#% &enen#u%an 0-e%uens$ "enya%$#.

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    Macam-macam scrining

    Mass scrining: "enya-$nan !$la%u%an"a!a selu-uh "en!u!u%

    Selectif scrining: Penya-$nan !$la%u%an

    #e-ha!a" %el'&"'% "en!u!u% #e-#en#u Single disease scrining: "enya-$nan!$#un+u%an "a!a sua#u +en$s "enya%$#&$salnya "enya-$nan un#u% &ene#ahu$"enya%$# #*/

    Multiphase scrining: "enya-$nan un#u%%e&un%$nan a!anya *e*e-a"a "enya%$#"a!a $n!$$!u, &$salnya "enya-$nan%eseha#an "a!a "ea)a$ se*elu& *e%e-+a

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    Syarat penyaringan

    Penya%$# yan a%an !$s/-$n$n &e-u"a%an&asalah %eseha#an "a!a &asya-a%a# yansana# "en#$n.

    Ha-us a!a /a-a "en'*a#an un#u%"en!e-$#a yan !$#e&u%an &elalu$"enya-$nan.

    Fas$l$#as un#u% !$an's$s !an "en'*a#an

    ha-us a!a. Ha-us !$%e#ahu$ s#a!$u& s$&"#'&a#$% !$n$

    !an &asa la#en

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    Lan+u#an

    ha-us a!a /a-a "e&e-$%saan yan #e"a#

    "e&e-$%saan yan !$la%u%an #$!a%

    *e-*ahaya !an !a"a# !$#e-$&a 'leh&asya-a%a#.

    se*a$%nya !$%e#ahu$ #en#an -$)aya#ala&$ah sua#u "enya%$#

    *$aya "ene&uan %asus !a"a# e%'n'&$s

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    Konsep dasar dalam skrining

    I!en#$0$%as$ n$la$ n'-&al

    4al$!$#y sua#u ala# #es s/-$n$n

    Ke#e-an!alan -el$a*$l$#y

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    Identifikasi nilai normal

    Pene-#$an n'-&a *$asanya !$"a%a$un#u% &enen#u%an %a-a%#e-$s#$%"'"ulas$ #e-#en#u, &$salnya %a!a--a#a1-a#a he&'l'*$n. N$la$ -a#a1-a#a#e-se*u# !a"a# !$"e-%$-a%an *a#as

    yan !$ana" n'-&al

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    Validity suatu alat tes scrining

    Ke&a&"uan !a-$ sua#u"e&e-$%saan un#u% &enen#u%an

    $n!$$!u &ana yan &e&"unya$"enya%$# 2#$!a% n'-&al3 !an$n!$$!u yan &ana #$!a%

    &e&"unya$ "enya%$# 2n'-&al3. A!a hal 5 sens$#$0$#y !an s"es$0$#y

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    Sensitifity Ke&a&"uan sua#u "e&e-$%saan

    un#u% &en$!en#$0$%as$ se/a-a

    *ena- '-an yan &en!a"a#"enya%$#.

    #-ue "'s$#$0

    sensitifitas6 11111111111111111111111111111

    #-ue "'s$#$0 7 0alse nea#$0

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    Spesifitas

    Ke&a&"uan !a-$ sua#u "e&e-$%saanun#u% &en$!en#$0$%as$ se/a-a *ena-

    '-an1'-an yan #$!a% &e&"unya$"enya%$#.

    #-ue nea#$0

    spesifitas61111111111111111111111111111111

    #-ue nea#$0 7 0alse "'s$#$0

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    KEADAAN DAAM MAS!A"AKA#

    $

    A

    S

    I

    SAKI# SE$A#

    P

    E

    "

    I

    %#"&E % 'ASE %

    K

    S

    A -'ASE - #"&E -

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    C'n#'h

    Da-$ "'"ulas$ (888 '-an !$"e-'leh (88'-an &e&"unya$ "enya%$# 9 se!an 88'-an #$!a% &e&"unya$ "enya%$# 9.

    Se/-$n$n !$la%u%an un#u% &en$!en#$0$%as$(88 'a-an yan &e&"unya$ "enya%$#. Da-$has$l "e&e-$%saan H; #e-nya#a !$!a"a#%an '-an. ;e-a"asens$#$0$#as !an s"es$0$#as ala# #e-se*u#!$a#a?

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    Has$l

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    PERTAN@AAN

    ;e-a"a n$la$ sens$#$0$#as..?

    ;e-a"a n$la$ s"es$0$#as..?

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    Keterandalan relia(ility

    Pe&e-$%saan yan &e&*e-$ has$l

    %'ns$s#ens$ +$%a "e&e-$%saan $n$!$la%u%an le*$h !a-$ sa#u %al$"a!a $n!$$!u yan sa&a !enan%'n!$s$ yan sa&a.

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    Keterandalan relia(ility

    A!a hal yan &e&"ena-uh$ %'ns$s#ens$ has$l:

    a-$as$ #e-+a!$ "a!a &e#'!e "e&e-$%saan !ana-$as$ !$!ala& su*+e% sen!$-$ 2a-$as$ *$'l'$s

    !a-$ $n!$$!u3 a-$as$ "a!a &e#'!e "e&e-$%saan

    a-$as$ !$!ala& su*+e%

    4a-$as$ "a!a "enel$#$5 Pa!a "enel$#$an *$sa sa+a

    #e-+a!$ "e-*e!aan !ala& &e&*a/a has$l #es"a!a )a%#u yan *e-*e!a. M$salnya se'-an-a!$'l' !a"a# sa+a &e&"unya$ $n#e-"-e#as$*e-*e!a &enena$ sua#u has$l -'n#hen.

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    #E"IMA KASI$