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"To refocus awareness on the original mandate of the Health Insurance Portability and Accountability Act (HIPPA) regulations, this article will review record keeping requirements and examine patient-doctor and interdisciplinary communication as a way to improve the health care consumer's trust in the privacy of their personal information while facilitating integrated and fluid health care delivery systems. The HIPPA rules especially important in medical settings are discussed with a special emphasis on issues confronting psychologists who practice outside of medical institutions and hospitals. The article also examines important implications for practice activities when psychologists attend patients who are hospitalized."

"Psychology has had a long history of collaboration with the medical profession. This collaboration has been greatly enhanced over the past decade or more as an increasing number of psychologists have become successful in applying the science and practice of psychology to the problems of health and illness. This article reviews and summarizes salient aspects of professional issues in practice that contribute to successful collaboration with physicians in primary and tertiary ambulatory health care settings. Practical strategies to enhance collaboration in independent practice are discussed. (APA PsycInfo Database Record (c) 2016 APA, all rights reserved)"

"When psychologists need to see patients who have been admitted to a general medical hospital or are asked to see a patient in a general medical hospital, they must be aware of, and in compliance with, the rules governing consultation, privileging, and privacy. Psychological treatment for patients is an important part of the treatment of patients with medical conditions that may be exacerbated by psychosocial stressors, preexisting anxiety, or depressive symptoms. The role of the psychologist is to have an integrated role with the medical team and work with the patient in effectively managing these symptoms. Models for promoting psychological services to all patients, especially those who are medically ill, have emerged as one of the few growth areas in psychology. (PsycINFO Database Record (c) 2016 APA, all rights reserved)"

"Psychology has been recognized as a health care science and profession, and psychologists have been working clinically with medically ill patients and within organized health care settings and hospitals for decades. The potentially daunting environment of organized health care should be seen by psychology as an opportunity to further develop and expand its scope of practice. With knowledge of that environment's rules, regulations, ethics, bylaws, and traditions, the clinically competent psychologist who is first seeking to practice in hospitals should succeed alongside psychologists with busy practices who are already exclusively or occasionally within an organized health care setting or medical facility. This article reviews issues of competency, credentialing, privileges, bylaws, and practice expansion to guide psychologists toward a successful hospital practice with medically ill patients. (PsycINFO Database Record (c) 2016 APA, all rights reserved)"

"Pada umumnya primigravida belum memiliki pengetahuan yang cukup tentang proses serta prosedur persalinan. Dalam keadaan sehat primigravida dapat melahirkan pervaginam, namun akibat ketidaktahuan tentang proses serta prosedur persalinan, primigravida menjadi takut untuk melahirkan pervaginam. Penelitian ini bertujuan untuk mengetahui gambaran pengetahuan ibu primigravida tentang proses serta prosedur persalinan dan motivasi untuk melahirkan pervaginam. Penelitian ini bersifat cross sectional dengan 96 responden yang diambil melalui teknik quota sampling baik yang ditemui di Puskesmas maupun di rumah. Hasil penelitian menunjukkan bahwa 62,5% ibu primigravida memiliki pengetahuan tinggi tentang proses serta prosedur persalinan. Sebanyak 51% ibu primigravida memiliki motivasi yang tinggi untuk melahirkan pervaginam. Mayoritas primigravida memiliki pengetahuan tinggi tentang proses serta prosedur persalinan dan motivasi tinggi melahirkan pervaginam. Sosialisasi tentang proses dan prosedur persalinan serta motivasi dari tenaga kesehatan untuk melahirkan pervaginam dapat mengurangi angka kelahiran melalui operasi sesar dan kematian ibu dan bayi.

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Generally primigravida do no thave enough knowledge about process and procedure of labor. In ahealthy state primigravida can give birth vaginally, but due to ignorance about the process and procedure of labor, primigravida be afraid to give birth vaginally. This study aims to describe the knowledge of primigravida about the process and procedure of labor and motivation to give birth vaginally. This studyis cross-sectional with 96 respondents were taken through aquota sampling technique is encountered either in the health center or at home.

The results showed that 62.5% primigravida has a high knowledge about the process and procedure of labor. A total of 51% primigravida highly motivated to give birth vaginally. The majority primgravida have high knowledge about the process and procedure of labor and motivate to giving birth vaginally. Socialization of labor processes and procedures and motivation from health workers to recommended primigravida to give birth vaginally, so that it can reduce the number of births by caesarean section and maternal and infant mortality."