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p-Index From 2021 - 2026
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All Journal Science Midwifery Eduvest - Journal of Universal Studies
Dilma’aarij Agustia
Universitas Satya Terra Bhinneka, Indonesia
Aerospace Engineering Computer Science & IT Dentistry Health Professions Neuroscience Nursing Public Health Social Sciences Veterinary

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Analysis Of Ethical And Medicolegal Aspects In Health Insurance In Indonesia: A Scoping Review Approach Adji Suwandono; Dilma’aarij Agustia; Yudhistira Andarusukma
Eduvest - Journal of Universal Studies Vol. 5 No. 10 (2025): Eduvest - Journal of Universal Studies
Publisher : Green Publisher Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59188/eduvest.v5i10.51994

Abstract

Background: The National Health Insurance (Jaminan Kesehatan Nasional/JKN) managed by BPJS Kesehatan aims to provide equal access for the entire communities accross nation. However, its implementation faces various challenges related to ethical and medicolegal aspects, including service limitations, patient rights, and medical personnel responsibilities. Objective: The study aims to analyze the ethical and legal aspects within The National Health Insurance in Indonesia. Methods: This study uses the scoping review method with the PRISMA-ScR approach. Literature searches were conducted through the PubMed and Garuda databases using the keywords National Health Insurance, BPJS Health, Medical Ethics, and Medicolegal. Included articles were those published in the last 10 years and relevant to the topic of study. Results: Our result shows that some major challenges in health care services in Indonesia include limited health facilities, ease of access for communities in remote areas, and administrative challenges in BPJS claims. From an ethical standpoint, the principle of justice is often debated due to the uneven distribution of services. From a legal perspective, there is still ambiguity in the medicolegal responsibilities of health workers within the health insurance system, especially regarding medical disputes and legal obligations in BPJS-based services. Conclusion: The implementation of BPJS Kesehatan faces ethical, legal, administrative, and service quality challenges. Thus, policy evaluation, strengthened oversight, and improved legal protection and service quality are needed to strengthen the system
The effect of classical instrumental music (Kenny G–Style) on reducing anxiety in pregnant women during labor: A literature review Rut Yohana Girsang; Dilma’aarij Agustia; Novitri Adelina Sipayung; Dinda Dian Meidita; Ria Fazelita Gultom
Science Midwifery Vol 14 No 3 (2026): Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v14i3.2383

Abstract

Maternal anxiety during labor remains a significant psychological condition that may adversely affect labor progression, pain perception, and overall childbirth outcomes. Non-pharmacological interventions, particularly music therapy, have been increasingly recognized as complementary strategies to improve maternal psychological well-being. This literature review aims to examine the effectiveness of classical and instrumental music, including the style of Kenny G, in reducing anxiety among pregnant women during labor. A systematic literature review was conducted by searching peer-reviewed articles published between 2018 and 2025 in databases including PubMed, Scopus, ScienceDirect, and Google Scholar. Keywords used included “music therapy,” “labor anxiety,” “pregnancy,” “childbirth,” and “relaxation music.” The findings indicate that exposure to calming instrumental music is associated with reduced anxiety levels, decreased physiological stress markers (such as heart rate and cortisol), and improved maternal relaxation during labor. The slow tempo and smooth melodic structure characteristic of instrumental jazz and contemporary classical music, including Kenny G’s compositions, are associated with activation of the parasympathetic nervous system, promoting relaxation and emotional stability. Overall, music therapy is a safe, low-cost, and non-invasive intervention that can be integrated into midwifery care to enhance maternal comfort during childbirth.
Co-Authors adji suwandono Dinda Dian Meidita Novitri Adelina Sipayung Ria Fazelita Gultom Rut Yohana Girsang Yudhistira Andarusukma