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Journal : Journal of Indonesian Health Policy and Administration

ANALYSIS OF THE NEED FOR LEGAL PROTECTION FOR DOCTORS IN TELECONSULTATION SERVICES TOWARDS THE COVID-19 ENDEMIC IN INDONESIA Fitriana, Mila; Achadi, Anhari
Journal of Indonesian Health Policy and Administration Vol. 7, No. 3
Publisher : UI Scholars Hub

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Abstract

Teleconsultation is a form of telemedicine that has developed rapidly during the COVID-19 pandemic. Clinical teleconsultation provides remote clinical consultation services to assist in establishing a diagnosis, and/or providing treatment considerations/advice. There are several issues in telemedicine, including ethical and legal issues. This study aims to find ethical and legal issues related to teleconsultation services after the COVID-19 pandemic. This research uses normative legal research methods. The laws and regulations that are reviewed by the researcher are those that are still valid in the Republic of Indonesia until June 2022. Researchers compare teleconsultation regulations and laws that were in effect during the pre-pandemic COVID-19 period with those that were in effect during the pandemic. Moreover, researchers examine ethical and legal issues that will arise during the COVID-19 endemic period. In conclusion, if the regulations during the pre-pandemic period are reimplemented during the endemic period, ethical and legal issues will arise. The issues vary from teleconsultation can only be provided by medical facilities like hospitals instead of direct consultation between doctor and patients. Furthermore, the applications must be legally issued and registered by the government, particularly from the ministry of health. Diagnosis enforcement does not follow professional standards in terms of physical examinations is also an issue. Besides, there are more issues such as electronic prescription is not allowed and doctors must be able to prove that there are no intentional factors in the cases of patients’ data leakage and medical record hacking. In this way, the government is expected to make basic changes in the existing teleconsultation laws and regulations or to make specific teleconsultation laws and regulations with the purpose of providing legal protections for doctors.
ANALYSIS IMPLEMENTATION OF THE SUPERVISION ROLE COMMISSION IX OF DPR RI IN THE HEALTH PROGRAM FOR THE 2014-2019 PERIOD: CASE STUDY IN THE PRIMARY CARE DOCTOR PROGRAM Bahar, Ardiansyah; Achadi, Anhari
Journal of Indonesian Health Policy and Administration Vol. 6, No. 3
Publisher : UI Scholars Hub

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Abstract

Prolonged health problems have been recurring for a long time have raised questions about health program and its supervisory. The supervisory function carried out by Commission IX of the DPR RI on its partners from the government continues to be carried out in various ways. However, analysis has never been conducted to assess whether the various supervisory activities have been effective. This study uses a qualitative method based on phenomena, symptoms, facts, or social informants. Informants are determined directly based on the principles of appropriateness and adequacy. The data is then converted into transcript form, then analyzed, and a Logical Framework is created. This study shows that Commission IX's supervision of the Primary Care Doctor (Dokter Layanan Primer/DLP) Program is ineffective because the program is regulated in the Medical Education Law which is a product of Commission X DPR RI and involves The Ministry of Research and Education (Kemenristekdikti), which is not a working partner of Commission IX DPR RI. Supervision by Commission IX of DPR RI on work partners can positively influence partners' performance improvement. However, it is difficult to conclude that the increase in performance is entirely due to oversight from Commission IX of DPR RI. The supervisory function of Commission IX DPR RI for the DLP Program did not work effectively because the program was regulated in the Medical Education Law which was a product of Commission X DPR RI and involved Kemenristekdikti which was not a working partner of Commission IX DPR RI.
ACCUPRESSURE PROGRAM AT THE HEALTH CENTERS IN SOUTH JAKARTA IN 2018 Rini, Sandra Octaviani Dyah Puspita; Achadi, Anhari
Journal of Indonesian Health Policy and Administration Vol. 4, No. 1
Publisher : UI Scholars Hub

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Traditional Health Services is a treatment or therapy using methods and medication that is based on the experience and skills of our ancestors that can be accounted for and is in accordance with the norms prevailing in the community. One example is acupressure, ehich is a healing method that uses pressure on certain points of the body or acupuncture points. This type of service has been regulated in various laws on traditional health. However, not all Health Centers provide this service. In South Jakarta City, there are only two Health Centers that provide acupressure services. This is a qualitative research, and aims to analyze the policies and implementation of the implementation of acupressure services in the Health Centers and its obstacles. The data was collected through in-depth interviews and document review. In this study we found that the quality and quantity of health workers trained in acupressure and their comprehension of the program was inadequate. In addition, the room for acupressure is only found in health centers that have provided this service. Communication is still a problem, because there is no regulation socialization regarding the regulation of acupressure services for policy implementers. However, 60% of patients were satisfied with the services provided.
IMPLEMENTATION OF CONTROL POLICY OF DIPHTHERIA OUTBREAK AND OUTBREAK RESPONSE IMMUNIZATION (ORI) IN KOTA DEPOK, 2017 Sari, Dian Novita; Achadi, Anhari
Journal of Indonesian Health Policy and Administration Vol. 4, No. 2
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Diphtheria is a contributor to an outbreak (KLB) for some regions in Indonesia, included West Java Province. Diphtheria cases had increased through 2015 - 2016, the cases increased from 59 cases to 153 cases. Depok City became one of the contributors of diphtheria cases that have fluctuating incidents. Disease trends have decreased in 2013-2015 but then increased in 2016 to 8 cases. This study discusses policy implementation, viewed from policy sources, resource arrangements, the characteristics of implementing agencies, bureaucratic structures, communications, the influence of dispositions and socio-economic and political circumstances in control of Diphtheria Outbreak and Outbreak Response Immunization (ORI) in Depok City in 2017. This type of research is qualitative research with descriptive design, through in-depth interviews and document review. The results showed that the limited resources, especially human resources, the lack of cross-sectoral concern and social environment factors, including the rejection of some community for vaccination, became a challenge in controlling the Diphtheria Outbreak and Outbreak Response Immunization (ORI) in Depok City. It is expected that policy implementers can commit to working together, and taking into the influential factors in policy implementation, as well as government support in providing halal and safe vaccines and research on bioterrorism can also be done as solving cases of diphtheria fluctuating annually.
Policy Implementation Analysis of Antenatal Care Services at Puskesmas Negara Ratu and Puskesmas Cempaka Kabupaten Lampung Utara Syafriyanti, Willyana; Achadi, Anhari
Journal of Indonesian Health Policy and Administration Vol. 9, No. 2
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The Ministry of Health has issued Minister of Health Regulation Number 21 of 2021 to strengthen maternal health services, which regulates health services during pregnancy (antenatal). The Minister of Health's regulation states that antenatal care is carried out at least six times, 2 (two) of which are examinations with a doctor using an Ultra Sonography (USG) device. Community health centers as primary services are expected to be able to provide antenatal services according to standards. The North Lampung Health Service has distributed ultrasound equipment to community health centers in the North Lampung Regency to support the implementation of antenatal services. The research aims to determine the implementation of antenatal care policies at the Negara Ratu Health Center and Cempaka Health Center. This research is qualitative with a case study design; data was collected through in-depth interviews, observation, and document review. The research results show that implementing the antenatal care policy at the Community Health Center has been running according to the 10 T standard, including antenatal care with doctors using ultrasound equipment. However, integrated antenatal care with mental health programs, recording in the mother's KIA book, and reporting K6 coverage by the Community Health Center have not been implemented optimally. Human resources and facilities still need to be improved. Even though most pregnant women support and participate in antenatal care, obstacles, and challenges are still found in encouraging the participation of pregnant women. Efforts are needed to optimize the implementation of antenatal care policies and increase resources and community support to support the implementation of antenatal care policies at Community Health Centers.