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All Journal Hospital Majapahit : Jurnal Ilmiah Kesehatan Politeknik Kesehatan Mojokerto YUSTHIMA
Ni Made Parwati
Unknown Affiliation
Dentistry Education Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary

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PENYELENGGARAAN LAYANAN KEDOKTERAN NUKLIR DI RUMAH SAKIT BERDASARKAN PERATURAN PEMERINTAH NOMOR 5 TAHUN 2021 TENTANG PERIZINAN BERUSAHA BERBASIS RISIKO SERTA ASPEK PERTANGGUNGJAWABANNYA Parwati, Ni Made
Jurnal Yusthima Vol. 2 No. 2 (2022): YUSTHIMA : Jurnal Prodi Magister Hukum FH Unmas Denpasar
Publisher : Fakultas Hukum, Universitas Mahasaraswati Denpasar

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Abstract

Government Regulation (PP) Number 5 of 2021 of the Republic of Indonesia specifically regulates the implementation of risk-based company licensing. Licensing is regulated for all business sectors, including the health sector. Hospitals with nuclear medicine services (including therapeutic nuclear medicine and in vivo diagnostic nuclear medicine) that require molecular imaging so that a risk-based approach (RBA) is applied are strictly regulated by the Ministry of Health in accordance with Number 14 of 2021 concerning business actor activity standards and health products. Nuclear medicine will have a broad impact on staff and patients as well as the environment, so it is important to study it from the licensing aspect. The purpose of this paper is to discuss the supervision of the implementation of nuclear medicine in hospitals, focusing on the licensing aspect by outlining legal responsibilities and aspects of accountability. The research method used is normative juridical. This type of research uses library research. The research approach uses a normative approach. The data used is secondary, in the form of statutory regulations and legal expert theories. The supervision of the implementation of nuclear medicine is carried out by the Nuclear Energy Supervisory Agency, referring to Government Regulation Number 5 of 2021 concerning risk-based business permits. The type of business license is determined by the level of risk on which the risk-based business license is based. The government has identified the level of risk based on the business sector. As a result, the issuance of permits must be strictly based on the readiness of all aspects of service support for standard compliance. Hospitals have legal obligations that include health workers in them, namely that clinical practice is limited by the law on medical practice and the law on hospitals so as not to deviate from the standard of the medical profession, which could endanger the lives of patients and health workers. Peraturan Pemerintah (PP) Republik Indonesia Nomor 5 Tahun 2021 mengatur secara spesifik tentang Pelaksanaan Perizinan Perusahaan Berbasis Risiko. Perizinan diatur untuk semua sektor usaha, termasuk sektor Kesehatan. Rumah sakit dengan layanan kedokteran nuklir antara lain kedokteran nuklir terapi dan kedokteran nuklir diagnostik in vivo) yang membutuhkan pencitraan molekuler sehingga diterapkan Risk Based Approach (RBA), hal ini diatur secara tegas oleh Kementerian Kesehatan sesuai dengan Nomor 14 Tahun 2021 tentang Standar Kegiatan Pelaku Usaha dan Produk Bidang Kesehatan. Dengan kedokteran nuklir akan menimbulkan dampak luas bagi petugas maupun pasien maupun lingkungan, sehingga penting untuk dikaji dari aspek perijinannya. Tujuan penulisan ini adalah membahas pengawasan penyelenggaraan kedokteran nuklir di rumah sakit focus pada aspek perijinan dengan menguraikan tanggung jawab hukum maupun aspek pertanggungjawabannya. Metode penelitian yang digunakan adalah yuridis normatif. Jenis penelitian menggunakan library research. Pendekatan penelitian menggunakan pendekatan normatif. Data yang digunakan data sekunder berupa peraturan perundang-undangan dan teori-teori ahli hukum. Pengawasan penyelenggaraan kedokteran nuklir dilakukan oleh Badan Pengawas Tenaganuklir mengacu PP Nomor 5 Tahun 2021 tentang Perizinan Berusaha Berbasis Risiko. Jenis izin usaha ditentukan oleh tingkat risiko yang menjadi dasar izin usaha berbasis risiko. Pemerintah telah mengidentifikasi tingkat risiko berdasarkan sektor usaha. Sehingga penerbitan ijin harus dilakukan secara ketat terhadap kesiapan seluruuh aspek pendukung layanan terhadap kepatuhan terhadap standar. RS memiliki kewajiban hukum termasuk petugas Kesehatan didalamnya yaitu dalam praktek klinis dibatasi oleh UU praktek kedokteran maupun UU RS agar tidak menyimpang dari standar profesi medis yang dapat membahayakan kehidupan pasien maupun petugas Kesehatan.
Pengaruh Personal Preference, Sumber Daya dan Budaya Terhadap Kepatuhan Diet Penderita Diabetes Mellitus Wahyu Rahmawati; Henry Sudiyanto; Yusuf Alamudi; Ni Made Parwati
Hospital Majapahit (JURNAL ILMIAH KESEHATAN POLITEKNIK KESEHATAN MOJOKERTO) Vol. 18 No. 1 (2026): FEBRUARI
Publisher : LPPM Sekolah Tinggi Ilmu Kesehatan Majapahit Mojokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55316/hm.v18i1.1176

Abstract

Diabetes Mellitus (DM) is a chronic disease that requires strong adherence in its management. However, dietary compliance is often influenced by demographic, psychosocial, resource, and cultural factors. The purpose of this study was to analyze the influence of demographic factors, cognition and emotion, personal preferences, resources, and culture on dietary adherence among DM patients at Bhayangkara H.S. Samsoeri Mertojoso Hospital, Surabaya. This study employed a cross-sectional design with a sample of 105 DM patients. Data were collected using a structured questionnaire and analyzed through logistic regression. The findings revealed that the majority of respondents were non-adherent to the DM diet. Demographic factors (age, sex, education, occupation, marital status) contributed 41.3% to dietary adherence. Knowledge, attitudes, and personal preferences explained 63.7% of the variation, while limited resources and negative cultural practices increased the risk of non-adherence by 27.8–41.7 times. Respondents who adhered to the dietary recommendations tended to have better-controlled blood glucose levels. Logistic regression analysis indicated that demographic factors collectively influenced dietary adherence (p = 0.000). In addition, cognition and emotion (knowledge and attitudes) along with personal preferences significantly affected DM dietary compliance (p = 0.000). Furthermore, resource constraints and cultural influences related to lifestyle and health history were also significantly associated with dietary adherence (p = 0.000). In conclusion, dietary adherence in DM is not solely a matter of individual discipline but rather the result of a complex interaction between knowledge, attitudes, social support, access to resources, and cultural values. Culturally sensitive educational approaches, strengthening family support, and human-centered interventions are essential strategies to ensure successful DM management
Co-Authors Dewa Putu Sutjana Henry Sudiyanto I Nyoman Mangku Karmaya I Wayan Gede Artawan Eka Putra, I Wayan Gede Artawan Eka Wahyu Rahmawati Yusuf Alamudi