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Analisis Hukum terhadap Pembiayaan Kesehatan Berbasis Teknologi Fintech serta Implikasinya bagi Sistem Kesehatan Nasional Desti Emiliani; Marice Simarmata
Presidensial: Jurnal Hukum, Administrasi Negara, dan Kebijakan Publik Vol. 2 No. 3 (2025): September : Presidensial : Jurnal Hukum, Administrasi Negara, dan Kebijakan Pub
Publisher : Asosiasi Peneliti dan Pengajar Ilmu Hukum Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/presidensial.v2i3.1045

Abstract

This study employs a normative juridical approach to examine the legal aspects of implementing financial technology (fintech) in healthcare financing in Indonesia. The rapid development of fintech offers potential solutions for addressing financial barriers in healthcare access. However, it also presents legal and regulatory challenges, particularly concerning consumer protection, data privacy, and institutional coordination. The analysis focuses on several key legal instruments, including Law No. 8 of 1999 on Consumer Protection, Law No. 11 of 2008 on Electronic Information and Transactions (ITE), Law No. 17 of 2023 on Health and its implementing regulation, Government Regulation No. 28 of 2024, and Law No. 27 of 2022 on Personal Data Protection. Additionally, regulations issued by the Financial Services Authority (OJK), which govern the operations of fintech companies in Indonesia, are also considered. The findings indicate that while there is a growing regulatory framework supporting fintech integration into the health sector, several gaps remain, particularly in terms of coordination between regulatory bodies and stakeholders in health and finance. The study identifies the need for comprehensive policy harmonization to ensure that fintech-based healthcare financing systems are secure, transparent, and inclusive. Furthermore, it emphasizes the importance of strengthening data protection mechanisms and enhancing regulatory oversight, especially for fintech services operating in partnership with healthcare providers. As fintech continues to reshape the landscape of healthcare financing, robust legal safeguards must be developed to mitigate potential risks and ensure equitable access to health services. The study concludes by recommending an integrated legal and institutional approach to support the safe and ethical implementation of fintech in Indonesia's healthcare sector.
SISRUTE dan Tantangan Digitalisasi Kesehatan di Daerah: Tinjauan Hukum terhadap Keadilan Akses Pelayanan Kesehatan Febri Juhamsyah; Marice Simarmata
Presidensial: Jurnal Hukum, Administrasi Negara, dan Kebijakan Publik Vol. 2 No. 3 (2025): September : Presidensial : Jurnal Hukum, Administrasi Negara, dan Kebijakan Pub
Publisher : Asosiasi Peneliti dan Pengajar Ilmu Hukum Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/presidensial.v2i3.1046

Abstract

The implementation of digitalization in the healthcare sector through the Integrated Referral sistem (Sistem Informasi Rujukan Terintegrasi/SISRUTE) offers significant opportunities to expand access and improve the quality of healthcare services, especially in remote and underserved areas of Indonesia. This paper aims to analyze the challenges of implementing SISRUTE from a legal perspective, focusing on the principle of equitable healthcare access. The study uses a normative juridical approach combined with literature analysis, examining national regulations, including Law No. 17 of 2023 on Health, Government Regulation No. 47 of 2021 on Hospital Administration, and supporting ministerial policies. The research identifies several barriers that hinder the effectiveness of SISRUTE implementation, such as uneven distribution of digital infrastructure, limited internet connectivity, lack of adequately trained healthcare personnel, and the absence of supporting local regulations that align with national policy frameworks. These challenges create disparities in the utilization of SISRUTE, particularly in rural and remote areas, undermining the constitutional mandate for equal access to health services. From a legal standpoint, the principle of equity in healthcare has yet to be fully realized through SISRUTE due to these systemic gaps. The study concludes that strategic efforts are needed to improve intergovernmental coordination, harmonize health and digital regulations, strengthen healthcare workers' digital competencies, and invest in robust infrastructure development. Only through an integrated legal, technological, and human resource approach can SISRUTE fulfill its intended function in supporting a fair, inclusive, and effective healthcare referral system nationwide. This paper contributes to ongoing discourse on legal reforms for digital health equity in Indonesia.
Analisis Hukum Pembiayaan Kesehatan Berbasis Teknologi Fintech serta Implikasinya terhadap Regulasi, Aksesibilitas, dan Keberlanjutan Sistem Kesehatan Nasional Baginda Zulfikar; Marice Simarmata
Presidensial: Jurnal Hukum, Administrasi Negara, dan Kebijakan Publik Vol. 2 No. 3 (2025): September : Presidensial : Jurnal Hukum, Administrasi Negara, dan Kebijakan Pub
Publisher : Asosiasi Peneliti dan Pengajar Ilmu Hukum Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/presidensial.v2i3.1047

Abstract

This study aims to examine the legal aspects of the Aceh People's Health Insurance Program (JKRA) by analyzing it as a hybrid between an insurance agreement and a social insurance agreement. The method used is a normative juridical approach, with qualitative analysis based on relevant laws and legal concepts. Data sources consist of primary, secondary, and tertiary legal materials. The results show that JKRA has two main characteristics. On the one hand, JKRA fulfills the elements of an insurance agreement, such as the existence of an insurer and an insured, premium payments, protection against risks, and the uncertainty of insured events. On the other hand, JKRA also reflects the characteristics of social insurance, namely being mandatory, non-profit-oriented, managed by the government, and applying the principle of mutual cooperation through a cross-subsidy mechanism. This dual character indicates that JKRA is a unique form of regional health insurance scheme that integrates private and social approaches. However, in its implementation, there are a number of legal issues that require serious attention. Some of the main problems found include the need for regulatory harmonization between JKRA and the National Health Insurance (JKN), ensuring the sustainability of funding through the Aceh Revenue and Expenditure Budget (APBA), and alignment with national health policies, especially after the enactment of Law Number 17 of 2023 concerning Health and Government Regulation Number 28 of 2024. Therefore, comprehensive legal regulations are needed so that the implementation of JKRA can run optimally and in line with the integrated national health insurance system, ensuring the sustainability of health services for the people of Aceh in a fair and sustainable manner.
Optimalisasi Penggunaan Media Sosial sebagai Sarana Penyuluhan Kesehatan Masyarakat di Era Digital Muhammad Donni Lesmana Siahaan; Nuraini Kemalasari Istiqamah; Marice Simarmata; Irsyam Risdawati
Jurnal Abdimas HAWARI : Jurnal Pengabdian Kepada Masyarakat Vol 5 No 1 (2025): Mei 2025
Publisher : CV. HAWARI

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Di tengah kemajuan teknologi digital yang pesat, media sosial telah menjadi sarana utama untuk menjalin komunikasi, menyebarkan informasi, dan mengekspresikan pendapat. Meskipun menawarkan kemudahan dan kebebasan berekspresi, media sosial juga memunculkan berbagai persoalan etis yang kompleks. Tulisan ini mengulas nilai-nilai etika dalam penggunaan media sosial, seperti tanggung jawab individu, kejujuran dalam berkomunikasi, penghargaan terhadap privasi orang lain, serta upaya mencegah penyebaran hoaks atau informasi yang menyesatkan. Melalui kajian pustaka dan analisis kasus, artikel ini menekankan pentingnya kesadaran etis di kalangan warganet guna menciptakan ruang digital yang kondusif dan positif. Studi ini juga mengajukan sejumlah saran untuk meningkatkan kebijaksanaan dalam berinteraksi di dunia maya, termasuk penguatan literasi digital dan tanggung jawab sosial. Secara keseluruhan, etika bermedia sosial merupakan aspek krusial yang perlu terus dikembangkan demi menghindari konsekuensi negatif dari penggunaan platform digital. Peran aktif pengguna media sosial dalam menyaring informasi dan menahan diri dari perilaku impulsif sangat menentukan iklim komunikasi digital yang sehat. Oleh karena itu, diperlukan pemahaman yang kuat terhadap nilai-nilai etika dan hukum yang mengatur perilaku daring. Pelanggaran etika tidak hanya menimbulkan kerugian sosial, tetapi juga berpotensi berimplikasi hukum sebagaimana diatur dalam perundang-undangan, seperti UU ITE. Di samping itu, kolaborasi antara institusi pendidikan, pemerintah, dan platform digital sangat diperlukan untuk menyusun pedoman dan program literasi digital yang aplikatif dan mudah diakses oleh masyarakat luas. Dengan pendekatan yang komprehensif, diharapkan media sosial dapat digunakan secara bijak sebagai ruang publik yang produktif, edukatif, dan beretika.
Sitem Pembiayaan Kesehatan Yang Memenuhi Hak Azazi Manusia Meri Ulfa; Marice Simarmata
Perspektif Administrasi Publik dan hukum Vol. 2 No. 3 (2025): Juli: Perspektif Administrasi Publik dan hukum
Publisher : Asosiasi Peneliti Dan Pengajar Ilmu Sosial Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/perspektif.v2i3.544

Abstract

This study analyzes the health financing system in Indonesia from a human rights perspective, particularly after the enactment of Law No. 17 of 2023 concerning Health and Minister of Health Regulation No. 18 of 2022 concerning the Implementation of One Data in the Health Sector. These two regulations reflect the state's commitment to strengthening the national health system based on the principles of justice, transparency, and the fulfillment of citizens' constitutional rights to quality, equitable, and sustainable health services. Through a qualitative approach using document analysis of relevant regulations, policies, and academic literature, this study identifies a paradigmatic transformation in health financing, from merely a fiscal mechanism to a strategic instrument for guaranteeing human rights in the health sector. The results show that despite normative and institutional progress, the implementation of the health financing system still faces several challenges. These challenges include aspects of the community's economic accessibility to health services, limitations in transparency and accountability in fund management, and inequality in the distribution of financial resources between regions. In addition, funding sustainability and dependence on certain funding sources are also issues that need to be addressed. In response to these challenges, this study recommends three main strategies: (1) strengthening the integration and interoperability of financing data through the One Health Data system, (2) diversifying funding sources by involving the private sector, philanthropy, and other innovative schemes, and (3) reorienting health budget allocations to favor vulnerable groups and underdeveloped regions. These efforts are expected to encourage the realization of a fair, transparent, and sustainable health financing system within the framework of fulfilling human rights in Indonesia.
PENERAPAN ETIKA PROFESI DOKTER DALAM PELAYANAN KESEHATAN BAGI PASIEN Mz, Putro Sucy Rezky; Sidi, Redyanto; Simarmata, Marice
JOURNAL OF SCIENCE AND SOCIAL RESEARCH Vol 8, No 3 (2025): August 2025
Publisher : Smart Education

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54314/jssr.v8i3.4118

Abstract

Abstract: Professional ethics of doctors are an important foundation in the practice of quality health services. The application of professional ethics of doctors in health services for patients greatly determines the quality of services provided, both in terms of professionalism, safety, and patient comfort. This study aims to examine the application of medical professional ethics in providing health services to patients, focusing on aspects of honesty, medical confidentiality, and professional responsibility. The research method used was a literature study and interviews with medical personnel in several hospitals and clinics in Indonesia. The results show that although many doctors have implemented professional ethics well, there are still challenges in terms of effective communication between doctors and patients and adherence to the principle of medical confidentiality. In addition, the application of professional ethics is also influenced by cultural factors and the work environment in each health institution. Most doctors understand the importance of professional ethics, but their application is not yet fully optimal, especially in situations that require difficult decisions or conflicts of interest. This study provides recommendations to improve professional ethics training for doctors and create a work environment that supports the application of professional ethics in health services. It is hoped that with the implementation of better professional ethics, the quality of health services for patients can be further improved, create a more harmonious doctor-patient relationship, and reduce the risk of malpractice and patient complaints. Keywords: professional ethics, health services, medical confidentiality. Abstrak: Etika profesi dokter merupakan landasan penting dalam praktik pelayanan kesehatan yang berkualitas. Penerapan etika profesi dokter dalam pelayanan kesehatan bagi pasien sangat menentukan kualitas pelayanan yang diberikan, baik dari sisi profesionalisme, keamanan, maupun kenyamanan pasien. Penelitian ini bertujuan untuk mengkaji penerapan etika profesi dokter dalam memberikan pelayanan kesehatan kepada pasien, dengan fokus pada aspek-aspek kejujuran, kerahasiaan medis, dan tanggung jawab profesional. Metode penelitian yang digunakan adalah studi literatur dan wawancara dengan tenaga medis di beberapa rumah sakit dan klinik di Indonesia. Hasil penelitian menunjukkan bahwa meskipun banyak dokter yang sudah menerapkan etika profesi dengan baik, masih ada tantangan dalam hal komunikasi efektif antara dokter dan pasien serta kepatuhan terhadap prinsip kerahasiaan medis. Selain itu, penerapan etika profesi juga dipengaruhi oleh faktor budaya dan lingkungan kerja yang ada di setiap institusi kesehatan. Sebagian besar dokter memahami pentingnya etika profesi, tetapi penerapannya belum sepenuhnya optimal, khususnya dalam situasi-situasi yang memerlukan keputusan sulit atau konflik kepentingan. Penelitian ini memberikan rekomendasi untuk meningkatkan pelatihan etika profesi dokter serta menciptakan lingkungan kerja yang mendukung penerapan etika profesi dalam pelayanan kesehatan. Diharapkan dengan penerapan etika profesi yang lebih baik, kualitas pelayanan kesehatan bagi pasien dapat lebih ditingkatkan, menciptakan hubungan dokter-pasien yang lebih harmonis, dan mengurangi risiko malpraktik serta keluhan pasien. Kata kunci: etika profesi, pelayanan kesehatan, kerahasiaan medis.
Hak dan Privasi Pasien Rumah Sakit di Era Digitalisasi Naurah, Gladdays; Simarmata, Marice; Sidi Jambak, Redyanto
COMSERVA : Jurnal Penelitian dan Pengabdian Masyarakat Vol. 3 No. 12 (2024): COMSERVA : Jurnal Penelitian dan Pengabdian Masyarakat
Publisher : Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/comserva.v3i12.1295

Abstract

Kesehatan merupakan hak asasi yang fundamental bagi setiap individu, diatur dalam berbagai regulasi baik di tingkat nasional maupun internasional. Dalam era globalisasi dan digitalisasi, pelayanan kesehatan mengalami transformasi signifikan, termasuk melalui platform e-health atau telemedicine. Namun, seiring dengan kemajuan teknologi, timbul pula permasalahan terkait keamanan data dan kerahasiaan medis pasien. Penelitian ini bertujuan untuk memahami bagaimana regulasi mengatur hak privasi medis pasien dalam layanan e-health (telemedicine) di Indonesia, serta untuk mengeksplorasi tanggung jawab pelayanan kesehatan elektronik dalam menghadapi potensi kebocoran rahasia kedokteran. Metode penelitian ini menggunakan pendekatan deskriptif analitis dengan mengumpulkan data melalui studi kepustakaan dan analisis peraturan perundang-undangan yang relevan. Hasil penelitian menunjukkan bahwa regulasi terkait hak privasi medis pasien dalam layanan telemedicine telah diatur dalam perundang-undangan, namun masih terdapat kebutuhan akan pemahaman yang lebih mendalam serta penegakan hukum yang konsisten. Selain itu, tanggung jawab pelayanan kesehatan elektronik dalam menghadapi kebocoran rahasia kedokteran juga perlu diperkuat dan diawasi secara ketat. Kesimpulannya, perlindungan hukum terhadap pasien dalam konteks layanan kesehatan digital merupakan hal yang penting untuk dipertimbangkan dan diperkuat, guna menjaga kepercayaan masyarakat serta memastikan pelayanan kesehatan yang aman dan berkualitas
PELAYANAN KESEHATAN REPRODUKSI REMAJA DI ACEH TIMUR DITINJAU PERSPEKTIF HUKUM DAN ETIKA Suryati, Dewi; Risdawati, Irsyam; Simarmata, Marice
JOURNAL OF SCIENCE AND SOCIAL RESEARCH Vol 8, No 3 (2025): August 2025
Publisher : Smart Education

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54314/jssr.v8i3.4178

Abstract

Abstract: Adolescents' lack of knowledge about reproductive health, as well as lack of access to adolescent-friendly health services, are an important background in this study. This study aims to analyze the implementation of reproductive health services for adolescents in East Aceh from a legal and ethical perspective, and assess the extent to which the principle of protection of adolescent health rights is carried out in accordance with local regulations and religious norms. This study uses a qualitative method with a juridical-sociological approach. Data was obtained through interviews with health workers, adolescents, religious leaders, and regional policy makers, as well as documentation of health service regulations and ethical guidelines. Data analysis was carried out in an analytical descriptive manner by considering positive legal norms and medical ethical principles. The results of the study show that although there is a national regulation guaranteeing the right to reproductive health of adolescents, its implementation in East Aceh faces various obstacles, such as cultural resistance, limited trained medical personnel, and lack of public understanding of the urgency of reproductive health education. From a legal perspective, there is a gap between national policy and local qanun, while ethically, health services still often clash with the conservative values of local communities. In conclusion, adolescent reproductive health services in East Aceh still need to be improved through an interdisciplinary approach that harmonizes aspects of national law, local values, and principles of medical ethics. Keywords: Reproductive Health, Adolescents, Legal Ethics. Abstrak: Adolescents' lack of knowledge about reproductive health, as well as lack of access to adolescent-friendly health services, are an important background in this study. This study aims to analyze the implementation of reproductive health services for adolescents in East Aceh from a legal and ethical perspective, and assess the extent to which the principle of protection of adolescent health rights is carried out in accordance with local regulations and religious norms. This study uses a qualitative method with a juridical-sociological approach. Data was obtained through interviews with health workers, adolescents, religious leaders, and regional policy makers, as well as documentation of health service regulations and ethical guidelines. Data analysis was carried out in an analytical descriptive manner by considering positive legal norms and medical ethical principles. The results of the study show that although there is a national regulation guaranteeing the right to reproductive health of adolescents, its implementation in East Aceh faces various obstacles, such as cultural resistance, limited trained medical personnel, and lack of public understanding of the urgency of reproductive health education. From a legal perspective, there is a gap between national policy and local qanun, while ethically, health services still often clash with the conservative values of local communities. In conclusion, adolescent reproductive health services in East Aceh still need to be improved through an interdisciplinary approach that harmonizes aspects of national law, local values, and principles of medical ethics. Keywords: Reproductive Health, Adolescents, Legal Ethics.
KEPASTIAN HUKUM DALAM PELAYANAN KESEHATAN MELINDUNGI TENAGA MEDIS Ridha, Phonna; Sumarno, Sumarno; Simarmata, Marice
JOURNAL OF SCIENCE AND SOCIAL RESEARCH Vol 8, No 3 (2025): August 2025
Publisher : Smart Education

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54314/jssr.v8i3.4179

Abstract

Abstract: The phenomenon of increasing criminalization of medical personnel in various cases in Indonesia raises concerns about legal certainty in the health world. Therefore, it is important to examine how the national legal system provides fair and balanced protection for medical personnel in carrying out their duties. This research uses normative juridical methods, with legislative, conceptual, and case study approaches. The data used includes related laws and regulations, legal literature, and medical professional documents. This approach aims to analyze the legal norms that govern the protection of medical personnel, as well as identify legal gaps or disharmonized norms that have the potential to hinder legal certainty. The results of the study show that although there are a number of regulations such as the Medical Practice Law, the Hospital Law, and the Criminal Code, the implementation of legal protection for medical personnel still faces challenges. Different interpretations of the law by law enforcement officials, as well as patients' ignorance of medical procedures, often cause medical personnel to become vulnerable parties. In addition, the non-optimal role of the Indonesian Medical Discipline Honorary Council (MKDKI) in separating the ethical and criminal realms has also muddy law enforcement in the health sector. In conclusion, legal certainty for medical personnel can only be realized through strengthening regulations that affirm the limits of legal responsibility of medical personnel, as well as the need for alignment between criminal law instruments and professional ethics. Legal education for the community and increased competence of law enforcement officials in understanding the medical context are also needed.  Keywords: Legal certainty, medical personnel, legal protection. Abstrak: Fenomena meningkatnya kriminalisasi tenaga medis dalam berbagai kasus di Indonesia menimbulkan kekhawatiran akan kepastian hukum dalam dunia kesehatan. Oleh karena itu, penting untuk menelaah bagaimana sistem hukum nasional memberikan perlindungan yang adil dan seimbang terhadap tenaga medis dalam menjalankan tugasnya. Penelitian ini menggunakan metode yuridis normatif, dengan pendekatan perundang-undangan, konseptual, dan studi kasus. Data yang digunakan adalah mencakup peraturan perundang-undangan terkait,  literatur hukum, dan dokumen profesional medis. Pendekatan ini bertujuan untuk menganalisis norma hukum yang mengatur perlindungan tenaga medis, serta mengidentifikasi kekosongan hukum atau disharmonisasi norma yang berpotensi menghambat kepastian hukum. Hasil penelitian menunjukkan bahwa walaupun terdapat sejumlah regulasi seperti Undang-Undang Praktik Kedokteran, Undang-Undang Rumah Sakit, dan Kitab Undang-Undang Hukum Pidana, namun implementasi perlindungan hukum terhadap tenaga medis masih menghadapi tantangan. Interpretasi hukum yang berbeda oleh aparat penegak hukum, serta ketidaktahuan pasien terhadap prosedur medis, sering kali menyebabkan tenaga medis menjadi pihak yang rentan. Selain itu, belum optimalnya peran Majelis Kehormatan Disiplin Kedokteran Indonesia (MKDKI) dalam memisahkan ranah etik dan pidana turut memperkeruh penegakan hukum di bidang kesehatan. Sebagai kesimpulan, kepastian hukum bagi tenaga medis hanya dapat terwujud melalui penguatan regulasi yang menegaskan batas tanggung jawab hukum tenaga medis, serta perlunya penyelarasan antara instrumen hukum pidana dan etik profesi. Diperlukan pula edukasi hukum bagi masyarakat dan peningkatan kompetensi aparat penegak hukum dalam memahami konteks medis. Kata kunci: Kepastian Hukum, Tenaga Medis, Perlindungan Hukum.
Implementasi Undang-Undang Kesehatan Jiwa Dalam Menjamin Perlindungan Masyarakat Dengan Gangguan Kejiwaan Naurah, Gladdays; Simarmata, Marice
Judge : Jurnal Hukum Vol. 5 No. 04 (2024): Judge : Jurnal Hukum
Publisher : Cattleya Darmaya Fortuna

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54209/judge.v5i04.904

Abstract

Mental health is a crucial component of public health that is often neglected. According to data from the Ministry of Health of Indonesia, around 20% of Indonesia's population experiences mental health disorders. The Indonesian government has enacted Law No. 17 of 2023 on Mental Health to provide legal protection for individuals with mental health disorders; however, its implementation still faces challenges, including social stigma and limited public awareness. This study aims to analyze the implementation of the Mental Health Law, identify challenges in its execution, and evaluate the effectiveness of mental health services following the law's enactment. The study findings indicate that successful implementation requires collaboration between the government, healthcare providers, and society, as well as stringent oversight of mental health services. Through a comprehensive approach, mental health services in Indonesia are expected to improve, reducing stigma and discrimination against individuals with mental health disorders.