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All Journal Jurnal Kedokteran Diponegoro Mutiara Medika: Jurnal Kedokteran dan Kesehatan Abdimas Dewantara JURNAL PENDIDIKAN TAMBUSAI Contagion: Scientific Periodical Journal of Public Health and Coastal Health Buletin Poltanesa Cerdika: Jurnal Ilmiah Indonesia Eduvest - Journal of Universal Studies Gema Lingkungan Kesehatan
adji suwandono
Department Of Forensic And Medicolegal, Faculty Of Medicine, Universitas Sebelas Maret Surakarta
Aerospace Engineering Agriculture, Biological Sciences & Forestry Arts Humanities Computer Science & IT Economics, Econometrics & Finance Education Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health Social Sciences

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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
Co-Authors Agiona Angeline Aldira Ayu Nastiti Nur Hanifah Aldira Ayu Nastiti Nur Hanifah Alfonsus Aryo Sunu Bakti Annisa Salsabila Ari Natalia Probandari Ari Natalia Probandari Astri Tantri Indriani Dilma’aarij Agustia Dyanneza, Frieska Fitri Pranita Milyarona Fitriana Herawati Fitriana Herawati Funica Asri Rachmawaty Graffico Eryza Oldiara Hari Wujoso Hartono Hartono Hartono Hastami, Yunia Hedva Rayna Hitipeuw Hendrastutik Apriningsih Hendrastutik Apriningsih Hendrastutik Apriningsih hendro widagdo Laily Shofiyah Laily Shofiyah Maria Galuh Kamenyangan Maria Galuh Kamenyangan Sari Maria Galuh Kamenyangan Sari Nahriyati Safira Salsabila Niken Dyah Aryani Kuncorowati Niken Dyah Aryani Kuncorowati Niken Dyah Aryani Kuncorowati Novianto Adi Nugroho Novianto Adi Nugroho Novianto Adi Nugroho Novianto Adi Nugroho Novianto Adi Nugroho Nurhasan Agung Prabowo Nurhasan Agung Prabowo Prabowo, Nurhasan Agung Risalina Myrtha Risalina Myrtha Risalina Myrtha Sandy Adi Nugraha Pratama Shofiyah Siskha Sabilla Siti Munawaroh suhartini suhartini Tonang Dwi Ardyanto Tonang Dwi Ardyanto Tonang Dwi Ardyanto Ummu Ma'rifatul Afifah Ummu Ma’rifatul Afifah Vena Sintya Winata Wahyu Dwi Atmoko Yahya 'Ammar Yaritsul Firdaus Yudhistira Andarusukma Yunia Hastami