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Application of the Principle of Portability for Participants of National Health Insurance outside the Domicile Area in Gaining Access to Health Services in the City of Semarang Marni Dominika Oenunu; Yohanes Budi Sarwo; Daniel B. Wibowo; Endang Wahyati Yustina
SOEPRA Vol 7, No 1: Juni 2021
Publisher : Universitas Katolik Soegijapranata Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24167/shk.v7i1.2017

Abstract: The portability principles in the National Health Insurance Program (JKN) implementation are principles that guarantee JKN participants whenever and wherever they are as far as in the Indonesian area. This includes any participant who moves his/her job or residence, has a vacation, does a study or does other business. This happens in all areas in Indonesia, including in Semarang City. The philosophical base for the implementation of the portability principle is the right to access health services. When suffering sick a JKN participant should receive his or her health insurance rights by possibly accessing health services at the nearest degree of First Level Health Facility. However, the fact was that remained facing obstacles. The purpose of this study was to obtain an overview of the form regulations, the factors influencing the implementation of portability principles for out-domiciled JKN participants in getting access to health services at Semarang City. This study used a socio-legal approach having a descriptive-analytical specification. The primary data of this study were obtained through interviews with the Health Social Security Organizing Agency (BPJS) of Semarang Branch and five health centre’s heads, namely Pandanaran, Sekaran, Ngesrep, Srondol, and Kedungmundu health centres beside 25 out-domiciled JKN participants of Semarang as informants. The sampling technique used purposive sampling with qualitative analysis. The implementation of the portability principles for out-domiciled JKN participants in getting access to health services at Semarang City, especially in the 5 health centres does not go well. The form regulations of the implementation portability principles based on a circular letter issued by Health BPJS Office of Semarang Branch number 766 / VI-01/0518 on Out-Domiciled Participant Services of FKTP is maximum visit limit 3 times which is contrary to the portability principles in Article 4 of Act No. 40 of 2004 on National Social Security System and Act No. 24 of 2011 on the Social Security Organizing Agency. Need for technical regulations in the form of a binding Minister Decree concerning requirements, administrative procedures, and service procedures for the implementation of portability principles. Juridical factors influencing were there are no technical regulations on the implementation of the portability principles for out-domiciled JKN participants in getting access to health services including the utilization of the JKN Mobile application. Social factors and technical factors had no adequate information and understanding to implement the portability principles. Keywords: principles portability, JKN, domicile, services. Abstrak: Prinsip portabilitas dalam penyelenggaraan Program Jaminan Kesehatan Nasional (JKN) merupakan prinsip menjamin peserta JKN kapan dan dimanapun di Indonesia termasuk saat berpindah pekerjaan atau tempat tinggal, liburan, kuliah atau urusan lainnya tak terkecuali di Kota Semarang. Landasan filosofis penerapan prinsip portabilitas adalah hak akses pelayanan kesehatan. Peserta JKN ketika sakit seharusnya memperoleh hak akses pelayanan kesehatan di Fasilitas Kesehatan Tingkat Pertama (FKTP) terdekat, namun faktanya masih ditemui kendala. Tujuan penelitian adalah untuk mendapatkan gambaran bentuk pengaturan, faktor-faktor yang mempengaruhi dan penerapan prinsip portabilitas bagi peserta JKN di luar wilayah domisili dalam memperoleh akses pelayanan kesehatan di Kota Semarang.Metode penelitian yang digunakan adalah pendekatan yuridis sosiologis dengan spesifikasi penelitian deskriptif analitis. Data primer diperoleh melalui wawancara dengan Badan Penyelenggaraan Jaminan Sosial (BPJS) Kesehatan Kantor Cabang Semarang dan lima Kepala Puskesmas: Pandanaran, Sekaran, Ngesrep, Srondol, dan Kedungmundu sebagai narasumber serta 25 responden peserta JKN luar wilayah domisili Kota Semarang. Metode sampling menggunakan purposive sampling dengan analisis kualitatif.Penerapan prinsip portabilitas bagi peserta JKN di luar wilayah domisili dalam memperoleh akses pelayanan kesehatan di Kota Semarang terutama di kelima Puskesmas yang diteliti belum optimal. Bentuk pengaturan penerapan prinsip portabilitas didasarkan Surat Edaran BPJS Kesehatan Kantor Cabang Semarang Nomor 766/VI-01/0518 tentang Pelayanan Peserta Peserta Luar Wilayah di FKTP yaitu batasan maksimal kunjungan 3 kali yang bertentangan dengan prinsip portabilitas dalam Pasal 4 huruf f Undang-Undang Nomor 40 Tahun 2004 tentang SJSN dan Undang-Undang Nomor 24 Tahun 2011 tentang BPJS. Perlu peraturan teknis berupa Keputusan Menteri yang mengikat tentang persyaratan, prosedur administratif, dan prosedur layanan penerapan prinsip portabiltas tersebut. Faktor yuridis yang mempengaruhi yaitu belum ada peraturan teknis tentang penerapan prinsip portabilitas bagi peserta JKN di luar wilayah domisili dalam memperoleh akses pelayanan kesehatan termasuk pemanfaatan aplikasi Mobile JKN. Faktor sosial dan faktor teknis juga masih kurang informasi dan pemahaman dalam penerapannya.Kata kunci: prinsip portabilitas, JKN, domisili, pelayanan.

Supervision Of Buleleng District Health Office On The Implementation Of Empirical-Traditional Health Service And The Protection Of The Community’s Right To Health Karlina Sumiari Tangkas; Endang Wahyati Yustina; Daniel Budi Wibowo
SOEPRA Vol 4, No 1: Juni 2018
Publisher : Universitas Katolik Soegijapranata Semarang

Empirical-traditional health service existing in Bali Province, especially in Buleleng District, was growing rapidly. Therefore, it was necessary to monitor the implementation of traditional health services in Buleleng District. The purpose of this study was to know the supervision conducted by Buleleng District Health Office on the implementation of empirical-traditional health service and the protection of the community’s right to health. This study used socio-legal approach having an analytical-descriptive specification and qualitative research design. Data gathering was conducted by having in-depth interviews. The results of the study showed about the legal basis of empirical-traditional health service, implementation of supervision to the Head of Buleleng District’s Health Office and The factors influencing the implementation of the supervision. The conclusions that could be drawn was the supervision conducted by the Buleleng District’s Health Office was not optimal so that the community’s health rights had not been protected. It was suggested that the provincial government, the empirical-traditional health service providers, and the community as well would push Buleleng District’s Health Office to perform better supervision so that it would be able to provide protection for the community’s rights to health

Pelaksanaan Kebijakan Kawasan Tanpa Rokok (KTR) Sebagai Bagian Dari Perilaku Hidup Bersih Dan Sehat (PHBS) Di Lingkungan Pendidikan (Studi Kasus Pada STIKES Di Kota Semarang) Yana Agus Setianingsih; Endang Wahyati Yustina; Endang Widyorini
SOEPRA Vol 1, No 1 (2015)
Publisher : Universitas Katolik Soegijapranata Semarang

Kebijakan KTR dibuat oleh Pemerintah yang bertujuan untuk menyeimbangkan hak perokok dan hak atas kesehatan. kebijakan KTR berkaitan dengan perilaku hidup bersih dan sehat (PHBS) yang memiliki tujuan sama yaitu untuk memperoleh derajat kesehatan yang maksimal. STIKES merupakan lingkungan pendidikan bidang kesehatan yang dapat menjadi ujung tombak terlaksananya kebijakan KTR.Metode pendekatan yang digunakan yuridis sosiologis, spesifikasi penelitian menggunakan deskriptif analitis. Aspek yuridis yang diteliti adalah ketentuan hukum tentang Kebijakan KTR dan PHBS. Aspek sosiologis yang diteliti yaitu pelaksanaan kebijakan KTR sebagai bagian dari PHBS di STIKES Kota Semarang. Kebijakan KTR di Kota Semarang diatur dalam Peraturan Bersama Menteri Kesehatan dan Menteri Dalam Negeri Nomor 188 dan 7 Tahun 2011 Tentang Pedoman Pelaksanaan Kawasan Tanpa Rokok, Peraturan Daerah Nomor 3 tahun 2013 tentang Kawasan tanpa rokok. Pelaksanaan kebijakan KTR di STIKES Kota Semarang telah dilaksanakan berdasarkan ketentuan perundang-undangan, namun belum optimal dikarenakan belum adanya peraturan internal dan sanksi belum ditegakkan.

Midwife Competency Standards and Midwife Authority in Emergency Delivery Services Noviyanti Noviyanti; Endang Wahyati Yustina; Tammy J. Siarif
SOEPRA Vol 7, No 1: Juni 2021
Publisher : Universitas Katolik Soegijapranata Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24167/shk.v7i1.2686

Abstract: Midwife as a professional has Competency standards of midwife consist of nine competencies which organize basic knowledge, additional knowledge, and skills of midwives in providing services. Midwife authorities are currently regulated under PMK No. 1464 in 2010 concerning License and Operation of Midwives Practice in which emergency authority during labour is limited by the conditions of the place. This study uses an approach method that is normative juridical, it is a way of examining law research conducted over reading materials or merely secondary data and using the method of deductive thinking as well as the criterion of coherence truth. Not every assessment in labour can be performed independently by midwives. Based on the competency standards of the midwife in Kepmenkes 369 in 2007 concerning the standard of the midwifery profession, competencies required in a midwife profession covers a very wide knowledge and skills, while the authorities of the profession can be said limited. In terms of their presence in a city close to secondary/ tertiary health care facilities, their role is very limited. Reviewing aspects of applicability of the law, it is not limited by space and time, so that there is a consistency of law, law certainty, therefore, relates to the regulation of competency standard that is associated with midwife authority becomes inconsistent.Keyword: Midwife, Competency, Authority, and Emergency in Labor Abstrak: Bidan sebagai tenaga profesional memiliki Standar kompetensi bidan yang terdiri dari sembilan kompetensi yang mengatur pengetahuan dasar, pengetahuan tambahan, dan keterampilan bidan dalam memberikan pelayanan. Kewenangan bidan saat ini diatur dalam PMK No. 1464 Tahun 2010 tentang Perizinan dan Penyelenggaraan Praktek Bidan dimana kewenangan darurat selama persalinan dibatasi oleh kondisi tempat. Penelitian ini menggunakan metode pendekatan yang bersifat yuridis normatif, yaitu suatu cara pemeriksaan penelitian hukum yang dilakukan atas bahan bacaan atau data sekunder semata dan menggunakan metode berpikir deduktif serta kriteria kebenaran koherensi. Tidak setiap pengkajian dalam persalinan dapat dilakukan secara mandiri oleh bidan. Berdasarkan standar kompetensi bidan dalam Kepmenkes 369 tahun 2007 tentang standar profesi bidan, kompetensi yang dibutuhkan dalam profesi bidan meliputi pengetahuan dan keterampilan yang sangat luas, sedangkan kewenangan profesi dapat dikatakan terbatas. Dalam hal kehadiran mereka di kota yang dekat dengan fasilitas kesehatan sekunder/tersier, peran mereka sangat terbatas. Meninjau aspek keberlakuan undang-undang, tidak dibatasi oleh ruang dan waktu, sehingga ada konsistensi hukum, kepastian hukum, oleh karena itu terkait dengan pengaturan standar kompetensi yang dikaitkan dengan kewenangan bidan menjadi tidak konsisten.Kata Kunci: Bidan, Kompetensi, Wewenang, dan Kegawatdaruratan Dalam Persalinan

The Role of Nurses in the Implementation of Patient Safety and Protection of Patient Rights at the Rahayu Yakkum Purwodadi Hospital Christina Nur Widayati; Endang Wahyati Yustina; Hadi Sulistyanto
SOEPRA Vol 5, No 2: Desember 2019
Publisher : Universitas Katolik Soegijapranata Semarang

Patient Safety was the right of a patient who was receiving health care. A nurse was one of the health professionals in a hospital having a very important role in realizing Patient Safety. In realizing Patient Safety Panti Rahayu Yakkum Hospital of Purwodadi had involved the role of the nurses. In carrying out their role the nurses could support the protection of the patient’s rights. The nurses performed health care by conducting six Patient Safety goals that were based on professional standards, service standards and codes of conduct so that the Patient Safety would be realized.This research applied a socio-legal approach to having analytical-descriptive specifications. The data used were primary and secondary those were gathered by field and literature studies. The field study was conducted by having interviews to, among others, the Director of Panti Rahayu Yakkum Hospital of Purwodadi, Head of Room and Chairman of Patient Safety Committee, nurses and patients. The data were then qualitatively analyzed.The arrangement of nurses’ role in implementing Patient Safety and the patient’s rights protection was based on the Constitution of the Republic of Indonesia of 1945, Health Act, Hospital Act, Labor Act, and Nursing Act. These bases made the hospital obliged to implement Patient Safety. The regulations leading the hospital to provide Patient Safety were Health Minister’s Regulation Nr. 11 of 2017 on Patient Safety, Statute of Panti Rahayu Yakkum Hospital of Purwodadi (Hospital ByLaws), Internal Nursing Staff ByLaws. In implementing Patient Safety Panti Rahayu Yakkum Hospital of Purwodadi had established a committee of Patient Safety team consisting of the nurses that would implement six targets of Patient Safety. Actually, the Patient Safety implementation had been accomplished but it had not been optimally done because of several factors, namely juridical, social and technical factors. The supporting factors in influencing the implementation were, among others, the establishment of the Patient Safety team that had been well socialized whereas the inhibiting factors were limitedness of time and funds to train the nurses besides the operational procedure standard (OPS) that was still less understood. Lack of learning motivation among the nurses also appeared as an inhibiting factor in understanding Patient Safety implementation.

Authority of Dental and Oral Therapists in Providing Prescriptions and Medicines and Legal Protection in Dental Health Services at Public Health Centers in Demak Regency Lira Wiet Jayanti; Endang Wahyati Yustina; Irma Haidar Siregar
SOEPRA Vol 6, No 2: Desember 2020
Publisher : Universitas Katolik Soegijapranata Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24167/shk.v6i2.2662

Abstract: Health services are one of the aspects of national development that is developed through health efforts. The form of health services is carried out through three main components, which are health efforts, health workers, and health facilities. Dental and mouth therapists are some of the health workers who work in government health service facilities, such as a public health center. Regulations on the licensing and operation of dental and oral therapist practices are listed in Minister of Health Regulation No. 20 of 2016, which mentions the authority of dental and oral therapists in prescribing and medication from the mandate of the dentist.This research was a Sociological Juridical study with descriptive-analytical research specifications. This study used primary and secondary data carried out with field studies and literature studies. The data analyzed with the qualitative data analysis method.The result showed different provisions in the regulation regarding prescription and medication by dental and oral therapists. According to Regulation of the Minister of Health No. 20 of 2016, dental and mouth therapists can provide prescribing and medication on the mandate of the dentist while in the Minister of Health Regulation No. 73 of 2016 states that the prescription can only be done by a doctor or dentist. In its implementation at a public health center which was the object of research, it was known that all dental and mouth therapists who were respondents in this study administered prescribing and medication. So, this does not fulfill the legal protection for patients. Factors that influence this are juridical factors related to conflicting regulations, sociological factors related to the behavior of patients and medical personnel, and technical factors related to the lack of human resources at the public health center.Keywords: dental and mouth therapists, prescribing and medication, the authority of dental and mouth therapists Abstrak: Pelayanan kesehatan merupakan salah satu aspek dalam pembangunan nasional yang dikembangkan melalui upaya kesehatan. Wujud pelayanan kesehatan dilaksanakan melalui tiga komponen utama yang tidak dapat dipisahkan yaitu upaya kesehatan, tenaga kesehatan, dan fasilitas kesehatan. Untuk melaksanakan upaya kesehatan diperlukan tenaga kesehatan. Terapis gigi dan mulut adalah salah satu tenaga kesehatan yang bekerja di fasilitas pelayanan kesehatan pemerintah salah satunya puskesmas. Pengaturan tentang izin dan penyelenggaraan praktek terapis gigi dan mulut tercantum pada Peraturan Menteri Kesehatan Nomor 20 Tahun 2016, yang salah satu pasalnya menyebutkan tentang kewenangan terapis gigi dan mulut dalam pemberian resep dan obat atas mandat dari dokter gigi.Penelitian ini merupakan penelitian Yuridis Sosiologis dengan spesifikasi penelitian deskriptif-analitis. Penelitian ini menggunakan data primer dan data sekunder dengan metode pengumpulan data dilakukan dengan studi lapangan dan studi kepustakaan untuk memperoleh data yang diperlukan. Metode analisis data yang digunakan adalah metode analis data kualitatif.Dari hasil penelitian terdapat ketentuan yang berbeda di dalam pengaturan mengenai pemberian resep dan obat oleh terapis gigi dan mulut. Menurut Peraturan Menteri Kesehatan Nomor 20 Tahun 2016, terapis gigi dan mulut dapat memberikan resep dan obat atas mandat dari dokter gigi sementara dalam Peraturan Menteri Kesehatan Nomor 73 Tahun 2016 menyebutkan bahwa pemberian resep hanya dapat dilakukan oleh dokter atau dokter gigi. Dalam pelaksanaanya di puskesmas yang menjadi objek penelitian, diketahui bahwa semua terapis gigi dan mulut yang menjadi responden dalam penelitian ini melakukan pemberian resep dan obat. Sehingga hal ini tidak memenuhi perlindungan hukum bagi pasien. Faktor-faktor yang mempengaruhi hal tersebut adalah faktor yuridis terkait dengan peraturan yang saling bertentangan, faktor sosiologis terkait perilaku pasien dan tenaga medis dan faktor teknis terkait dengan kurangnya jumlah sumber daya manusia di puskesmas.Kata kunci: terapis gigi dan mulut, pemberian resep dan obat, kewenangan terapis gigi dan mulut

The Role of Bhakti Wira Tamtama Hospital Semarang in Covid-19 Prevention and Control Jarwa Jarwa; Endang Wahyati Yustina; Inge Hartini
Soepra Jurnal Hukum Kesehatan Vol 8, No 1: Juni 2022
Publisher : Universitas Katolik Soegijapranata Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24167/shk.v8i1.4584

Abstract: Based on Law Number 44 of 2009 concerning Hospitals, it is stated that the Hospital is a health service institution for the community. Hospital is part of the health care system, has a very strategic role in improving the health status of the community. Complete health services are needed during the Covid-19 pandemic. Hospitals are required to provide services in accordance with the standards of the World Health Organization (WHO). WHO in 2020 declared Covid-19 a global pandemic. Indonesia is also affected by the pandemic. The pandemic y has directly caused major changes in Hospital services. This includes the Bhakti Wira Tamtama Hospital in Semarang, which is an Army Hospital under the Military Command.The purpose of this study was to obtain an overview of the regulation and implementation of the roles and factors that influence the prevention and control of Covid-19. The research method used is qualitative research. Primary data was taken from direct interviews with sources, namely the task force Covid, management and patients and their families. The method of analysis using qualitative data analysis.Research result. The Bhakti Wira Tamtama Hospital has a Covid-19 alert status. Handling began at the start of the pandemic. 112 regular beds and 4 ICU beds were prepared from a total of 187 beds for the isolation of Covid-19 patients and 63 of the 332 health workers were prepared for the handling and prevention of Covid-19. The role of the Bhakti Wira Tamtama Hospital in dealing with the Covid-19 outbreak is in accordance with the Outbreak Law, Health Quarantine Law, Health Law, Hospital Law, Presidential Decree No. 11 of 2020, the Governor of Central Java's Decree, namely to participate in overcoming the outbreak starting from from screening, patient care, education to the return of the bodies of Covid-19 patients. The purpose of setting the role is to carry out Health Quarantine in accordance with the Health Quarantine Act. The mechanism for implementing its role is in accordance with and in line with regulations from the Central and Regional Governments. The hospital team consists of the screening, education, laboratory, nursing, disinfection and corpse recovery teams. The form of the role can be in the form of imperative and facultative roles. The influencing factors when viewed from juridical factors are in accordance with existing laws and regulations, social factors by dismissing the notion of "coviding" patients and technical factors with the limited number of health workers and special isolation rooms.Keywords: Health services, role, prevention, Covid-19, Abstrak: Rumah Sakit merupakan bagian sistem pelayanan kesehatan, memiliki peran sangat strategis dalam meningkatkan derajat kesehatan masyarakat. Pelayanan kesehatan yang paripurna dibutuhkan di saat pandemi Covid-19. Rumah Sakit dituntut untuk memberikan pelayanan sesuai dengan standar Badan Kesehatan Dunia (WHO). WHO pada tahun 2020 menetapkan Covid-19 merupakan pandemi dunia. Pandemi secara langsung menyebabkan perubahan besar layanan Rumah Sakit. Termasuk juga Rumah Sakit Bhakti Wira Tamtama Semarang yang merupakan Rumah Sakit Tentara yang berada dibawah Kodam.Hasil penelitian, Rumah sakit Bhakti Wira Tamtama berstatus siaga Covid-19. Penanganan dimulai sejak awal pandemi. Peran Rumah Sakit Bhakti Wira Tamtama untuk penanggulangan wabah Covid-19 sudah sesuai dengan Undang-Undang Wabah, Undang-Undang Kekarantinaan Kesehatan, Undang-Undang Kesehatan, Undang-Undang Rumah Sakit, Keppres Nomor 11 Tahun 2020, Keputusan Gubernur Jateng yaitu ikut serta dalam penanggulangan wabah mulai dari skrining, perawatan penderita, edukasi sampai dengan pemulasaran jenazah pasien Covid-19. Tujuan pengaturan peran untuk menyelenggarakan kekarantinaan Kesehatan sesuai dengan Undang-Undang Kekarantinaan Kesehatan. Mekanisme pelaksanaan perannya, sesuai dan sejalan dengan peraturan-peraturan dari Pemerintah Pusat maupun daerah. Tim rumah sakit terdiri dari tim skrining, edukasi, laboratorium, keperawatan, desinfeksi dan tim pemulasaran jenazah. Bentuk perannya dapat berupa peran imperative dan fakultatif. Faktor-faktor yang mempengaruhi bila ditinjau dari faktor yuridis sudah sesuai dengan peraturan perundangan yang ada, faktor sosial dengan menepis anggapan untuk meng”covid”kan pasien dan faktor teknis dengan terbatasnya jumlah tenaga kesehatan dan ruangan khusus isolasi.Kata kunci: Pelayanan kesehatan, peran, penanggulangan, Covid-19,

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