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All Journal Unram Law Review Multidiciplinary Output Research for Actual and International Issue (Morfai Journal) MEDICINUS Journal of Law, Poliitic and Humanities
R.A. Tuty Kuswardhani
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The Role of Informed Consent in Medical Disputes at State University Hospitals Putu Agus Prawira Eka Putra; I Gusti Ayu Putri Kartika; R.A. Tuty Kuswardhani
Unram Law Review Vol 8 No 2 (2024): Unram Law Review(ULREV)
Publisher : Faculty of Law, University of Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/ulrev.v8i2.386

Abstract

The research aims to understand how informed consent functions in the context of medical disputes at state university hospitals in Indonesia. The main benefit of the study is to provide an overview of how informed consent offers legal protection to the medical profession, particularly in resolving disputes that may arise in the hospital setting. The research utilizes a normative legal research method, focusing on the examination of written laws, regulations, and legal materials applicable in Indonesia. The research concludes that the thoroughness of informed consent documentation is crucial, especially for medical procedures that carry high risks. This thoroughness serves as a legal safeguard for medical professionals, ensuring their protection in case of disputes. Enhanced attention to the completeness of informed consent is necessary to mitigate the risks for doctors and provide legal security within the medical field at state university hospitals.
Legal Protections for Patients with Medical Conditions in Online Health Consultations Ni Putu Devy Handayani; I Gusti Ngurah Parikesit Widiatedja; R.A. Tuty Kuswardhani
Journal of Law, Politic and Humanities Vol. 5 No. 3 (2025): (JLPH) Journal of Law, Politic and Humanities
Publisher : Dinasti Research

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.38035/jlph.v5i3.1336

Abstract

Legal protections in telemedicine protect patients' rights, privacy, and care quality, but research often overlooks patients' perspectives. Therefore, understanding evolving legislation and patient-centered legal concepts improves patient care. This article aims to explore legal protections for patients with medical conditions in online health consultations. This study used a systematic literature review (SLR) approach to examine articles related to legal protections for patients, medical conditions, and online health consultations. We searched the Scopus and PubMed databases for articles in three categories: legal protections for patients, medical conditions, and online health consultations over the last five years (2019-2024). Using the Publish and Perish and Mendeley Reference Manager applications, we selected 389 papers from the Scopus database and 46 from the PubMed database based on specific criteria. Therefore, we conducted a PRISMA analysis on the 59 full-text research articles that we included. The results show that legal protections for patients in online health consultations include confidentiality, informed consent, licensure, data protection, emergency response protocols, professional standards, telemedicine compliance, care quality, and redress mechanisms. Solutions include streamlining licensing processes and enhancing cross-border regulations. The study emphasizes the need for patient advocacy, legal protection, data protection, and ethical compliance in online medical consultations, addressing barriers like dissatisfaction and lack of funds.
REGULATION OF HEALTH CRISIS RISK ASSESMENT (DISASTER HEALTH) RELATED TO PRE-HEALTH CRISIS (PRE-DISASTER) STAGE MITIGATION EFFORTS FROM A HUMAN RIGHTS PERSPECTIVE Memory Fitri Sitorus; I Nyoman Suyatna; R.A. Tuty Kuswardhani
Multidiciplinary Output Research For Actual and International Issue (MORFAI) Vol. 6 No. 2 (2026): Multidiciplinary Output Research For Actual and International Issue
Publisher : RADJA PUBLIKA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54443/morfai.v6i2.4961

Abstract

Indonesia is a country with a high level of disaster vulnerability, which has direct implications for the emergence of health crises. One important instrument in pre-disaster mitigation is the health crisis risk assessment. This study aims to analyze the regulations for health crisis risk assessments in the pre-disaster phase and formulate an ideal regulatory framework that provides legal certainty and protects human rights, particularly the right to health. The research method used is normative juridical, with a statutory and conceptual approach. The results indicate a disharmony between Minister of Health Regulation No. 75 of 2019, which requires annual risk assessments, and Head of the National Disaster Management Agency (BNPB) Regulation No. 02 of 2012, which stipulates a five-year risk assessment validity period. This disharmony has resulted in legal uncertainty and weak implementation of risk assessments at the community health center (Puskesmas) level. From a human rights perspective, this situation has the potential to hinder the fulfillment of the rights to health and the right to life. This study recommends the need for regulatory harmonization and the establishment of a risk assessment period that is adaptive, integrated, and human rights-based.
Progressive Left Diaphragmatic Eventration Manifesting as Respiratory Failure in an Elderly Patient with Chronic Obstructive Pulmonary Disease: A Case Report Morris Lintong Barimbing; R.A. Tuty Kuswardhani
MEDICINUS Vol. 39 No. 1 (2026): MEDICINUS
Publisher : PT Dexa Medica

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56951/x60wst37

Abstract

Background: Diaphragmatic eventration (DE) is a rare condition characterized by the abnormal elevation of an anatomically intact hemidiaphragm. In adults, it is often asymptomatic. However, in elderly patients with significant pulmonary comorbidities such as chronic obstructive pulmonary disease (COPD), the progression of DE can precipitate acute, life-threatening respiratory decompensation.Case presentation: A 70-year-old man with COPD, hypertension, and chronic kidney disease presented with worsening dyspnea, cough, and gastrointestinal symptoms that were refractory to COPD therapy. Serial chest radiographs revealeddramatic progression from a previously asymptomatic elevated left hemidiaphragm to complete diaphragmatic eventration with visceral herniation, resulting in severe impairment of lung function. Surgical plication via video-assisted thoracoscopic (VATS) was advised; however, the patient developed acute psychological distress upon learning the surgical plan, followed by sudden cardiac arrest and death. This case illustrates the fatal convergence of structural respiratory compromise, chronic pulmonary disease, and acute emotional stress as a cardiac trigger.Conclusions: Progressive DE should be considered in the differential diagnosis of unexplained respiratory failure in COPD patients, especially when unresponsive to standard therapy. Serial imaging is crucial for diagnosis, and the management of psychological stress is a vital component in the care of critically ill geriatric patients.
Co-Authors I Gusti Ayu Putri Kartika, I Gusti Ayu I Gusti Ngurah Parikesit Widiatedja I Nyoman Suyatna Memory Fitri Sitorus Morris Lintong Barimbing Ni Putu Devy Handayani Putu Agus Prawira Eka Putra