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Aspek Hukum Penolakan Protokol Kesehatan di Era Pandemi COVID-19 Mahesa Paranadipa Maikel
Jurnal MHKI Vol 1 No 01 (2021): Volume 01, Nomor 01, April 2021
Publisher : Masyarakat Hukum Kesehatan Indonesia

Informed consent can be a form of communication between doctors and patients or the patient's family. Apart from Informed consent, there are also other patient statements, namely "Refusal of Medical Action" or "Informed Refusal". In the COVID-19 pandemic situation, patients and families often reject procedures in health facilities. Article 56 of Law Number 36 of 2009 concerning Health states that a person does not have the right to accept or reject part or all of the assistance measures given to him/her for sufferers of a disease whose disease can quickly spread to the broader community. Refusal of health protocols in a pandemic situation can potentially result in criminal sanctions in some laws and the Criminal Code.

Study on the Prevalence of Low Back Pain based on Age and Gender in Indonesian Hajj Pilgrims: Period 1438 – 1443 H Zaki, Achmad; Rufaidah, Melia Fatrani; Mahendra, Maulana Ihza; Mardjikoen, Bisatyo; Maikel, Mahesa Paranadipa
The Avicenna Medical Journal Vol 5, No 1 (2024): The Avicenna Medical Journal
Publisher : Faculty of Medicine, UIN Syarif Hidayatullah Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15408/avicenna.v5i1.34304

Background: Musculoskeletal pain is a common complaint in men and women with a wide age range and in all sociocultural groups. Low back pain significantly contributes to the overall burden of musculoskeletal conditions. In 2020, low back pain (LBP) affected 619 million people globally and it is estimated that the number of cases will increase to 843 million cases by 2050, driven largely by population expansion and ageing.1 Hajj is a series of worship with high demands on physical strength, and musculoskeletal pain experienced by the pilgrims will significantly affect the worship and the pilgrims' classification of health, known as health istithaah. Objective: This study aims to determine the prevalence of low back pain incidence based on the age and gender of Indonesian pilgrims in periods 1438-1443 H. Methods: This descriptive study with a cross-sectional design used secondary data from Health Information System for Indonesian Hajj Pilgrims (SISKOHATKES) with a period of Hajj from 1438 H until 1443 H. Results: This study showed that the prevalence of Indonesian pilgrims in 1438-1443 H diagnosed with low back pain in Saudi Arabia based on age group was highest at 46 years and over each year. However, the prevalence of female sex was not consistently higher than male in 1438-1443 H. The percentage of the male sex (0.020%) was higher than the female sex (0.016%) in 1438 H, and the female sex was consistently higher than the male sex in 1439 – 1440 H, while in 1443 H, the male and female sexes had the same proportion. Conclusion: Indonesian pilgrims aged 46 years and over with a diagnosis of low back pain have a higher prevalence in each year of examination, and female and male pilgrims do not consistently have a higher prevalence value in the period 1439 - 1443 H

Juridical Analysis of Health Services for Elderly Hajj Pilgrims Maikel, Mahesa Paranadipa; Syahruddin, Maslim
The Avicenna Medical Journal Vol 5, No 1 (2024): The Avicenna Medical Journal
Publisher : Faculty of Medicine, UIN Syarif Hidayatullah Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15408/avicenna.v5i1.36780

Indonesia with the largest Muslim population causes the number of Muslims who registered to leave for the holy land to increase, including the number of elderly pilgrims in 1444 H/2023 M as many as 10,166 people from a total quota of 221,000 pilgrims. The Indonesian Ministry of Religious Affairs issued several special policies related to elderly pilgrims. The program is outlined in the "Elderly Friendly Hajj Guide" which consists of several important things in providing services to elderly pilgrims both at the time of departure, while in the holy land, and when returning to the homeland. This research uses a descriptive qualitative approach and secondary data, in the form of normative research through literature studies consisting of laws and regulations, books, journals, and presentation papers. Regulations related to elderly pilgrims have been stated in Law No. 8 of 2019 on the Implementation of Hajj and Umrah. However, existing laws and regulations have not specifically regulated services for elderly pilgrims, so special regulations are needed that regulate elderly pilgrims including elderly Hajj health services. The Indonesian Ministry of Health in supporting the Elderly Friendly Hajj policy seeks to improve health services to pilgrims, especially to elderly pilgrims. Policy changes related to health istithaah are needed to reduce the risk of morbidity and mortality of elderly pilgrims along with the increasing number of elderly pilgrims in the coming year.

The Effect of Empathy on Patient Satisfaction in Hemodialysis Services: A SERVQUAL-Based Cross-Sectional Study Zhafira, Dinnisa Haura; Mimanda, Yona; Maikel , Mahesa Paranadipa; Widyastuti, Tri Nisa
The Avicenna Medical Journal Vol. 5 No. 2 (2024): The Avicenna Medical Journal
Publisher : Faculty of Medicine, UIN Syarif Hidayatullah Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15408/avicenna.v5i2.46874

Background: Empathy is a fundamental aspect of healthcare service quality and plays a vital role in influencing patient satisfaction, especially in long-term, high-contact treatments such as hemodialysis. Despite its importance, limited research in Indonesia has specifically explored the impact of empathy on patient satisfaction in hemodialysis settings. This study aims to evaluate the effect of empathy on patient satisfaction among individuals receiving hemodialysis at Jakarta Hajj Hospital using the SERVQUAL framework. Methods: A quantitative, cross-sectional study was conducted at Jakarta Hajj Hospital between November and December 2022, involving 118 hemodialysis patients selected through consecutive sampling. Data were collected using a structured questionnaire adapted from the KKP-2017 and SERVQUAL instruments. Statistical analysis included descriptive statistics, followed by assumption tests (normality, linearity, and heteroscedasticity), and simple linear regression using SPSS version 26. Results: The mean empathy score was 3.47 ± 0.63. Simple linear regression indicated that empathy had a statistically significant effect on patient satisfaction (B = 0.701, SE = 0.084, 95% CI [0.535–0.868], β = 0.613, R² = 0.375, p < 0.001). The fitted model was: Patient Satisfaction = 13.24 + 0.701(Empathy). Conclusion: Empathy significantly contributes to patient satisfaction in hemodialysis services. Strengthening empathetic communication and patient-provider relationships may enhance service quality and overall patient experiences in chronic care environments.

Study on the Prevalence of Low Back Pain based on Age and Gender in Indonesian Hajj Pilgrims: Period 1438 – 1443 H Zaki, Achmad; Rufaidah, Melia Fatrani; Mahendra, Maulana Ihza; Mardjikoen, Bisatyo; Maikel, Mahesa Paranadipa
The Avicenna Medical Journal Vol. 5 No. 1 (2024): The Avicenna Medical Journal
Publisher : Faculty of Medicine, UIN Syarif Hidayatullah Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15408/avicenna.v5i1.34304

Background: Musculoskeletal pain is a common complaint in men and women with a wide age range and in all sociocultural groups. Low back pain significantly contributes to the overall burden of musculoskeletal conditions. In 2020, low back pain (LBP) affected 619 million people globally and it is estimated that the number of cases will increase to 843 million cases by 2050, driven largely by population expansion and ageing.1 Hajj is a series of worship with high demands on physical strength, and musculoskeletal pain experienced by the pilgrims will significantly affect the worship and the pilgrims' classification of health, known as health istithaah. Objective: This study aims to determine the prevalence of low back pain incidence based on the age and gender of Indonesian pilgrims in periods 1438-1443 H. Methods: This descriptive study with a cross-sectional design used secondary data from Health Information System for Indonesian Hajj Pilgrims (SISKOHATKES) with a period of Hajj from 1438 H until 1443 H. Results: This study showed that the prevalence of Indonesian pilgrims in 1438-1443 H diagnosed with low back pain in Saudi Arabia based on age group was highest at 46 years and over each year. However, the prevalence of female sex was not consistently higher than male in 1438-1443 H. The percentage of the male sex (0.020%) was higher than the female sex (0.016%) in 1438 H, and the female sex was consistently higher than the male sex in 1439 – 1440 H, while in 1443 H, the male and female sexes had the same proportion. Conclusion: Indonesian pilgrims aged 46 years and over with a diagnosis of low back pain have a higher prevalence in each year of examination, and female and male pilgrims do not consistently have a higher prevalence value in the period 1439 - 1443 H

Juridical Analysis of Health Services for Elderly Hajj Pilgrims Maikel, Mahesa Paranadipa; Syahruddin, Maslim
The Avicenna Medical Journal Vol. 5 No. 1 (2024): The Avicenna Medical Journal
Publisher : Faculty of Medicine, UIN Syarif Hidayatullah Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15408/avicenna.v5i1.36780

Indonesia with the largest Muslim population causes the number of Muslims who registered to leave for the holy land to increase, including the number of elderly pilgrims in 1444 H/2023 M as many as 10,166 people from a total quota of 221,000 pilgrims. The Indonesian Ministry of Religious Affairs issued several special policies related to elderly pilgrims. The program is outlined in the "Elderly Friendly Hajj Guide" which consists of several important things in providing services to elderly pilgrims both at the time of departure, while in the holy land, and when returning to the homeland. This research uses a descriptive qualitative approach and secondary data, in the form of normative research through literature studies consisting of laws and regulations, books, journals, and presentation papers. Regulations related to elderly pilgrims have been stated in Law No. 8 of 2019 on the Implementation of Hajj and Umrah. However, existing laws and regulations have not specifically regulated services for elderly pilgrims, so special regulations are needed that regulate elderly pilgrims including elderly Hajj health services. The Indonesian Ministry of Health in supporting the Elderly Friendly Hajj policy seeks to improve health services to pilgrims, especially to elderly pilgrims. Policy changes related to health istithaah are needed to reduce the risk of morbidity and mortality of elderly pilgrims along with the increasing number of elderly pilgrims in the coming year.

The Effect of Tangible on Hemodialysis Patient Satisfaction Hidayat, Dinnisa Haura Zhafira; Mimanda, Yona; Maikel, Mahesa Paranadipa
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 9, No 2 (2024): September
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30604/jika.v9i2.2433

This study aims to find out the effect of tangible on hemodialysis patient satisfaction. The location and year of the study is at Rumah Sakit Haji Jakarta in 2022. The writer believes that there is a positive effect of tangible towards hemodialysis patient satisfaction at Rumah Sakit Haji Jakarta. Method: This study is a quantitative study with a cross-sectional design. The population in this study were every hemodialysis patients at Rumah Sakit Haji Jakarta. The sample of this research was obtained by using consecutive sampling technique with a sample of 118 hemodialysis patients in Rumah Sakit Haji Jakarta. Data collection was done using a questionnaire with 1 month as the length of time for data collection. The data analysis performed is simple linear regression analysis using SPSS 26. From the scale of 4, the description analysis shows that tangible scores an average of 3,37, meanwhile the dimension of patient satisfaction with the highest score of interpersonal behaviour with an average of 3,33 and the lowest score is financial aspect with an average of 3,09. The study shows that tangible gives positive and significant effect towards hemodialysis patient satisfaction at Rumah Sakit Haji Jakarta. The outcome of this study is expected to become a reference and guide for health care provider in increasing patient satisfaction.

PERLINDUNGAN KONSTITUSIONAL BAGI TENAGA MEDIS DAN TENAGA KESEHATAN: TINJAUAN LITERATUR TENTANG JAMINAN SOSIAL DI INDONESIA Mahesa Paranadipa Maikel; Winda Sari
Journal of Social and Economics Research Vol 7 No 2 (2025): JSER, December 2025
Publisher : Ikatan Dosen Menulis

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54783/jser.v7i2.1118

Artikel ini menganalisis perlindungan konstitusional bagi tenaga medis dan tenaga kesehatan terkait jaminan sosial di Indonesia. Berdasarkan metode yuridis normatif dengan tinjauan literatur, penelitian ini mengidentifikasi bahwa meskipun UUD NRI 1945 memberikan landasan kuat, implementasinya masih menunjukkan kesenjangan signifikan, terutama dalam bentuk disparitas perlindungan antara tenaga kesehatan berstatus ASN dan non-ASN. Hasil penelitian menunjukkan perlunya penguatan regulasi melalui undang-undang khusus dan komitmen politik yang kuat untuk memastikan keadilan dan kesetaraan jaminan sosial bagi seluruh tenaga kesehatan.

PERLINDUNGAN KONSTITUSIONAL BAGI TENAGA MEDIS DAN TENAGA KESEHATAN: TINJAUAN LITERATUR TENTANG JAMINAN SOSIAL DI INDONESIA Mahesa Paranadipa Maikel; Winda Sari
Journal of Social and Economics Research Vol 7 No 2 (2025): JSER, December 2025
Publisher : Ikatan Dosen Menulis

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54783/jser.v7i2.1118

Artikel ini menganalisis perlindungan konstitusional bagi tenaga medis dan tenaga kesehatan terkait jaminan sosial di Indonesia. Berdasarkan metode yuridis normatif dengan tinjauan literatur, penelitian ini mengidentifikasi bahwa meskipun UUD NRI 1945 memberikan landasan kuat, implementasinya masih menunjukkan kesenjangan signifikan, terutama dalam bentuk disparitas perlindungan antara tenaga kesehatan berstatus ASN dan non-ASN. Hasil penelitian menunjukkan perlunya penguatan regulasi melalui undang-undang khusus dan komitmen politik yang kuat untuk memastikan keadilan dan kesetaraan jaminan sosial bagi seluruh tenaga kesehatan.

Unintended pregnancy in midlife women: a narrative review of prevention frameworks and health system challenges in Indonesia Sardjana, Sardjana; Maikel, Mahesa Paranadipa; Hendarto, Hari
JPPI (Jurnal Penelitian Pendidikan Indonesia) Vol. 11 No. 4 (2025): JPPI (Jurnal Penelitian Pendidikan Indonesia)
Publisher : Indonesian Institute for Counseling, Education and Theraphy (IICET)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29210/020256720

Unintended pregnancy among midlife women (approximately 40–55 years) remains marginal within reproductive health research, despite persistent fertility during the perimenopausal transition and elevated maternal health risks at older ages. This narrative review synthesises peer-reviewed empirical studies, clinical guidelines, and policy documents to examine determinants of unintended pregnancy among midlife women, with particular attention to health system and regulatory contexts in Indonesia. The review identifies biological uncertainty during perimenopause, reduced contraceptive vigilance, limited access to long-acting reversible contraception, and insufficient age-responsive counseling as key drivers of unintended pregnancy in midlife. In Indonesia, these risks are compounded by weak integration between reproductive health services and chronic disease management, as well as regulatory ambiguity following recent legal reforms. Based on this synthesis, the article proposes a three-tier prevention framework encompassing primary prevention (fertility awareness and contraceptive counseling), secondary prevention (early pregnancy detection and risk assessment), and tertiary prevention (timely, rights-based clinical management for medically complex pregnancies). Unintended pregnancy in midlife is not an exceptional event but a structurally produced public health issue shaped by interactions between biological, behavioral, health system, and policy factors. Addressing this challenge requires a life-course approach that integrates reproductive health with chronic disease care and aligns clinical practice with coherent, age-responsive policy frameworks to improve maternal health outcomes and reproductive autonomy.

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