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Effectiveness of the National Health Social Security System in Ensuring Public Welfare in Indonesia Hutagalung, Tiur Hasmida; Sara, Rineke
International Journal of Social Service and Research Vol. 5 No. 7 (2025): International Journal of Social Service and Research
Publisher : Ridwan Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/ijssr.v5i7.1263

Abstract

The state offers its inhabitants social health security as a type of legal protection to guarantee their welfare and access to quality medical care. Law Number 40 of 2004 about the National Social Security System (SJSN) and Law Number 24 of 2011 concerning the Social Security Administering Body (BPJS) are two of the legislation that govern Indonesia's social health security system. This rule highlights that all citizens are entitled to equitable and fair social protection in the health sector. However, in its implementation, various challenges arise, such as the BPJS Kesehatan budget deficit, limited access to health services in remote areas, and participant compliance in paying contributions. Therefore, a study of the legal concept in the regulation of national social health security is critical to understand the basic principles underlying this system and the effectiveness of its regulation in practice. This study uses a normative juridical method, which focuses on the laws and regulations governing national social health security in Indonesia. The approaches used include a statute approach to analyze applicable legal norms, a conceptual approach to explore the legal concepts underlying the social health security system, and a historical approach to see the development of related regulations. With this method, the study examines the legal basis, legal principles underlying national social health security, and challenges in implementing existing regulations. This study is expected to provide a deeper understanding of the legal aspects of regulating social health security in Indonesia and recommend strengthening future policies.
Reform of Working Hours Regulations for Medical Specialist Education Programs Towards Balance in Education and Service Hutagalung, Tiur Hasmida; Fakrulloh, Zudan Arief
Journal Of Social Science (JoSS) Vol 3 No 12 (2024): JOSS: Journal of Social Science
Publisher : Al-Makki Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57185/joss.v3i12.390

Abstract

Regulations on working hours for Medical Specialist Education Program (PPDS) participants in Indonesia play an important role in maintaining a balance between education and health services. However, legal loopholes and lack of supervision have led to many PPDS participants being forced to work beyond the prescribed limits, which negatively affects their physical and mental health. This study aims to analyze existing regulations related to PPDS working hours, identify legal loopholes that affect the welfare of participants, and provide recommendations for regulatory improvements. The method used in this research is a normative legal research method with a legislative and conceptual approach. The data used are secondary sources, including relevant laws, legal journals, and official government documents. The results show that although there are regulations governing working hours, their implementation is often inconsistent in the field. Many PPDS participants reported working hours exceeding 80 hours per week, especially in emergency situations. This finding indicates the need for legal reform to create a better system. In conclusion, regulatory reforms regarding working hours for PPDS participants are urgently needed to ensure the welfare of participants and the quality of health services. Recommendations for improvement include stricter enforcement of working hour limits, improved supervision systems, and active collaboration with the Ministry of Health.