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All Journal HEALTH FRONTIERS (MULTIDISCIPLINARY JOURNAL FOR HEALTH PROFESSIONALS)
Nuryalestri, Deviany Hanadia
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Dentistry Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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The Hidden Crisis in Healthcare: How Referral Non-Compliance Jeopardizes Patient Safety and Invites Malpractice Yumna, Nasywa Annisa; Indah Fitri, Anggun Novia; Putri, Laili Andini; Umar, Malida; Sayyida, Fatma Lutfiyatus; Mustofa, Ananda Dwi; Putri, Davina Erida; Nuryalestri, Deviany Hanadia; Karidin, Fahmi 'Ilman; Deniati, Ema Novita; Evi, Nurul
Health Frontiers: Multidisciplinary Journal for Health Professionals Vol. 3 No. 1 (2025): Health Frontiers
Publisher : Tarqabin Nusantara Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62255/mjhp.v3i1.146

Abstract

Referral non-compliance represents a critical yet under addressed challenge in healthcare systems, undermining patient safety and amplifying malpractice risks. This mixed-methods study investigates the systemic, demographic, and socio-economic factors driving non-compliance, alongside its clinical and legal consequences. Conducted across urban and rural settings in Indonesia and comparative U.S. jurisdictions, the research integrates quantitative analysis of referral compliance rates and malpractice trends with qualitative insights from provider interviews and legal case studies. Key findings reveal that systemic barriers—such as fragmented electronic health record (EHR) systems, socio-economic inequities, and geographic isolation—disproportionately affect marginalized populations, exacerbating disparities in access to specialized care. Legal analysis highlights the tension between negligence liability and tort reform policies, emphasizing the need for rigorous documentation and patient-centered communication to mitigate risks. The study proposes multi-dimensional solutions, including technology-driven referral tracking, policy reforms to address structural inequities, and provider training in motivational interviewing. By bridging gaps between clinical practice, legal accountability, and ethical advocacy, this research advocates for systemic reforms to transform referral protocols into pillars of equitable, safe healthcare. The findings underscore the urgency of addressing non-compliance as both a clinical imperative and a moral obligation to protect vulnerable patients.
Co-Authors Ema Novita Deniati Indah Fitri, Anggun Novia Karidin, Fahmi 'Ilman Mustofa, Ananda Dwi Nurul Evi Putri, Davina Erida Putri, Laili Andini Sayyida, Fatma Lutfiyatus Umar, Malida Yumna, Nasywa Annisa