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All Journal Jurnal Pustaka Keperawatan HEALTH FRONTIERS (MULTIDISCIPLINARY JOURNAL FOR HEALTH PROFESSIONALS)
Abdurrahman, Muhammad Naufal
Unknown Affiliation
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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Equity in Healthcare Referrals: Navigating Legal Rights and Digital Frontiers for Fair Access Abdurrahman, Muhammad Naufal; Indriani, Sifa; Nurlita, Eka; Mehrunisa, Ourelova Hilyatul; Harahap, Syaharani Putri; Islami, Tiara Audyna; Suryanto, Riezky Alfaryzy; Azizah, Maylatul; Mumtazah, Kayyisah Iffat
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.v3i1.196

Abstract

This systematic literature review investigates the legal, ethical, and practical challenges surrounding patients’ right to fair referral services, analyzing 180 peer-reviewed studies, case laws, and policy documents (2010–2023) through the PRISMA framework. While international instruments like the UDHR and ICESCR mandate equitable healthcare access, national implementations vary, with marginalized groups (e.g., Roma communities, refugees) facing systemic delays and discrimination. Case precedents such as Montgomery v Lanarkshire (2015) reinforce transparency and informed consent, yet gaps in provider awareness (35% in Poland) and patient literacy (22% in Macedonia) persist. Digital tools like AI-driven referral platforms offer efficiency but demand compliance with privacy laws (e.g., GDPR). The study highlights structural barriers—resource constraints, racial bias, and weak enforcement—and advocates for legislative reforms, anti-discrimination training, and secure digital solutions. Recommendations include standardized protocols, ombudsman oversight, and public reporting of outcomes. Future research must address equity in low-resource settings and evaluate long-term impacts of technology on referral fairness. This review underscores the urgent need to harmonize legal rights, institutional accountability, and innovation to ensure referrals uphold justice and non-discrimination
Manajemen Perianestesi dengan Balanced Anestesi pada Pasien Operasi Laparoscopy Konversi Open Laparotomi Diagnosa Cholelithiasis dengan Anemia dan Trombositopenia : Studi Kasus Abdurrahman, Muhammad Naufal; Pratama, Rizkian; Febrianti, Vita Ariska Devi; Handayani, Rahmaya Nova; Suandika, Made
Jurnal Pustaka Keperawatan (Pusat Akses kajian Keperawatan) Vol 5 No 1 (2026): Jurnal Pustaka Keperawatan
Publisher : Pustaka Galeri Mandiri

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Abstract

Cholelithiasis with comorbid anemia and thrombocytopenia poses significant challenges in perioperative management, particularly when laparoscopic cholecystectomy must be converted to open laparotomy due to severe inflammation and adhesions. This case report describes the anesthetic management of a 57-year-old male patient diagnosed with cholelithiasis, anemia (Hb 10.8 g/dL), thrombocytopenia (96 ×10³/µL), and leukopenia, who underwent surgery under balanced general anesthesia. The procedure was initiated laparoscopically but converted to open laparotomy due to gallbladder wall thickening and distorted anatomy. Intraoperatively, bleeding of approximately 500 mL occurred, requiring transfusion of packed red cells and platelets. Hemodynamic fluctuations in the form of hypotension were successfully managed with fluid therapy and transfusion, ensuring adequate tissue perfusion. Postoperatively, the patient experienced delayed emergence, which improved following antagonization with atropine and neostigmine. The patient was subsequently transferred to the ICU for intensive monitoring given the risks associated with anemia, thrombocytopenia, and suboptimal recovery. This case highlights the importance of comprehensive preoperative evaluation, vigilant intraoperative monitoring, individualized anesthetic strategies with balanced anesthesia, and multidisciplinary collaboration to minimize complications in biliary surgery patients with hematological comorbidities
Co-Authors Azizah, Maylatul Febrianti, Vita Ariska Devi Harahap, Syaharani Putri Indriani, Sifa Islami, Tiara Audyna Made Suandika Mehrunisa, Ourelova Hilyatul Mumtazah, Kayyisah Iffat Nurlita, Eka Pratama, Rizkian Rahmaya Nova Handayani Suryanto, Riezky Alfaryzy