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LITERATURE REVIEW KAJIAN ETIS PENGHENTIAN TERAPI MEDIS DALAM PERSPEKTIF PRINSIP MORAL BIOETIKA Ni Putu Alya Magfira Cantika Putri; Meivy Isnoviana
Ar-Rasyid: Jurnal Publikasi Penelitian Ilmiah Vol. 1 No. 5 (2025): Ar-Rasyid: Jurnal Publikasi Penelitian Ilmiah (Bulan November 2025)
Publisher : PT. Saha Kreasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.64788/ar-rasyid.v1i5.58

Abstract

The controversy surrounding end-of-life medical practices such as euthanasia, Do Not Resuscitate (DNR), and the withdrawal or withholding of life-sustaining treatment remains a complex bioethical issue in Indonesia. The debate lies between the right to life as an absolute human right and the patient’s autonomy to determine their own fate, particularly in terminal cases where medical treatment is considered futile. This study aims to analyze the legal standing and ethical implications of withdrawing medical treatment from the perspectives of Indonesian positive law, the Indonesian Medical Code of Ethics (KODEKI), and Islamic law. This research employs a literature review method with a normative juridical approach through a review of legal instruments such as the Ministry of Health Regulation No. 37 of 2014, KODEKI, bioethical literature, and Islamic legal sources. The analysis was conducted descriptively and deductively to examine the consistency between legal norms and medical ethical principles. The findings show that active euthanasia remains prohibited by both law and medical ethics as it contradicts the principle of preserving life (sanctity of life). However, the withdrawal or withholding of life-sustaining treatment that no longer provides medical benefit is permissible under limited conditions, based on clear clinical judgment, family consent, and respect for patient dignity. In conclusion, there is a need for more specific regulatory and ethical harmonization to provide legal protection for healthcare professionals, uphold patient autonomy, and ensure the implementation of the four bioethical principles (autonomy, beneficence, non-maleficence, and justice) in medical treatment withdrawal practices in Indonesia.
LITERATURE REVIEW TANTANGAN ETIKA DEONTOLOGIS TERHADAP PEMENUHAN HAK PASIEN DALAM DIAGNOSIS KLINIS BERBASIS ARTIFICIAL INTELLIGENCE (AI) Ni Putu Savitriyani; Meivy Isnoviana
Ar-Rasyid: Jurnal Publikasi Penelitian Ilmiah Vol. 2 No. 1 (2026): Ar-Rasyid: Jurnal Publikasi Penelitian Ilmiah (Januari 2026)
Publisher : PT. Saha Kreasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.64788/ar-rasyid.v2i1.294

Abstract

The rapid advancement of Artificial Intelligence (AI) in the medical field has significantly transformed clinical diagnosis by improving accuracy, efficiency, and personalized patient care. However, this innovation also raises complex ethical issues, particularly when viewed through the lens of deontological ethics, which emphasizes moral duties, professional responsibility, and respect for patient rights. This study aims to examine the deontological ethical challenges in fulfilling patient rights within AI-assisted clinical diagnosis. The method employed is a qualitative literature review, conducted through scientific databases such as Google Scholar, PubMed, and ResearchGate, focusing on publications from 2020 to 2025. A total of 25 journal articles were selected based on inclusion and exclusion criteria relevant to the research topic. The review reveals that major ethical challenges include a lack of algorithmic transparency (black box issue), potential data bias and discrimination, privacy risks, shifting of professional responsibility, and diminished patient autonomy in medical decision-making. These challenges directly affect the fulfillment of patients’ fundamental rights to information, privacy, justice, and autonomy. Therefore, the implementation of AI in clinical diagnosis must be accompanied by strong adherence to deontological principles, robust ethical regulations, and multidisciplinary collaboration among healthcare professionals, technologists, and policymakers to ensure that technology enhances, rather than replaces, human values and moral responsibility in medical practice.