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Endang Wahyati
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endang_wahyati@yahoo.com
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soepra@unika.ac.id
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Jl. Pawiyatan Luhur IV/1 Bendan Duwur Semarang, 50234
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INDONESIA
SOEPRA Jurnal Hukum Kesehatan
ISSN : -     EISSN : 2548818X     DOI : https://doi.org/10.24167/shk
Core Subject : Health, Social,
The Journal focuses on the development of health law in Indonesia: national, comparative and international. The exchange of views between health lawyers in Indonesia is encouraged. The Journal publishes information on the activities of European and other international organizations in the field of health law. Discussions about ethical questions with legal implications are welcome. National legislation, court decisions and other relevant national material with international implications are also dealt with.
Articles 227 Documents
Criminal Liability of Doctors Who Delegate the Authority to Take Medical Actions on Nurses That Cause Patients to Die (Case Study of the Decision of the Sidoarjo District Court Number: 1165/PID.B/2010/ PN.SDA) Baunegoro, Thomas Christian; Simandjutak, Marcella Elwina; Kurnia, Edward
Soepra Jurnal Hukum Kesehatan Vol 7, No 2: Desember 2021
Publisher : Universitas Katolik Soegijapranata Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24167/shk.v7i2.2661

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Abstract: The medical team in carrying out health services can cause suffering for patients, namely negligence or carelessness, known as medical malpractice. Sidoarjo District Court Decision Number 1165 / Pid.B / 2010 / PN.Sda with the defendant Dr. Wida Parama Astiti gave an order of authority to inject Otsu KCl 12.5 ml to Nurse Setyo Mujiono but the injection was incomplete in how to use it. Nurse Setyo did not do it herself but instead ordered Dewi Ayu Yulmasari as a student of practical work at the Krian Husada General Hospital, which resulted in the death of Dava Chayanata Oktavianto.The purpose of this study was to determine the criminal liability of doctors who delegate authority in medical actions to nurses resulting in the death of patients in Sidoarjo District Court Decision No. 1165 / Pid.B / 2010 / PN.Sda, including doctor's criminal liability in appeal and cassation decisions; and find out the appropriateness of the judge's decision is associated with the principles of criminal liability regarding the delegation of medical authority in conducting medical actions.The results of this study are the accountability of Dr. Wida Parama Astiti as advocate (uitlokker), nurse Setyo Mujiono as the person who ordered to do (doenpleger) has fulfilled the element of responsibility while Student Dewi Ayu Yulmasari as committing the act allegedly proved, but her actions were not criminal under Article 51 of the Criminal Code (2). Keywords : Criminal Liability, Medical Team, Delegation of Authority, Court Decision. Abstrak: Tim medik dalam menjalankan pelayanan kesehatan dapat menimbulkan penderitaan bagi pasien yaitu kealpaan atau kekurang hati-hatian, dikenal dengan istilah malpraktek medik. Putusan Pengadilan Negeri Sidoarjo Nomor 1165/Pid.B/2010/PN.Sda dengan terdakwa dr. Wida Parama Astiti memberikan perintah kewenangan untuk menyuntikan Otsu KCl 12.5 ml kepada perawat Setyo Mujiono namun pemberian injeksi tersebut tidak lengkap cara penggunaannya. Perawat Setyo tidak melakukan sendiri melainkan menyuruh Dewi Ayu Yulmasari sebagai mahasiswi praktek kerja lapangan di RSU Krian Husada yang berakibatnya meninggalnya pasien Dava Chayanata Oktavianto.  Tujuan penelitian ini untuk mengetahui pertanggungjawaban pidana dokter yang melimpahkan kewenangan dalam tindakan medik kepada tenaga perawat yang mengakibatkan matinya pasien dalam Putusan Pengadilan Negeri Sidoarjo No. 1165/Pid.B/2010/PN.Sda, termasuk pertanggungjawaban pidana dokter dalam putusan banding dan kasasi; dan mengetahui kesesuaian putusan hakim dikaitkan dengan asas-asas pertanggungjawaban pidana tentang pelimpahan kewenangan dokter dalam melakukan tindakan medik.Metode Pendekatan pada penelitian menggunakan metode kualitatif normatif dengan pendekatan melakukan wawancara dengan orang-orang tertentu atau pelaku dalam suatu tindak sosial mengenai fakta yang hendak dideskripsikan dan bahan hukum sekunder seperti undang-undang dan Putusan Pengadilan Negeri Sidoarjo Nomor 1165/Pid.B/2010/PN.Sda serta bahan hukum primer adalah hasil wawancara dengan perwakilan Hakim yang memutuskan perkara tersebut.Hasil dari penelitian ini adalah terbuktinya pertanggungjawaban dr. Wida Parama Astiti sebagai penganjur (uitlokker), perawat Setyo Mujiono sebagai orang yang menyuruh melakukan (doenpleger) telah memenuhi unsur pertanggungjawaban sedangkan Mahasiswi Dewi Ayu Yulmasari sebagai yang melakukan perbuatan yang didakwakan terbukti, tetapi perbuatannya bukan tindak pidana  Pasal 51 KUHP ayat (2).Kata Kunci : Pertanggung Jawaban Pidana, Tim Medis, Pelimpahan Kewenangan,  Putusan Pengadilan. 
Risk Factor Analysis on Drug Abuse Handled by National Narcotics Board of Republic of Indonesia in the Special Region of Yogyakarta during 2020 Ida Bagus Gede Surya Putra Pidada; Wikan Basworo; Annastasia Octaviany Putrayasa
SOEPRA Vol 7, No 2: Desember 2021
Publisher : Universitas Katolik Soegijapranata Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24167/shk.v7i2.4135

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Abstract: Cases of drug abuse by various groups in Indonesia have a fairly high number. Especially in the Special Region of Yogyakarta in 2008 which was named the second-largest city in drug abuse. Many factors can cause a person to decide to become a drug user, both from individual factors and the environment. Based on individual factors, one of which includes sociodemographic status which is divided into age, gender, education level, and type of work. This study aims to describe the demographic risk factors that include age, gender, education level, and type of work on drug abuse. Statistical significance was analyzed using Pearson Chi-Square.From a total of 87 research subjects, it was found that almost all drug abusers were in the productive age, namely, 86 people (98,9%). The majority were male namely, 85 people (97,9%), more than half had high school education, namely 51 people (58,6%), and the majority of drug abusers were dominated by the student, namely 35 people (41,4%). The type of drug that is most widely used is the type of narcotics for as many as 61 people (70,1%). The relationship between sociodemographic characteristics and drug abuse itself had no significant results in the classification of age (p=0,699), gender (p=0,487), and type of work (p=0,254). Meanwhile, there were significant results for the level of education (p=0,027).Abstrak: Kasus penyalahgunaan narkoba oleh berbagai kalangan di Indonesia memiliki angka yang cukup tinggi. Khususnya di Daerah Istimewa Yogyakarta pada tahun 2008 yang dinobatkan sebagai kota terbesar kedua dalam penyalahgunaan Narkoba. Banyak faktor yang dapat menyebabkan seseorang memutuskan menjadi pengguna narkoba, baik dari faktor individu maupun dari lingkungan. Berdasarkan faktor individu, salah satunya meliputi status sosiodemografi yang didalamnya terbagi atas usia, jenis kelamin, tingkat pendidikan, dan jenis pekerjaan. Penelitian ini bertujuan untuk mengetahui gambaran faktor risiko demografis yang meliputi usia, jenis kelamin, tingkat pendidikan, dan jenis pekerjaan terhadap penyalahgunaan narkoba. Kemaknaan statistik dianalisis menggunakan Pearson chi-square.Dari total 87 subyek penelitian, didapatkan hampir seluruh penyalahguna narkoba berada pada usia produktif yaitu 86 orang (98,9%). Mayoritas adalah laki-laki yaitu 85 orang (97,9%), lebih dari separuh berpendidikan SMA yaitu 51 orang (58,6%), dan mayoritas penyalahguna narkoba di dominasi oleh anak sekolah yaitu 35 orang (41,4%). Untuk jenis narkoba yang paling banyak digunakan adalah jenis narkotika sebanyak 61 orang (70,1%). Hubungan karakteristik sosiodemografi dengan penyalahgunaan narkoba sendiri memiliki hasil tidak bermakna pada penggolongan usia (p=0,699), jenis kelamin (p=0,487), dan jenis pekerjaan (p=0,254). Sementara terdapat hasil yang bermakna pada tingkat pendidikan (p=0,027).
Ethycal and Legal Problems Restriction on Dental Services During Health Pandemic Sri Rahayu; Endang Wahyati Yustina; Hari Pudjo Nugroho
SOEPRA Vol 7, No 2: Desember 2021
Publisher : Universitas Katolik Soegijapranata Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24167/shk.v7i2.4412

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Abstract։ The COVID-19 pandemic has spread all over the world. Based on Presidential Decree No. 11 of 2020, Indonesia was declared in a COVID-19 pandemic situation. The ever-widening spread of Covid 19 prompted PB PDGI to issue Circular Letter Number: 2776/PB PDGI/III-3/2020 concerning Guidelines for Dental Services During the Covid 19 Pandemic, which regulates the restriction on dental services. Research on the implementation of dental services during the pandemic was carried out by a socio-legal research approach, collecting primary data with questionnaires for patients and dentists at the public health centre, clinics, hospitals, and dental practitioners, who practised during the pandemic. Data were analyzed by the chi-square method and qualitative analysis method. Interviews with the management of health facilities and professional organizations to determine the sociological conditions that affect them. Guidelines for the Prevention and Control of Covid 19 published by the Ministry of Health in July 2020, stipulate that basic health care efforts are given based on priorities by considering the benefits, risks and efforts to control Covid 19, by reducing face-to-face contact and developing telemedicine. In all types of health facilities, dentists still provide emergency services, there are differences in elective dental procedures, which bring up ethical and legal problems. Health service restrictions as regulated in the Covid 19 Prevention and Control Guidelines, reduce the patient's right to obtain health services according to medical standards, not by the 1945 Constitution Article 28 H paragraph (1) and Law number 6 of 2018 concerning Health Quarantine Article 8 The circular letter of PB PDGI regarding Guidelines for Dental Services during the Covid Pandemic has no legal force, the authority to determine medical service guidelines for the minister of health, and the circular does not include the hierarchy of laws regulated in Article 7 and 8 of Law No. 12 of 2011. Dental services during the pandemic were influenced by normative, sociological and technical factors. Cooperation between state institutions, local governments and professional organizations is needed so that the arrangements can solve the problems.   Abstrak:   Pandemi Covid 19 telah menyebar ke berbagai penjuru dunia. Berdasarkan Keputusan Presiden Nomor 11 tahun 2020 Indonesia dinyatakan dalam  situasi pandemi   Covid 19.  Penyebaran Covid 19 yang terus meluas mendorong PB PDGI mengeluarkan Surat Edaran Nomor: 2776/PB PDGI/III-3/2020 tentang Pedoman Pelayanan Kedokteran Gigi Pada Masa Pandemi Covid 19, yang mengatur adanya pembatasan  pelayanan kedokteran gigi  . Penelitian pelaksanaan pelayanan kedokteran gigi di masa pandemi dilakukan dengan metode pendekatan  socio-legal research, pengumpulan data primer dengan kuesioner terhadap pasien dan dokter gigi di puskesmas,  klinik, rumah sakit, dan praktek perorangan,  yang   berpraktek selama masa pandemi.  Data dianalisis dengan metode chi square dan metode analisa kualitatif. Wawancara dengan manajemen fasilitas kesehatan dan organisasi profesi untuk mengetahui kondisi sosiologi yang mempengaruhi. Pedoman Pencegahan dan   Pengendalian Covid 19   diterbitkan    Kementerian Kesehatan pada  Juli   2020, mengatur bahwa upaya pelayanan kesehatan dasar, diberikan berdasarkan prioritas dengan mempertimbangkan, manfaat, risiko dan upaya pengendalian Covid 19, dengan langkah   mengurangi tatap muka dan mengembangkan telemedicine. Pada semua jenis fasilitas kesehatan, dokter gigi tetap memberikan pelayanan kegawatdaruratan, terdapat perbedaan dalam pelayanan tindakan elektif,  yang menimbulkan problema etika dan hukum.  Pembatasan pelayanan sebagaimana di atur dalam Pedoman Pencegahan dan Pengedalian Covid 19,  mengurangi hak pasien untuk mendapatkan pelayanan kesehatan sesuai  standar kedokteran, tidak sesuai dengan   Undang Undang Dasar 1945  pasal 28 H ayat (1) dan Undang Undang nomor 6 tahun 2018 tentang Kekarantinaan Kesehatan Pasal 8. Surat edaran PB PDGI tentang Pedoman Pelayanan Gigi pada Masa Pandemi Covid tidak mempunyai kekuatan hukum, kewenangan penetapan  pedoman pelayanan kedokteran pada menteri kesehatan, dan surat edaran tidak termasuk hirarki   perundang-undangan yang diatur dalam Pasal 7  dan Pasal 8 UU no 12 tahun 2011 tentang Pebentukan Peraturan Perundang-undangan.  Pelayanan kedokteran gigi di masa pandemi dipengaruhi faktor normatif, sosiologis dan teknis.   Perlu kerjasama antar lembaga negara, pemerintah daerah dan organisasi profesi agar pengaturan yang disusun  menjawab permasalahan.
Regulation of Medical Waste Management Based on Green Legislation in the Era of Omnibus Law Eko Nurmardiansyah; Endang Wahyati Y.
Soepra Jurnal Hukum Kesehatan Vol 8, No 1: Juni 2022
Publisher : Universitas Katolik Soegijapranata Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24167/shk.v8i1.5071

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Abstracts: Medical waste management must be based on laws and regulations related to environmental protection and management, of course, as well as laws and regulations in the health sector because medical waste is leftover from the business and / or activities of health service facilities. The management of medical waste as part of the protection and management of the environment must certainly be in accordance with the direction of legal policies set by the state or government to achieve the goals and objectives of environmental protection and management, so that it can be understood, implemented, and enforced the principles or principles and legal norms in it comprehensively in accordance with the politics of environmental law. The implementation of national development must be pro-environment or protect the environment in accordance with the principles of sustainable development that ensure the survival and maintenance of the carrying capacity of the environment for the lives of the next generations. Keywords: · Medical Waste ·  Green Constitution · Green Legislation · Principle.  Abstrak: Pengelolaan limbah medis wajib mendasarkan pada peraturan perundang-undangan yang terkait dengan PPLH dan tentunya juga peraturan perundang-undangan di bidang kesehatan karena limbah medis merupakan sisa dari usaha dan/atau kegiatan dari Fasyankes. Pengelolaan limbah medis sebagai bagian dari PPLH tentu harus sesuai dengan arah kebijakan hukum yang ditetapkan oleh negara atau pemerintah untuk mencapai tujuan dan sasaran dari PPLH, agar dapat dipahami, dilaksanakan, dan ditegakkannya prinsip-prinsip atau asas-asas dan norma hukum yang ada di dalamnya secara komprehensif sesuai dengan politik hukum lingkungan. Penyelenggaraan pembangunan nasional haruslah bersifat prolingkungan atau melindungi lingkungan hidup sesuai dengan prinsip pembangunan berkelanjutan (sustainable development) yang menjamin kelangsungan hidup dan terpeliharanya daya dukung lingkungan untuk kehidupan generasi-generasi selanjutnya.Kata Kunci: · Limbah Medis · Konstitusi Hijau · Peraturan Perundang-undangan Berbasis Lingkungan · Asas.
Supervision of Drug Circulation and Protection of Health Rights for Consumers Muhammad Ikhsa; Endang Wahyati; Sabda Wahab
Soepra Jurnal Hukum Kesehatan Vol 8, No 1: Juni 2022
Publisher : Universitas Katolik Soegijapranata Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24167/shk.v8i1.4340

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Abstract: Medicine is an essential product for health because it can affect the degree of someone’s health consuming it. Therefore, supervision to medicine distribution is needed as an effort to ensure that the medicine is safe, qualified, and efficacious. This is to provide protection for the consumers’ health rights. This study aimed to find out a description of medicine distribution regulation, implementation of medicine distribution supervision, protection to consumers’ health rights and the factors influncing the implementation of the medicine distribution supervision and the protection to the consumers’ health rights. This study applied a socio-legal approach having a descriptive analytic specification. The research data consists of primary and secondary and the data gathering technique was through field and literature studies. The samples taken were based on non random sampling technique by applying purposive sampling. The data presentation was in the forms of narration, images and tables whereas the data were qualitatively analyzed. The results and discussion showed that the regulation medicine distribution supervision has already existed for in general, specifically and the form of supervision arrangements. Medicine distribution supervision in fulfilling the protection to consumers’ rights had not been optimally carried out although the supervision of the medicine distribution was already based on statutory provisions covering the general and special types of medicine distribution arrangements. This was caused by several factors covering juridical, social, and technical factors. The juridical factor influencing was is the provision of the Minister of Health and BPOM that still allowed Puskesmas (Health Center) not to have a pharmacist as the main beneficiary in the pharmaceutical unit. The social factors were about less understanding on health rights and unappropriate checking of the medicine condition beside to TTK directly submit the medicine to the drug consumer. The technical factors were about the limited number of supervisors at the Semarang City’s Health Office and Semarang’s BB POM beside lack of pharmacists in pharmaceutical facilities.Keywords: supervision, medicine distribution, protection of health rights, consumer
The Role of Health Workers in Combating TB-HIV (Case Study at Panti Wilasa Hospital Dr. Cipto Semarang) Nur Azizah; Resti Nurhayati; Hartanto Hartanto
Soepra Jurnal Hukum Kesehatan Vol 8, No 1: Juni 2022
Publisher : Universitas Katolik Soegijapranata Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24167/shk.v8i1.4313

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Abstract: The incidence of TB-HIV is high and life-threatening, while on the other hand, TB-HIV patients have the right to get financial assistance in health services. Therefore, integrated health services are needed within the framework of the National Health Insurance. Health workers are an important aspect in the various health care approaches to patients with TB-HIV. This study aims to determine and examine the role of Health Workers in TB-HIV control and obstacles that are faced by Health Workers in carrying out their roles at Panti Wilasa Dr. Cipto Semarang Hospital.This research is a qualitative research with a sociological juridical approach. The data collection method used is literature study and field study. Primary data were obtained from interviews with the Semarang City Health Office, health workers and patients at Panti Wilasa Dr. Cipto Semarang Hospital. Secondary data consists of laws and regulations, books and journals.From the results of the research and discussion, it was concluded that the role of the Semarang City Health Office and Health Workers, such as General Practitioners, Specialist Doctors, Nurses, Laboratory and Pharmacy Officers at Panti Wilasa DR. Cipto Semarang hospital in the prevention of TB-HIV has been implemented well, but not optimal. This is influenced by: juridical aspects, sociological aspects, and dynamic aspects. The Problems faced by Health Workers in carrying out their role in TB-HIV control are often finding dishonest patients, patients who do not take medication, negative views of patients towards health workers, psychologically declining patients who tend to close themselves off from their families, Hospital services that are not integrated, lack of supporting hospital facilities, lack of health workers to  track patients' house, patients who have never seen a doctor, patients unable to take the TB-HIV medicine due to their work schedule, and no specific provisions were found that regulate the role of health workers in hospitals that can be used as the basis for legal protection in the implementation of TB-HIV disease control.Keywords: Tuberculosis, HIV, Health Workers, Role, Countermeasure Management
Legal Responsibilities of Independent Practice Midwives in Implementing Reference as an Effort to Save Mothers and Babies in Sukamara Regency, Kalimantan Province Mahalia Mahalia; Marcella Elwina; Hadi sulistiyanto
Soepra Jurnal Hukum Kesehatan Vol 8, No 1: Juni 2022
Publisher : Universitas Katolik Soegijapranata Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24167/shk.v8i1.4329

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Abstract: Midwifery referrals are services provided by midwives in the context of making referrals to a higher service system or vice versa, namely services provided by midwives when receiving referrals from traditional birth attendants who help deliveries, as well as referral services conducted by midwives to other health service places / facilities. horizontally or vertically to other health professions. Proper midwifery services will improve the safety and well-being of mothers and their babies. Referral is made if there are certain conditions such as personnel and equipment in a health facility unable to manage complications that may occur.This research is asociological juridical research with analytical descriptive specifications. The data used in this research is primary data which is mainly obtained from interviews and secondary data obtained from literature studies. The data analysis method used is a qualitative method.From the results of thestudy it can be shown that in general the midwives in Sukamara Regency have understood their responsibilities in making referrals by following the flow and rules that apply in the individual health referral system stipulated in the Minister of Health Regulation Number 001 of 2012 concerning the Individual Health Care Referral System and System Guidelines. National Reference. However, the results of the study also showed that the mortality rate for mothers and babies in Sukamara District was still quite high. This is due to various conditions including delays in referring emergency patients to health facilities, local cultural factors, infrastructure, and difficult geographical conditions. Midwives are health workers, so the reference to the legal responsibility of midwives is referred to mainly from Law Number 36 of 2009 concerning Health, Law Number 4 of 2019 concerning Midwifery. From a legal perspective, the health professionals, including midwives, can be held accountable according to the rules in civil law, criminal law and administrative law. Midwives can also be subject to ethical sanctions based on the professional code of ethics of midwives.The suggestions or recommendations given by the author in relation to the results of the research are for midwives and other health workers so that they can provide health services to patients based on science and are guided by laws and regulations, professional service standards, standard operating procedures and code of ethics related to duties and authority. to maintain the quality of health services and always strive to improve competence by attending trainings.Keywords:    legal responsibility, referral, efforts to save mothers and babies, independent practicing midwives 
Delegation of Authority within Medical Procedures from Doctors to Nurses Based on Health Law (Case Study Number 1167/Pid.B/2010/PN.Sda) Adilla Meytiara Intan; Wahyu Andrianto; Rizky Muthiarani
Soepra Jurnal Hukum Kesehatan Vol 8, No 1: Juni 2022
Publisher : Universitas Katolik Soegijapranata Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24167/shk.v8i1.2742

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Abstract: This paper discusses the delegation of authority in medical actions, which are preventive, diagnostic, therapeutic and rehabilitative actions for patients delegated by doctors or dentists to nurses. This paper aims to identify and describe the arrangements regarding the procedures and requirements for the delegation of authority in medical treatment. In addition, it is also intended to identify the types of legal liability for medical actions that have been delegated. The method used in this study is qualitative with a statutory approach. The discussion is carried out through an analysis of decision number 1167/Pid.B/2010/PN.Sda to identify the responsibility of medical personnel and nursing staff if there is negligence or malpractice against the delegation of authority from medical personnel. Based on the results of the study, it was found that the delegation of authority in medical actions must be comprehensively regulated in the legislation, including in the event of an emergency.Keywords: delegation of authority, medical action, doctors, nurses, health law. Abstrak: Tulisan ini membahas mengenai pelimpahan kewenangan dalam tindakan medis, yakni merupakan tindakan berupa preventif, diagnostik, terapeutik dan rehabilitatif terhadap pasien yang dilimpahkan oleh dokter atau dokter gigi kepada perawat. Tulisan ini bertujuan untuk mengidentifikasi dan mendeskripsikan pengaturan mengenai tata cara dan persyaratan pelimpahan kewenangan dalam tindakan medis. Selain itu juga ditujukan untuk mengidentifikasi jenis-jenis pertanggungjawaban hukum terhadap tindakan medis yang telah dilimpahkan kewenangannya. Metode yang digunakan dalam penelitian ini kualitatif dengan pendekatan peraturan perundang-undangan. Pembahasan dilakukan melalui analisis putusan nomor 1167/Pid.B/2010/PN.Sda untuk mengidentifikasi pertanggungjawaban tenaga medis dan tenaga keperawatan apabila terdapat kelalaian atau malpraktik terhadap pelimpahan kewenangan dari tenaga medis. Berdasarkan hasil penelitian ditemukan bahwa pelimpahan kewenangan dalam tindakan medis harus diatur secara komprehensif di dalam peraturan perundang-undangan, termasuk jika terjadi kondisi emergency.Kata Kunci: pelimpahan kewenangan, tindakan medis, dokter, perawat, hukum kesehatan.
The Role of Bhakti Wira Tamtama Hospital Semarang in Covid-19 Prevention and Control Jarwa Jarwa; Endang Wahyati Yustina; Inge Hartini
Soepra Jurnal Hukum Kesehatan Vol 8, No 1: Juni 2022
Publisher : Universitas Katolik Soegijapranata Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24167/shk.v8i1.4584

Abstract

Abstract: Based on Law Number 44 of 2009 concerning Hospitals, it is stated that the Hospital is a health service institution for the community. Hospital is part of the health care system, has a very strategic role in improving the health status of the community. Complete health services are needed during the Covid-19 pandemic. Hospitals are required to provide services in accordance with the standards of the World Health Organization (WHO). WHO in 2020 declared Covid-19 a global pandemic. Indonesia is also affected by the pandemic. The pandemic y has directly caused major changes in Hospital services. This includes the Bhakti Wira Tamtama Hospital in Semarang, which is an Army Hospital under the Military Command.The purpose of this study was to obtain an overview of the regulation and implementation of the roles and factors that influence the prevention and control of Covid-19. The research method used is qualitative research. Primary data was taken from direct interviews with sources, namely the task force Covid, management and patients and their families. The method of analysis using qualitative data analysis.Research result. The Bhakti Wira Tamtama Hospital has a Covid-19 alert status. Handling began at the start of the pandemic. 112 regular beds and 4 ICU beds were prepared from a total of 187 beds for the isolation of Covid-19 patients and 63 of the 332 health workers were prepared for the handling and prevention of Covid-19. The role of the Bhakti Wira Tamtama Hospital in dealing with the Covid-19 outbreak is in accordance with the Outbreak Law, Health Quarantine Law, Health Law, Hospital Law, Presidential Decree No. 11 of 2020, the Governor of Central Java's Decree, namely to participate in overcoming the outbreak starting from from screening, patient care, education to the return of the bodies of Covid-19 patients. The purpose of setting the role is to carry out Health Quarantine in accordance with the Health Quarantine Act. The mechanism for implementing its role is in accordance with and in line with regulations from the Central and Regional Governments. The hospital team consists of the screening, education, laboratory, nursing, disinfection and corpse recovery teams. The form of the role can be in the form of imperative and facultative roles. The influencing factors when viewed from juridical factors are in accordance with existing laws and regulations, social factors by dismissing the notion of "coviding" patients and technical factors with the limited number of health workers and special isolation rooms.Keywords: Health services, role, prevention, Covid-19, Abstrak: Rumah Sakit merupakan bagian sistem pelayanan kesehatan, memiliki peran sangat strategis dalam meningkatkan derajat kesehatan masyarakat. Pelayanan kesehatan yang paripurna dibutuhkan di saat pandemi Covid-19. Rumah Sakit dituntut untuk memberikan pelayanan sesuai dengan standar Badan Kesehatan Dunia (WHO). WHO pada tahun 2020 menetapkan Covid-19 merupakan pandemi dunia. Pandemi secara langsung menyebabkan perubahan besar layanan Rumah Sakit. Termasuk juga Rumah Sakit Bhakti Wira Tamtama Semarang yang merupakan Rumah Sakit Tentara yang berada dibawah Kodam.Hasil penelitian, Rumah sakit Bhakti Wira Tamtama berstatus siaga Covid-19. Penanganan dimulai sejak awal pandemi. Peran Rumah Sakit Bhakti Wira Tamtama untuk penanggulangan wabah Covid-19 sudah sesuai dengan Undang-Undang Wabah, Undang-Undang Kekarantinaan Kesehatan, Undang-Undang Kesehatan, Undang-Undang Rumah Sakit, Keppres Nomor 11 Tahun 2020, Keputusan Gubernur Jateng yaitu ikut serta dalam penanggulangan wabah mulai dari skrining, perawatan penderita, edukasi sampai dengan pemulasaran jenazah pasien Covid-19. Tujuan pengaturan peran untuk menyelenggarakan kekarantinaan Kesehatan sesuai dengan Undang-Undang Kekarantinaan Kesehatan. Mekanisme pelaksanaan perannya, sesuai dan sejalan dengan peraturan-peraturan dari Pemerintah Pusat maupun daerah. Tim rumah sakit terdiri dari tim skrining, edukasi, laboratorium, keperawatan, desinfeksi dan tim pemulasaran jenazah. Bentuk perannya dapat berupa peran imperative dan fakultatif. Faktor-faktor yang mempengaruhi bila ditinjau dari faktor yuridis sudah sesuai dengan peraturan perundangan yang ada, faktor sosial dengan menepis anggapan untuk meng”covid”kan pasien dan faktor teknis dengan terbatasnya jumlah tenaga kesehatan dan ruangan khusus isolasi.Kata kunci: Pelayanan kesehatan, peran, penanggulangan, Covid-19,
Legal Studies on the Practice of Protecting the Right to Health Adolescent Reproduction in Tuatuka Village Yetrim Inang Sula; Trihoni Nalesti Dewi; Hartanto Hartanto
Soepra Jurnal Hukum Kesehatan Vol 8, No 1: Juni 2022
Publisher : Universitas Katolik Soegijapranata Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24167/shk.v8i1.4648

Abstract

Abstract։ The condition of adolescent reproductive health is very important, the state must provide sources or channels that can be accessed by adolescents in fulfilling their rights to obtain adequate information and reproductive health services so as to avoid misleading information. This study aims to determine the regulation and implementation of the protection of adolescent reproductive health rights in Tuatuka Village. This study uses a sociological juridical approach. Data were obtained through interviews with parties from the Kupang District Health Office, Kupang District Education Office, Kupang District Ministry of Religion Office, Oesao Health Center, Tuatuka Sub-district Health Center, the community, parents and youth in Tuatuka Village. Data were analyzed qualitatively. The implementation of the fulfillment of adolescent reproductive health rights is carried out based on the provisions of regulations at the national level as outlined in the Minister of Health Regulation Number 4 of 2019 concerning Technical Standards for Fulfilling Basic Service Quality in Minimum Service Standards in the Health Sector, there are no regional policies related to adolescent reproductive health in the Kupang Regency area. Protection of adolescent reproductive health rights is more inclined to preventive protection efforts. Preventive efforts are carried out through screening students in schools, namely carrying out UKS, BIAS and TTD activities carried out by health center midwives. In a curative effort, the Kupang District Health Office has not fully made efforts to improve supervision in the implementation of the Adolescent Reproductive Health Service (PKPR) program available at the puskesmas, because the program has not been utilized by adolescents. Keywords: Legal Protection, Youth, Adolescent Reproductive Health Rights Abstrak: Kondisi kesehatan reproduksi remaja sangat penting, negara harus menyediakan sumber atau saluran yang dapat diakses oleh remaja dalam memenuhi haknya memperoleh informasi dan pelayanan kesehatan reproduksi yang memadai sehingga terhindar dari informasi yang menyesatkan. Penelitian ini bertujuan untuk mengetahui pengaturan dan pelaksanaan perlindungan hak kesehatan reproduksi remaja di Kelurahan Tuatuka. Penelitian ini menggunakan pendekatan yuridis sosiologis. Data diperoleh melalui wawancara dengan pihak-pihak dari Dinas Kesehatan Kabupaten Kupang, Dinas Pendidikan Kabupaten Kupang, Kantor kementerian Agama kabupaten Kupang, Puskesmas Oesao, Puskesmas Pembantu Tuatuka, masyarakat, orang tua dan remaja di Kelurahan tuatuka. Data dianalisis secara kualitatif. Pelaksanan pemenuhan hak kesehatan reproduksi remaja dilakukan berdasarkan ketentuan peraturan di tingkat nasional yang terjabarkan dalam Peraturan Menteri Kesehatan Nomor 4 Tahun 2019 tentang Standar Teknis Pemenuhan Mutu Pelayanan Dasar Pada Standar Pelayanan Minimal Bidang Kesehatan, belum ada kebijakan daerah terkait kesehatan reproduksi remaja di wilayah Kabupaten Kupang. Perlindungan hak kesehatan reprduksi remaja lebih cenderung kepada upaya perlindungan preventif. Upaya preventif, dilaksanakan melalui penjaringan siswa-siswi di sekolah yaitu melakukan kegiatan UKS, BIAS dan TTD yang dijalankan oleh bidan puskemas. Dalam upaya kuratif, Dinas Kesehatan Kabupaten Kupang belum sepenuhnya melakukan upaya perbaikan terkait pengawasan dalam pelaksanaan program Pelayanan Kesehatan Reproduksi Remaja (PKPR) yang tersedia di puskesmas, karena program tersebut belum belum dimanfaatkan oleh remaja. Kata kunci: Perlindungan Hukum, Remaja, Hak Kesehatan Reproduksi Remaja