cover
Article Per Year (5 Year)
All
Home Page
OAI Link
Editorial Team
Contact
Reviewer
Google Scholar
Contact Name
Endang Wahyati
Contact Email
endang_wahyati@yahoo.com
Phone
-
Journal Mail Official
soepra@unika.ac.id
Editorial Address
Jl. Pawiyatan Luhur IV/1 Bendan Duwur Semarang, 50234
Location
Kota semarang,
Jawa tengah
INDONESIA
SOEPRA Jurnal Hukum Kesehatan
Published by Universitas Katolik Soegijapranata
ISSN : -     EISSN : 2548818X     DOI : https://doi.org/10.24167/shk
Core Subject : Health, Social,
Health Professions Law, Crime, Criminology & Criminal Justice Social Sciences
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.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 227 Documents
 15   16   17   18   19 
Physician's Legal Responsibilities in Providing Medicines Outside the National Formulary to National Health Insurance Participants Vinandita Nabila Karina; Mokhamad Khoirul Huda; Mohammad Zamroni
SOEPRA Vol 8, No 2: Desember 2022
Publisher : Universitas Katolik Soegijapranata Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24167/shk.v8i2.4773

Abstract

Abstract: Doctors who give drugs outside the national formulary to National Health Insurance (JKN) participants have caused several polemics. Due to complaints from JKN participants, the government issued regulations regarding the preparation of the implementation of the National Formulary in administering the health insurance program. This hierarchy caused the Minister of Health to issue Regulation of the Minister of Health of the Republic of Indonesia Number 54 of 2018 Concerning the Preparation of the Implementation of the National Formulary. The purpose of this study was to analyze the legal ratio of the drug formulary in the National Health Insurance System and to analyze the liability of doctors who provide drugs outside the national formulary to National Health Insurance participants. This type of research uses a statute approach, a conceptual approach and a case approach. The statutory approach (statute approach) and the concept approach (conceptual approach). The legal material analysis method is deductive. The findings show that the legal ratio of drug formularies in the National Health Insurance System is caused by the existence of legal regulations regarding FORNAS due to problems that occur, including incompatibility with FORNAS and the e-catalogue, the FORNAS amendment rules apply retroactively violating the principle of legal certainty, there are no minimum rules of conformity. FORNAS in the Hospital/Region Formulary so that the Ministry of Health issues regulations regarding the preparation of drug lists with the issuance of regulations regarding FORNAS.; 2) The legal responsibility of doctors who give medicines outside the national formulary to National Health Insurance (JKN) participants includes the prescribing error stage regarding all requests for prescriptions based on the responsibility of doctors' ethical norms as well as legal responsibility based on civil, criminal and legal provisions. administration.Keywords: doctor, law, responsibility and JKN Abstrak: Dokter yang memberikan obat di luar formularium nasional pada peserta Jaminan Kesehatan Nasional (JKN) menimbulkan beberapa polemik. Adanya keluhan peserta JKN tersebut maka pemerintah menerbitkan aturan tentang penyusunan penerapan Formularium Nasional dalam penyelenggaraan program jaminan kesehatan. Hirarki tersebut menyebabkan Menteri Kesehatan telah mengeluarkan Peraturan Menteri Kesehatan Republik Indonesia Nomor 54 Tahun 2018 Tentang Penyusunanan Penerapan Formularium Nasional. Tujuan penelitian ini adalah untuk menganalisis rasio legis formularium obat dalam Sistem jaminan Kesehatan Nasional dan untuk menganalisis pertanggungjawaban dokter yang memberikan obat di luar formularium nasional pada peserta Jaminan Kesehatan Nasional. Tipe penelitian ini menggunakan pendekatan perundang-undangan (statute approach), pendekatan konsep (conceptual approach) dan pendekatan kasus (case approach). Pendekatan perundang-undangan (statute approch) dan pendekatan konsep (conceptual approach). Metode analisis bahan hukum adalah metode deduktif. Hasil temuan menunjukkan rasio legis formularium obat dalam Sistem Jaminan Kesehatan Nasional disebabkan dari adanya regulasi hukum tentang fornas disebabkan adanya permasalahan-permasalahan yang terjadi antara lain ketidaksesuaian FORNAS dan e-catalogue, aturan perubahan FORNAS berlaku surut melanggar asas kepastian hukum, belum ada aturan minimal kesesuaian FORNAS pada Formularium RS/Daerah sehingga Kementrian Kesehatan menerbitkan peraturan tentang penyusunan daftar obat dengan dikeluarkannya peraturan tentang FORNAS.; 2) Tanggung jawab hukum dokter yang memberikan obat di luar formularium nasional pada peserta Jaminan Kesehatan Nasional (JKN) meliputi tahap Prescribing error menyangkut segala permintaan dalam resep didasarkan tanggung jawab norma etik dokter serta tanggung jawab hukum yang didasarkan pada ketentuan hukum perdata, pidana, dan administrasi. Kata kunci: dokter, hukum, tanggung jawab dan JKN
Duties and Responsibilities of Midwife Practices in Hazardous and Toxic Waste Management (Case Study Of Lahat Regency) Shinta Elvira; Eko Nurmadiansyah; Suwandi Sawandi
SOEPRA Vol 8, No 2: Desember 2022
Publisher : Universitas Katolik Soegijapranata Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24167/shk.v8i2.4952

Abstract

Abstract: Hazardous and toxic waste or what is often called medical waste is waste generated from medical services. The resulting medical waste can endanger public health and have a negative impact on the quality of the environment around hospitals or clinics which can disrupt and cause health problems for people who live in the surrounding environment. One of the places that produce medical waste is the midwife's independent practice. As one independent practice medical waste generators, midwives have an obligation to manage medical waste. This research is a sociological juridical research with analytical descriptive specifications.The data used in this study are 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 the study, it can be seen that in general the independent practice of midwives in Lahat District has managed medical waste by storing and submitting medical waste to medical waste processors. However, from the results of the research, it was found that the management carried out by midwives' independent practice was not in accordance with the Regulation of the Minister of Environment and Forestry Number 56 of 2015 concerning Procedures and Technical Requirements for the Management of Hazardous and Toxic Waste. The absence of medical waste storage and cold storage is one of the obstacles to medical waste management in midwives' independent practice in the Lahat District. The need for regular guidance and supervision on the management of medical waste for health workers to smooth the management of medical waste in Lahat Regency.Keywords:   duties, responsibilities, hazardous and toxic waste, medical waste, midwife's independent practice. Abstrak: Limbah bahan berbahaya dan beracun atau yang sering disebut limbah medis adalah limbah yang dihasilkan dari pelayanan medis. Limbah medis yang dihasilkan dapat membahayakan kesehatan masyarakat dan memilik dampak negatif terhadap mutu lingkungan sekitar rumah sakit atau klinik yang dapat menggangu dan menimbulkan masalah kesehatan bagi masyarakat yang tinggal di lingkungan sekitar. Salah satu tempat penghasil limbah medis adalah praktik mandiri bidan. Sebagai salah satu tempat penghasil limbah medis praktik mandiri bidan memiliki kewajiban dalam melakukan pengelolaan limbah medis. Penelitian ini merupakan penelitian yuridis sosiologis dengan spesifikasi deskriptif analitis.Data yang digunakan dalam penelitian adalah data primer yang terutama diperoleh dari hasil wawancara dan data sekunder yang diperoleh dari studi literatur. Metode analisis data yang digunakan adalah metode kualitatif.Dari hasil penelitian dapat diketahui bahwa secara umum praktik mandiri bidan di Kabupaten Lahat telah melakukan pengelolaan limbah medis dengan melukan penyimpanan dan menyerahkan limbah medis ke pengolah limbah medis. namun dari hasil penelitian diketahui bahwa pengelolaan yang dilakukan praktik mandiri bidan belum sesuai dengan Peraturan Menteri Lingkungan Hidup dan Kehutanan Nomor 56 Tahun 2015 tentang Tata Cara dan Persyaratan Teknis Pengelolaan Limbah Bahan Berbahaya dan Beracun. Tidak adanya tempat penyimpanan limbah medis dan cold storage menjadi salah satu hambatan pengelolaan limbah medis di praktik mandiri bidan di Kabupaten Lahat. Perlunya pembinaan dan pengawasan yang rutin tentang pengelolaan limbah medis kepada tenaga kesehatan guna kelancaran pengelolaan limbah medis di Kabupaten Lahat.Kata kunci:  tugas, tanggungjawab,  limbah medis, praktik mandiri bidan.
The Principle of Equity in the Implementation of the National Health Insurance Program at Mission Lebak Hospital Through Quality Control and Cost Control Denny Hardianto; Endang Wahyati Yustina; Daniel Budi Wibowo
SOEPRA Vol 8, No 2: Desember 2022
Publisher : Universitas Katolik Soegijapranata Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24167/shk.v8i2.4962

Abstract

Abstract: The National Health Insurance Program is a provision of Law No. 40 of 2004 About the National Social Security System; in its implementation, various principles have been developed as the philosophical foundations that implementing parties must adhere to. In addition to the social insurance principle, the equity principle is used as a guiding principle while providing services to National Health Insurance participants. In practice, however, this equity idea has not been fully and uniformly grasped by all parties. In the meantime, the National Health Insurance members must utilize quality control and cost-control instruments in the delivery of health services. In truth, the Health Social Security Agency of Indonesia and the Misi Lebak Hospital are unable to maintain low costs.This study aims to establish the equity principle in the implementation of the National Health Insurance program, as well as the procedures for quality control and cost-control instruments in the National Health Insurance program, and how hospitals are administered. The Misi Lebak Hospital's objective is to implement equality principles in the National Health Insurance program by controlling quality and costs. This research method employs a sociologically-based legal strategy with descriptive parameters. In this study, the combination approach was used for data analysis. The research was done in Lebak Regency, which is where Misi Lebak Hospital is located. It is a Class C hospital that is also an Advanced Level Referral Health Facility. According to the research conducted, the Misi Lebak Hospital achieved the equity principle in implementing the National Health Insurance program through quality control and cost-control management. Medical services or medical benefits offered to National Health Insurance participants do not vary based on their membership rights, which only change the supply of non-medical advantages. The results demonstrated that the meaning of the equity principle shifted from general to specific. Thus, the systems for quality control and cost-control instruments at the Misi Lebak Hospital utilize the same principle. The contract between the Health Social Security Agency of Indonesia and the Advanced Level Referral Health Facility specifies that hospitals must adhere to the quality and cost indicators outlined in the agreement. Each organizer should apply synergy in carrying out their tasks and responsibilities and provide the appropriate supervision to achieve the National Health Insurance program's objectives.Keyword: equity principle, quality control, cost controlAbstrak: Program JKN merupakan amanah dari UU No 40 Tahun 2004 tentang Sistem Jaminan Sosial Nasional (SJSN), dalam pelaksanaannya telah ditetapkan beberapa asas dan prinsip yang menjadi landasan filosofi yang harus dipatuhi oleh pihak-pihak pelaksana. Prinsip ekuitas menjadi salah satu prinsip penting disamping prinsip asuransi sosial yang dijadikan pedoman dalam pelayanan pada peserta JKN. Namun dalam pelaksanaannya, prinsip ekuitas ini belum sepenuhnya dipahami secara seragam oleh semua pihak. Sementara itu dalam penyelenggaraan layanan kesehatan pada peserta JKN perlu menggunakan instrumen kendali mutu dan kendali biaya. Dalam kenyataannya kendali biaya di pihak BPJSK dan RS Misi Lebak kurang berjalan baik.Tujuan dari penelitian ini adalah: mengidentifikasi prinsip ekuitas dalam pelaksanaan program JKN, mengetahui pengaturan tentang kendali mutu dan kendali biaya dalam program JKN, dan mengidentifikasi cara RS. Misi Lebak dalam melaksanakan prinsip ekuitas dalam program JKN melalui kendali mutu dan kendali biaya. Metode penelitian ini menggunakan pendekatan yuridis sosiologis dengan spesifikasi deskriptif. Mix methode diaplikasikan dalam penelitian ini untuk analisis datanya. Lokasi dan subyek penelitian berada di RS Misi Lebak, suatu rumah sakit Kelas C sebagai FKRTL yang memberikan layanan program JKN di Kabupaten Lebak.Dari penelitian yang dilakukan, didapatkan hasil bahwa RS Misi Lebak telah memenuhi prinsip ekuitas dalam pelaksanaan program JKN melalui kendali mutu dan kendali biaya. Pelayanan medis atau manfaat medis yang diberikan kepada peserta JKN tidak dibeda-bedakan berdasarkan hak kepesertaannya, yang berbeda hanya pada pemberian manfaat non medis. Hasil penelitian menunjukkan bahwa prinsip ekuitas mengalami pergeseran makna yaitu secara umum dan secara khusus. Sehingga pengaturan kendali mutu dan kendali biaya di RS Misi Lebak juga berlaku hal yang sama. Pengaturan secara khusus mewajibkan rumah sakit untuk mematuhi indikator mutu dan biaya yang telah ditetapkan dalam kontrak antara BPJSK dengan FKRTL. Setiap pihak penyelenggara hendaknya bersinergi dalam melakukan tanggungjawab dan kewajiban serta melaksanakan pengawasan yang diperlukan agar tujuan program JKN ini dapat tercapai.Kata kunci: prinsip ekuitas, kendali mutu, kendali biaya
Competence for Male Circumcision by Health Workers According to Health Law Asmin Sahari
SOEPRA Vol 8, No 2: Desember 2022
Publisher : Universitas Katolik Soegijapranata Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24167/shk.v8i2.4976

Abstract

Abstract: Indonesia is a state of law, where almost all provisions must be contained in the legislation. In the health aspect, it is also inseparable from the legal aspect, one of which is circumcision. Circumcision is a medical and invasive procedure whose implementation and evaluation are monitored by experts and professionals. In this study, I raised several matters of health law in it, namely, Do All Health Workers Have the Competence to Perform Circumcision Actions according to health law? The purpose of this study was to determine the juridical aspects of the circumcision of boys by doctors at the service as well as liability in the event of a home or even death. This research method is normative juridical. This article describes various problems related to circumcision as well as legal aspects related to male circumcision. Based on the results of a literature study, the authority for circumcision in boys is only with doctors, this is evidenced by the 2012 Indonesian Doctor Competency Standards which become competency level 4A, namely, doctors can carry out circumcision actions independently. The authority for circumcision can be delegated from doctor to nurse through a mandate, provided that the recipient of the mandate is a competent person in the field of circumcision, so there needs to be an institution that issues circumcision competencies for the nurse so that doctors can only delegate authority to competent nurses.Keywords: Competence, Circumcision, Health Law Abstrak: Indonesia sebagai Negara hukum, dimana hukum semua ketentuan  harus termaktum dalam perundang-undangan. Dalam aspek kesehatan juga tidak lepas dari aspek hukum, salah satunya adalah tindakan sirkumsisi.  Tindakan sirkumsisi adalah tindakan medis dan bersifat invasif yang pelaksanaan dan evaluasi dipantau oleh tenaga ahli dan professional. Pada penelitian ini saya mengangkat beberapa isu hukum kesehatan didalamnya, yaitu  Apakah Semua Tenaga Kesehetan Memiliki Kompetensi Melakukan Tindakan Sirkumsisi Menurut hukum kesehatan?Bagaimana Kewenangan Tenaga Kesehatan Dalam Tindakan Sirkumsisi Di Layanan kunjungan rumat ? tujuan penelitian ini adalah mengetahui aspek yuridis pada tindakan sirkumsisi anak laki-laki oleh dokter di layanan rumah serta pertanggungjawaban dokter apabila terjadi kecacatan atau bahkan kematian. Metode penelitian ini adalah yuridis normatif.  Artikel ini menjelaskan berbagai permasalahan berkaitan dengan tindakan sirkumsisi serta aspek hukum yang berkaitan dengan layanan sirkumsisi laki-laki. Berdasarkan hasil studi kepustakaan, Kewenangan tindakan sirkumsisi pada anak laki-laki  hanya ada pada dokter, ini dibuktikan dengan Standar Kompetensi Dokter Indonesia tahun 2012 yang menjadi komptensi tingkat 4A yaitu dokter mampu melaksanan tindakan sirkumsisi secara mandiri. Kewenangan tindakan sirkumsisi dapat dilakukan pelimpahan dari dokter kepada perawat melalui delegasi, dengan syarat penerima delegasi adalah orang kompeten di bidang sirkumsisi, sehingga perlunya ada lembaga mengeluarkan sertifikat kompetensi sirkumsisi untuk perawat sehingga dokter hanya dapat melimpahkan kewenangan kepada perawat yang berkompeten.Kata Kunci : Kompetensi, Sirkumsisi, Hukum Kesehatan
Application of the Principle of Justice for the Health Social Security Administering Body in the Implementation of Health Insurance (Analysis Study of the Fulfillment of the Rights of BPJS Health Participants in Tegal Regency) Azda Aulia Fajri; Y. Budi Sarwo
SOEPRA Vol 8, No 2: Desember 2022
Publisher : Universitas Katolik Soegijapranata Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24167/shk.v8i2.4958

Abstract

Abstract: The Health Social Security Administering is a public institution mandated by the President as the organizer of Social Security, including the health sector. In practice, The Health Social Security Administering carries out its duties by referring to the principles regulated in Law Number 36 of 2009 concerning Health. The principle of justice is important so that every community can obtain health services as a whole without discrimination. Remembering the fifth precept of Pancasila as the basis of the state to regulate social justice for all Indonesian people. So that discrimination in health services must be eliminated. The purpose of this study was to examine and analyze the application of The Social Security Administering principle of justice to the fulfilment of participants' rights in health insurance, its efforts and obstacles in Tegal Regency. The research method used in this research is sociological juridical, namely research that examines empirical or real conditions in society regarding the application of the law, especially health law, organized by The Health Social Security Administering.The results of this study are the application of the Health Social Security Administering principle of justice to the fulfilment of the rights of participants in health insurance in Tegal Regency shows that it is still not optimal due to the supply of drugs for certain diseases that cannot be covered by the Health Social Security Administering and inadequate operating facilities in hospitals. Efforts are made to apply the principle of justice in the form of hospital innovation or from the Health Social Security Administering in health services by referring to Law Number 36 of 2009 concerning Health. Constraints are faced in the form of inadequate facilities and infrastructure in the operation of the hospital. In addition, the Health Social Security Administering participant patients who suffer from certain diseases and whose medicines are not covered in the INA-CBG's package must purchase at their own expense.Key Word: Principles of Justice, The Health Social Security Administering, Health Insurance. Abstrak: BPJS Kesehatan sebagai lembaga publik yang diamanahkan oleh Presiden sebagai penyelenggara Jaminan Sosial termasuk bidang kesehatan. Secara praktek, BPJS Kesehatan menjalankan tugasnya dengan mengacu pada asas-asas yang diatur dalam Undang-Undang Nomor 36 Tahun 2009 tentang Kesehatan. Asas keadilan sebagai asas penting agar setiap masyarakat memperoleh layanan kesehatan secara utuh tanpa unsur diskriminasi. Mengingat sila kelima dari Pancasila sebagai dasar negara mengatur keadilan sosial bagi seluruh rakyat Indonesia. Sehingga diskriminasi dalam layanan kesehatan harus ditiadakan.Tujuan penelitian ini adalah untuk mengkaji dan menganalisis penerapan asas keadilan BPJS terhadap pemenuhan hak peserta dalam jaminan kesehatan, upaya dan kendalanya di Kabupaten Tegal. Metode penelitian yang digunakan dalam penelitian ini adalah yuridis sosiologis, yaitu penelitian yang mengkaji keadaan empiris atau nyata dalam masyarakat tentang penerapan hukum khususnya hukum kesehatan yang diselenggarakan oleh BPJS Kesehatan.Hasil penelitian ini adalah Penerapan asas keadilan BPJS Kesehatan terhadap pemenuhan hak peserta dalam jaminan kesehatan di Kabupaten Tegal menunjukkan masih belum maksimal. Penyelenggaraan jaminan kesehatan secara totalitas bagi peserta Jaminan Kesehatan Nasional dengan tipekal peserta PBI maupun Non-PBI dengan peserta non JKN secara umum telah diperlakukan adil dan merata. Akan tetapi untuk peserta JKN ada pembatasan biaya plafon pada tindakan tertentu,  kendala sarana, dan obat-obatan non formularium, mengakibatkan peserta JKN tidak bisa memperoleh pelayanan pengobatan yang maksimal. Upaya yang dilakukan dalam menerapkan asas keadilan berupa inovasi rumah sakit ataupun dari BPJS Kesehatan dalam layanan kesehatan dengan mengacu pada Undang-Undang Nomor 36 Tahun 2009 tentang Kesehatan.Kata Kunci: Asas Keadilan, BPJS Kesehatan, Jaminan Kesehatan
Juridical Review of Midwife Practices and Authorities in Providing Midwifery Services Based on Presidential Regulation No. 82 of 2018 concerning Health Insurance Nur Hidayah; Samuri Samuri
SOEPRA Vol 8, No 2: Desember 2022
Publisher : Universitas Katolik Soegijapranata Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24167/shk.v8i2.5156

Abstract

Abstract: Midwives are health workers who have an important and strategic position, especially in reducing the Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR), as well as playing a role in the national health system, namely BPJS. The hope is that if Independent Practicing Midwives can directly network with BPJS it will maximize Midwifery services to people who have BPJS cards, especially for mothers who are going to give birth, pregnancy checks at health services in village midwives who are in their respective villages. This study aims to review the practice and authority of midwives in providing midwifery services based on Presidential Decree No. 82 of 2018 concerning health insurance. using a statutory approach, namely examining all laws and regulations related to the issues to be discussed. Hierarchically, the laws and regulations related to midwifery practice as regulated in Presidential Decree No. 82 of 2018 concerning health insurance are not by the above laws and regulations, namely Law No. 4 of 2019 regarding the regulation of independent midwife practice which must network with health facilities that have support, while from the laws and regulations of the Midwifery Law that Midwife Practices are given the authority to practice independently.Keywords: juridical review, midwife practice, bpjs Abstrak: Bidan merupakan salah satu tenaga kesehatan yang memiliki posisi penting dan strategis terutama penurunan Angka Kematian Ibu (AKI) dan angka kesakitan dan kematian Bayi (AKB), serta ikut berperan dalam system kesehatan nasional yaitu BPJS. Harapannya apabila Bidan Praktek Mandiri langsung bisa jejaring dengan BPJS akan lebih  memaksimalkan pelayanan Kebidanan kepada masyarakat yang mempunyai kartu BPJS khususnya untuk ibu yang akan melakukan persalinan, pemeriksaan kehamilan dipelayanan kesehatan di bidan desa yang berada di desa mereka masing - masing.  Penelitian ini bertujuan untuk mengetahui tinjauan praktik dan kewenangan bidan dalam pemberian pelayanan kebidanan berdasarkan perpres no 82 tahun 2018 tentang jaminan kesehatan. menggunakan pendekatan perundang‐undangan(statute approach), yaitu menelaah semua peraturan perundang undangan yang terkait denganpermasalahan yang akan dibahas. Secara hirarki peraturan perundang – undangan terkait praktik kebidanan yang diatur dalam Perpres No 82 Tahun 2018 tentang jaminan Kesehatan  tidak sesuai dengan peraturan perundangan diatasnya yaitu Undang – Undang No 4 Tahun 2019 terkait pengaturan Praktik Bidan Mandiri yang harus jejaring dengan fasilitas Kesehatan yang memiliki penunjang, sedangkan dari peraturan perundangan Undang – Undang Kebidanan bahwa Praktik Bidan diberikan kewenangan untuk Praktik Mandiri.Kata Kunci: tinjauan yuridis, praktik bidan, bpjs
Implementation of Drug Management Policies at One of The Community Health Centers in Brebes Regency Hanari Fajarini
SOEPRA Vol 8, No 2: Desember 2022
Publisher : Universitas Katolik Soegijapranata Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24167/shk.v8i2.5054

Abstract

Abstract: The drug management policy at the Community Health Center is one of the important aspects because will have an impact on the operational costs. Drugs are materials of places for budget leakage, and while the availability of drugs at any time is a demand for health services, efficient management will determine success overall. The purpose of drug management is the availability of drugs whenever needed both in terms of type, quantity and quality efficiently, thus drug management can be used as a process of mobilizing and empowering all available/potential resources to be utilized to realize the availability of drugs at any time needed for effective and efficient operations.This type of research uses a qualitative approach. The research was conducted in Brebes Regency which lasted for 3 (three) months, from March to May 2021. The selection of informants was carried out using the Purposive Sampling technique. The key informants in this study were the pharmacist in charge of the Pharmacy Room, pharmaceutical technical personnel and the person in charge of the Drug Warehouse. The data validation method uses triangulation techniques. In this study, the triangulation method used is source triangulation.The results show that the Health Center in carrying out drug needs planning is carried out 4 (four) times a year by taking drugs every 3 (three) months or quarterly based on the consumption method and the morbidity method. Drug procurement is carried out every 3 (three) months by submitting an LPLO to the District Health Office and District Pharmacy Warehouse. For distribution to service units and service sub-units, each of them goes to the Health Center Warehouse every month. This is following the Decree of the Minister of Health of the Republic of Indonesia Number 1426/Menkes/SK/XI/2002 where the procurement process for the Health Center is carried out at least once every 3 (three) months. The use of drugs at the Health Center is carried out with a series of activities in the form of understanding the contents of the prescription, and packaging the drug which has written information about the rules for using the drug. Information regarding the use of drugs is also provided by officers at the time of handing over drugs to patients so that the possibility of irrational use of drugs can be avoided. The elimination of drugs at the Health Center is by existing procedures, namely the elimination of damaged/expired drugs is carried out by sending an official report on damaged/expired drugs to the District Health Office through the District Pharmacy Warehouse for follow-up, but sometimes the Health Center also destroys drugs by burning/planted by the District Pharmacy Warehouse policy by giving the authority to the Health Center to destroy them.The conclusion of this study is drug management at One of The Community Health Centers in Brebes Regency is implemented based on the Decree of the Minister of Health of the Republic of Indonesia Number 1426/Menkes/SK/XI/2002 about the Management of Public Drugs and Health Supplies; Regulation of Indonesian Health Minister Number 74 of 2016 about Pharmaceutical Service Standards at Health Centers; and Regulation of Indonesian Health Minister Number 26 of 2020 about Amendments to Minister of Health Regulation Number 74 of 2016 about Pharmaceutical Service Standards at Health Centers.Keyword : implementation, policy, drug management, community health centres Abstrak: Kebijakan pengelolaan obat di Puskesmas merupakan salah satu aspek penting dari pelayanan kesehatan di Puskesmas, sebab ketidaktepatan dalam pengadaan dan pengelolaan akan berdampak kurang baik terhadap biaya operasional Puskesmas. Sediaan farmasi merupakan salah satu barang yang berpotensi mengakibatkan kebocoran anggaran, di sisi lain ketersediaan obat setiap saat merupakan tuntutan bagi setiap fasilitas pelayanan kesehatan. Maka dari itu pengelolaan sediaan farmasi yang efesien sangat menentukan keberhasilan secara keseluruhan dari pelayanan kesehatan. Tujuan pengelolaan obat adalah menyediakan obat agar selalu tersedia setiap saat, baik dari segi  jenis, jumlah maupun kualitas obat. Dengan demikian pengelolaan obat dapat digunakan sebagai sebagai proses penggerakan dan pemberdayaan semua sumber daya atau potensi yang dimiliki untuk dimanfaatkan guna mewujudkan ketersediaan obat setiap saat dibutuhkan untuk operasional efektif dan efisien.Jenis penelitian ini menggunakan metode kualitatif. Penelitian dilaksanakan di Kabupaten Brebes yang berlangsung selama 3 (tiga) bulan yaitu pada bulan Maret – Mei 2021. Informan dipilih dengan menggunakan teknik Purposive Sampling. Informan dalam penelitian ini adalah Apoteker Penganggungjawab, Tenaga Teknis Kefarmasian serta Penganggungjawab Gudang Obat Puskesmas. Metode validasi data menggunakan teknik triangulasi.. Pada penelitian kali ini metode triangulasi yang digunakan adalah triangulasi sumber serta triangulasi teori.Hasil menunjukkan bahwa Puskesmas dalam  melaksanakan perencanaan kebutuhan obat dilakukan setiap tahun sebanyak 4 (empat) kali dengan melakukan pengambilan obat pada setiap 3 (tiga) bulan atau triwulan yang berdasarkan metode konsumsi dan metode morbiditas. Pengadaan obat dilakukan setiap 3 (tiga) bulan dengan mengajukan Laporan Pemakaian dan Lembar Permintaan Obat (LPLPO) ke Dinas Kesehatan dan Gudang Farmasi Kabupaten (GFK). Sedangkan untuk pendistribusian ke unit pelayanan  dan sub unit pelayanan  masing-masing mengambil setiap bulannya ke Gudang Obat Puskesmas. Hal ini sesuai dengan Keputusan Menteri Kesehatan RI Nomor 1426/Menkes/SK/XI/2002 dimana proses pengadaan Puskesmas minimal dilakukan setiap 3 (tiga) bulan sekali. Penggunaan  obat di Puskesmas dilakukan dengan serangkaian kegiatan mulai dari pengkajian resep, dispensing, dan Pelayanan Informasi Obat (PIO). Penghapusan obat di Puskesmas sudah sesuai dengan prosedur yang ada yaitu penghapusan obat rusak/kadaluwarsa dilakukan dengan mengirim berita acara obat rusak/kadaluarsa ke Dinas Kesehatan melalui Gudang Farmasi Kabupaten (GFK) untuk ditindaklanjuti. Dalam kondisi tertentu  pihak Puskesmas sendiri yang melakukan pemusnahan obat dengan cara dibakar/ditanam sesuai dari kebijakan GFK dengan memberikan kewenangan terhadap puskesmas untuk memusnahkannya.Kesimpulan dari penelitian ini adalah Pengelolaan obat pada salah satu Puskesmas di Kabupaten Brebes dilaksanakan dengan berdasarkan Keputusan Menteri Kesehatan RI Nomor 1426/Menkes/SK/XI/2002 tentang Pengelolaan Obat Publik dan Perbekalan Kesehatan, Permenkes Nomor 74 Tahun 2016 tenteng Standar Pelayanan Kefarmasian di Puskesmas serta Permenkes Nomor 26 Tahun 2020 tentang Perubahan atas Permenkes Nomor 74 Tahun 2016 tentang Standar Pelayanan Kefarmasian di PuskesmasKata kunci : implementasi. kebijakan, pengelolaan obat, puskesmas
The Role of Informed Consent Against Doctor's Legal Protection in Health Services Kasiman, Kasiman; Azhari, Aidul Fitricia; Rizka, Rizka
Soepra Jurnal Hukum Kesehatan Vol 9, No 1: Juni 2023
Publisher : Universitas Katolik Soegijapranata Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24167/sjhk.v9i1.8715

Abstract

The urgency of Informed Consent is really needed by doctors to be used as a sign of approval for medical action that has the potential for medical disputes or is a legal protection for medical officers who carry out actions. The purpose of this study was to analyze informed consent for the legal protection of doctors in health services. Using a normative juridical method with a statute approach, namely examining all laws and regulations related to the issues to be discussed. The results of the analysis show that absolute informed consent can be a guarantee of a sense of security for both doctors and workers who carry out the health care profession as well as protection for patients so that patients understand the condition of the disease experienced by patients and understand the medical actions that will be carried out so as to avoid malpractice activities.
The Role of the Midwife in Fulfilling the Reproductive Rights of Adolescents at the Dlingo 1 Health Center, Bantul Lestari, Reni Tri; Fitriana, Yuni
Soepra Jurnal Hukum Kesehatan Vol 9, No 1: Juni 2023
Publisher : Universitas Katolik Soegijapranata Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24167/sjhk.v9i1.10028

Abstract

Midwives play an important role in providing adolescent reproductive rights. The role of midwives in reproductive health services is contained in Regulation of the Minister of Health Number 28 of 2017 concerning Permits and Implementation of Midwife Practices. Based on the law of the Republic of Indonesia number 35 of 2014 and the regulation of the Minister of Health number 25 of 2014, teenagers are those aged 10-24 years old and are not married. Based on the biological condition of adolescents, the minimum age for marriage is 21 years for women and 25 years for men. At this age, the reproductive organs have reached maturity and reproductive. Early marriage has the risk of increasing the Maternal Mortality Rate (MMR) and in certain cases causing Low Birth Weight (LBW). Dlingo District in Bantul Regency had the highest early marriage rate. Early marriages in Dlingo are dominated by couples aged 13-14 years. This study aims to identify and analyze the role of midwives in fulfilling adolescent reproductive health rights. This is a sociological juridical research that discusses the juridical and social aspects surrounding certain legal phenomena of empirical juridical. This is an analytical descriptive research that presents observational data without testing hypotheses.The results showed that midwives have not played a maximum role in fulfilling adolescent reproductive rights. It was caused by juridical factors and health worker factors, especially midwives.
Medical Personnel Legal Protection Against Medical Dispute Settlement Efforts Viewed From Criminal Law Sutedja, Ade Armada; Purwoko, A. Joko; Sumarwanto, Edi
Soepra Jurnal Hukum Kesehatan Vol 9, No 1: Juni 2023
Publisher : Universitas Katolik Soegijapranata Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24167/sjhk.v9i1.5288

Abstract

Medical dispute resolution efforts are the implementation of legal protection for medical personnel. A medical worker who is affected by a medical dispute can enter into the realm of civil (court), criminal (police), professional ethics (MKEK), professional discipline (MKDKI) together. Whereas in carrying out the activities of the medical profession, a doctor has the right to personal protection, honor, dignity, and is entitled to a sense of security and protection from the threat of fear to do or not do something which is a human right guaranteed by the Constitution. By using the normative juridical method of this paper, legal protection for medical personnel in the resolution of medical disputes is seen from the current legal certainty. Medical crimes and the protection of medical personnel have been regulated in the Criminal Code, Law No. 29 of 2004 on Medical Practice, Law No. 36 of 2009 on Health and Law No. 44 of 2009 on Hospitals. Settlement of medical criminal disputes can be through litigation and non-litigation, but there is an empty space in the legal protection of medical criminal disputes because there are no laws and regulations that regulate it even though it has been carried out, namely by penal mediation.

Page 17 of 23 | Total Record : 227

 15   16   17   18   19 

Filter by Year

2015 2025


Reset
Filter By Issues
All Issue Vol 11, No 1: Juni 2025 Vol 10, No 2: Desember 2024 Vol 10, No 1: Juni 2024 Vol 9, No 2: Desember 2023, Terakreditasi Nasional Peringkat 3 Vol 9, No 1: Juni 2023 Vol 8, No 2: Desember 2022 Vol 8, No 1: Juni 2022 Vol 7, No 2: Desember 2021 (dalam proses Review) Vol 7, No 2: Desember 2021 Vol 7, No 1: Juni 2021 Vol 6, No 2: Desember 2020 Vol 6, No 1: Juni 2020 Vol 5, No 2: Desember 2019 Vol 5, No 1: Juni 2019 Vol 4, No 2: Desember 2018 Vol 4, No 1: Juni 2018 Vol 3, No 2: Desember 2017 Vol 3, No 1 (2017) Vol 2, No 2 (2016) Vol 2, No 1 (2016) Vol 1, No 1 (2015) More Issue