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INDONESIA
Jurnal Kesehatan (JK)
Published by CV. Adiba Aisha Amira
ISSN : -     EISSN : 29879655     DOI : Zenodo
Core Subject : Health,
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health Veterinary
JK (Jurnal Kesehatan) menerima dan menerbitkan naskah-naskah tentang kesehatan khususnya; Nutrisi Klinis Gizi Masyarakat Nutrisi Kelembagaan Teknologi Pangan Ketahahanan Pangan Fisioterapi Anak Fisioterapi Geriatri Fisioterapi Kardiovaskular dan Paru Fisioterapi Muskuloskeletal Fisioterapi Olahraga Kesehatan Masyarakat Sanitasi Masyarakat Kesehatan Lingkungan Keperawatan Kesehatan Gigi
Arjuna Subject : Ilmu Sosial - Kesehatan (Ilmu Sosial)
Articles 285 Documents
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ROLE OF PREOPERATIVE ENDOVASCULAR EMBOLIZATION PRIOR TO MICROSURGICAL RESECTION IN ADULT UNRUPTURED SPETZLER–MARTIN GRADE II–III INTRACRANIAL ARTERIOVENOUS MALFORMATIONS: A NARRATIVE REVIEW Agung Bagus Sista Satyarsa; Made Gemma Daniswara Maliawan; I Wayan Niryana; I Putu Ananta Wijaya Sabudi
Jurnal Kesehatan Vol. 4 No. 2 (2026): Jurnal Kesehatan (JK)
Publisher : CV. Adiba Aisha Amira

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/zenodo.21717464

Abstract

Unruptured Spetzler–Martin (SM) grade II–III brain arteriovenous malformations (bAVMs) sit at the inflection point of management decisions: they are common enough to be encountered in everyday neurosurgical practice, yet diverse enough that the optimal treatment combination remains contested. Microsurgical resection is the only modality reliably producing immediate and complete obliteration, but adjunctive preoperative endovascular embolization (PE) has become routine in many centers, even though high-level evidence of clinical benefit is lacking. Objective: To synthesize contemporary literature on the indications, techniques, efficacy, and complications of PE prior to microsurgical resection in adult unruptured SM grade II–III bAVMs, with particular attention to the heterogeneity within the SM grade III category and to embolic-agent–related considerations. Findings: PE reliably reduces nidal blood flow and intraoperative blood loss but has not been shown in pooled analyses to improve obliteration rates or functional outcomes in unselected low- to intermediate-grade lesions. In SM grade II AVMs, surgery alone produces excellent results in most series and PE is generally unnecessary except for targeted vascular features. In SM grade III AVMs—a heterogeneous category better stratified by Lawton’s modification and by the Lawton–Young supplementary score—PE appears most useful for large lesions, deep perforator supply, and surgically inaccessible feeders. Onyx and other ethylene-vinyl alcohol copolymers have largely supplanted N-butyl cyanoacrylate (NBCA) for preoperative use in many centers, although evidence of clinical superiority is mixed. Embolization-related morbidity (transient or permanent neurological deficit in roughly 6–11%, hemorrhagic complication 2–6%) must be weighed against an annual rupture risk in unruptured AVMs that recent MARS data place around 1.4% per year. Conclusion: PE before microsurgery in unruptured SM grade II–III AVMs should be individualized rather than routine. It is most defensible for SM grade III lesions with high-flow, deep, or inaccessible feeders and least defensible for compact SM grade II lesions with superficial feeders. Decisions must be made in experienced multidisciplinary centers, recognizing that the cumulative morbidity of multi-modality treatment can equal or exceed that of well-selected surgery alone.
SANKSI PIDANA DAN GANTI RUGI PERDA DALAM KASUS PENYEBARAN PENYAKIT MENULAR AKIBAT PELANGGARAN PROTOKOL KESEHATAN: STUDI KATASTROPI PANDEMI DAN REGULASI PASCA-COVID-19 Gunawan Widjaja
Jurnal Kesehatan Vol. 4 No. 2 (2026): Jurnal Kesehatan (JK)
Publisher : CV. Adiba Aisha Amira

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/zenodo.21717475

Abstract

This article examines criminal penalties and compensation under Local Regulations (Perda) for cases of the spread of infectious diseases resulting from violations of health protocols, using the COVID-19 pandemic as a case study and post-COVID-19 regulations as a framework for normative evaluation. This study aims to analyze the basis for establishing criminal sanctions in Perda, examine the possibility of awarding damages to victims of transmission, and assess the direction of local regulatory reform following the pandemic. The method used is a literature review employing a descriptive qualitative approach through an examination of legislation, legal literature, and scientific sources relevant to health law, criminal law, and civil liability. The results of the study indicate that criminal sanctions in local regulations serve as a coercive instrument to ensure compliance with health protocols, particularly when violations pose a real threat to public safety; however, their effectiveness is largely determined by the clarity of the norms, the proportionality of the sanctions, and the consistency of enforcement. This study also found that provisions for compensation remain weak in many local regulations, even though victims of transmission may suffer medical, economic, and social losses that require clearer mechanisms for redress. In the post-COVID-19 context, local regulations need to be reformulated so that they not only emphasize punishment but also integrate prevention, compensation, and legal preparedness for future outbreaks.
KEBIJAKAN BPJS KESEHATAN DALAM PENJAMINAN BIAYA KECELAKAAN LALU LINTAS TUNGGAL: ANALISIS HUKUM PERDATA ATAS BATASAN TANGGUNG JAWAB DAN SYARAT LAPORAN POLISI Gunawan Widjaja
Jurnal Kesehatan Vol. 4 No. 2 (2026): Jurnal Kesehatan (JK)
Publisher : CV. Adiba Aisha Amira

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/zenodo.21717505

Abstract

This article analyses BPJS Kesehatan’s policy on the coverage of costs arising from single-vehicle road traffic accidents, focusing on the limits of liability and the requirement for a police report from a civil law perspective. This study is important because, in practice, the coverage of single-vehicle accidents often gives rise to legal and administrative issues, particularly regarding active membership status, accident classification, relationships with other insurers, and the obligation to submit a police report as the basis for claim verification. Normatively, BPJS Kesehatan provides health insurance within the framework of the National Social Security System and the provisions on Health Insurance set out in Presidential Regulation No. 82 of 2018 and its amendments, whilst the practice of accident coverage indicates that victims of single-vehicle road traffic accidents are, in principle, eligible for coverage provided they meet certain conditions, including that the accident is not a work-related accident and that they are not covered under another insurer’s scheme. This study employs a literature review method using a normative legal approach. The results of the analysis indicate that BPJS Kesehatan’s liability in single-vehicle accidents is limited and conditional, rather than absolute, as it depends on the participant’s active status, the type of accident, and the outcome of administrative verification. In this context, the police report plays a crucial role as an initial verification tool for determining the chronology, cause and classification of the accident, whilst also establishing the authorised insurer responsible for covering the costs of healthcare services. From a civil law perspective, the requirement for a police report can be justified as an instrument of administrative evidence and legal certainty; however, its application must be proportionate so as not to become an obstacle to participants’ rights to access healthcare services. This article emphasises that BPJS Kesehatan’s policies must be implemented with a balance between legal certainty, participant protection and administrative efficiency, so that the objectives of social security in the health sector are achieved.
PERLINDUNGAN HUKUM PASIEN DALAM PELAYANAN KESEHATAN DIGITAL: TINJAUAN SISTEMATIS TERHADAP REGULASI TELEMEDISIN DI INDONESIA Gunawan Widjaja
Jurnal Kesehatan Vol. 4 No. 2 (2026): Jurnal Kesehatan (JK)
Publisher : CV. Adiba Aisha Amira

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/zenodo.21717569

Abstract

The development of telemedicine in Indonesia has brought significant transformation to digital healthcare services, yet raises concerns about legal protection for patients. This study aims to analyze patient legal protection in digital healthcare services through a systematic review of telemedicine regulations in Indonesia. The research method employed is a literature review with a normative juridical approach, using primary legal materials (Permenkes No. 20 of 2019, UU No. 17 of 2023, UU No. 27 of 2022), secondary materials (journals, books, articles), and tertiary materials as data sources. The results show that Indonesia's telemedicine regulatory framework has provided a legal basis for protecting patient rights, including the right to accurate information, personal data protection, quality service standards, and the right to claim compensation. However, implementation of these regulations still faces challenges such as regulatory fragmentation that has not been fully harmonized, regulatory gaps for direct-to-patient telemedicine, low compliance of commercial platforms, minimal oversight, and insufficient legal literacy. Legal liability in telemedicine encompasses three forms: civil, criminal, and administrative, with dispute resolution mechanisms through litigation and non-litigation pathways. Regulatory harmonization, development of more detailed technical regulations, strengthened oversight, and improved legal literacy are needed to ensure optimal legal protection for patients in Indonesia's telemedicine ecosystem.
DUALISME TANGGUNG JAWAB HUKUM BPJS KESEHATAN DAN BPJS KETENAGAKERJAAN DALAM KASUS KECELAKAAN KERJA: TINJAUAN HUKUM PIDANA DAN PERDATA ATAS KETIDAKJELASAN PENJAMINAN PELAYANAN KESEHATAN Gunawan Widjaja
Jurnal Kesehatan Vol. 4 No. 2 (2026): Jurnal Kesehatan (JK)
Publisher : CV. Adiba Aisha Amira

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/zenodo.21717539

Abstract

This study analyses the dualism of legal responsibility between BPJS Kesehatan and BPJS Ketenagakerjaan in cases of workplace accidents, focusing on the lack of clarity regarding the provision of healthcare services and its implications from the perspectives of criminal and civil law. This issue arises because, in theory, workplace accidents are covered by the Workplace Accident Insurance scheme administered by BPJS Ketenagakerjaan; however, in the practice of healthcare provision, situations frequently arise where the status of a workplace accident is still merely a presumption, meaning that initial coverage may involve BPJS Kesehatan. This study employs a normative legal methodology using a legislative approach, a conceptual approach, and a literature review of relevant legislation, legal doctrine, academic articles, and institutional sources. The findings indicate that this lack of clarity regarding coverage not only gives rise to administrative issues but also has the potential to hinder patients’ access to prompt and appropriate medical care, whilst also giving rise to legal liability for hospitals, insurers and, in certain circumstances, employers. In the civil sphere, such ambiguity may constitute grounds for a claim for tort if it results in material or non-material loss to the patient. In the criminal sphere, liability may arise where gross negligence leads to serious injury or death due to a delay in healthcare provision. This study emphasises that the dualism in legal liability stems from a lack of synchronisation between the norms and procedures of different social security providers. Therefore, regulatory harmonisation, the integration of social security systems, and certainty regarding case-handling mechanisms from the earliest stages of service provision are required to ensure that workers’ rights to health and occupational safety protection are effectively guaranteed.

Page 29 of 29 | Total Record : 285

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