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Ada Pertanyaan? Hubungi Kami The Role of Health Center’s Midwives in School Health Programs for Awareness of Breast Self-Examination of High School Students at Semarang District
Midwifery service is a service that is inseparable from health care system. Breast cancer does not only attack to old ages but also to adolescence. A midwife is one of the health workers having an important and strategic position as an educator that is to provide health education on breast self-examination (Sadari). The objective of this study was to determine the midwife's role in arising awareness of breast self-examination (Sadari) to high school-aged students. This was a socio-legal study having an analytical descriptive specification. It used first data and secondary data; the primary primary data gathering technique was through interviews to respondents and resource persons. The respondents consisted of midwives and female students at Semarang Regency while the resource persons were Heads of Semarang's Health Centers. The results showed that the role of midwives in school health programs could be seen in screening and PKPR programs based on the Act Nr. 36 of 2009 on Health, especially Article 79 paragraph (1) and Health Minester's Regulation (Permenkes) Nr. 75 of 2014 on Health Center (Puskesmas), especially Article 36 paragraph (1). The aim of the screening and PKPR programs was to optimally improve the students' health in order to support the learning process. The midwife's role as an implementer and educator in implementing school health programs had been carried out through both programs. The midwife's role as an educator was to provide education and counseling to the students related to adolescent health. The midwife's role in school programs related to awareness of breast self examination had not been implemented optimally because the counseling focused more on adolescent reproductive health. The supporting factors were the availability of health facilities at the Health Centers such as counseling room and the cooperation between the Health Centers and the schools in relation with the implementation of the school health program through the coordination of the teachers handling UKS (School Health Unit) and with technical guidance and the supervising personnels of the Health Centers. The inhibiting factors, on the other hand, were lack of health resources availability such as health workers, funds, and health care facilities.
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Diunduh 0 kaliHospital Responsibility for Release of Medical Information of to Claim The Insurance in Telogorejo Hospital Semarang
Hospitals are responsible to establish the patients' medical information. However, in reality they should encounter conflicts with the third party who represents the patients to get the medical information, such as the insurance company. This research aims to discover about hospital's responsibility in establishing patients' medical information as a proof to claim the insurance and the problems that should be encountered by the hospital in carrying out the responsibility. This research was conducted in Telogorejo Hospital, Semarang. It implements juridical sociology approach with analytical description. The primary and secondary data were gathered from observation result, interview result, and questionnaires analyzed using the qualitative-descriptive method. The result shows that from legal aspect, Telogorejo Hospital has agreed to give the insurance companies which have partnership-relation the access to the patients' medical information.Whereas for the insurance company which has no partnership-relation with the hospital, the medical information is given after getting the permission from the patients. It is also found out that the patients' right for reimbursement claim has not yet been given at its best because the filling of the patients' medical information has not satisfied the minimum, relevant, and adequate principals, so if it causes some disadvantages to the patients, the hospital is legally responsible following the Law of the Republic of Indonesia Article 46 Act Number 44 Year 2009 about Hospital based on the principle of Vicarius Liability. Nevertheless, there is no claim from the injured party. The criminal responsibility aspect of Telogorejo Hospital has protected the confidentiality of the medical information, so the implementation does not contradict with Article 322 of the Criminal Code of the Republic of Indonesia. From the administrative responsibility, Telogorejo Hospital can be expected to be responsible according to the Law of the Republic of Indonesia Article 29 verse 2 Act Number 44 Year 2009 about hospital because Telogorejo Hospital has not optimally implemented the fulfillment of the patients' right for the medical information. Besides that, the government has not fully monitored and given proper guidance to the hospitals. The other findings are the internal factors which include the incomplete medical records and the external factors, such as the lack of understanding about medical information by the third party, such as the insurance company, and the regulation of medical information release also affect the hospital responsibility.
Dilihat 0 kaliDiunduh 0 kaliImplementation Regulated in the Minister of Health Indonesian Republic Number 856/Menkes/ Sk/Ix /2009 about Hospital Emergency Installation in Bendan Pekalongan City Hospital
Hospitals in Indonesia are part of the health care system. The health services are started from Emergency Installation, which provided emergency service. An emergency is a life-threatening and disabling condition requiring fast, precise, effective and quality action. It can be achieved if the hospital has a service standard in the Emergency Installation. Emergency Installation Standards are set out in the Ministry of Health's Decree on Hospital Emergency Installation Standards. The research problems of this study were how the implementation of Emergency Installation standard and what factors affect the implementation. This study aimed to investigate the implementation of Hospital Emergency Installation Standards. This study is a qualitative study with the juridical sociological approach. The juridical aspect of this study is the regulation of health minister about Hospital Emergency Installation Standards, while the sociological aspect is the implementation of the regulation by the hospital. The legal material sources of the study include primary and secondary law materials. The data were collected through interviews and literature review. The results show that Emergency Installation Standards are regulated in Law number 44 of 2009 on Hospital. Specifically, Emergency Installation Standards have been regulated in the Minister of Health Indonesian Republic Number 856/Menkes/ SK/IX /2009 about Hospital Emergency Installation. On hospital Emergency Installation Standards. However, the reality in the field, the hospital has not implemented the regulation well, resulted in the poor quality of emergency services. Thus the patient's right to get service quality becomes neglected. The supporting factors of the implementation of Emergency Installation Standards were the high motivation of human resources, while the obstacles factors were less strategic of the hospital location, the constraints of medical equipment financing, and the lack of attention from hospital owners.
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