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Ada Pertanyaan? Hubungi Kami Hospital 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.
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Diunduh 0 kaliProtection of Health Insurance Rights for Children with Disabilities in the City of Semarang: Case Study at Double Disability Orphanage Semarang
Children with disabilities have equal opportunity in obtaining health insurance through the Government's National Health Insurance (Jaminan Kesehatan Nasional) program organized by Badan Penyelenggara Jaminan Sosial (BPJS) Kesehatan. This study aims to find out the protection of the right to health insurance for children with disabilities. The legal status of children with disabilities within the framework of the National Health Insurance as mandated in the 1945 Constitution of the State of the Republic of Indonesia Article 28 (h) paragraph (1) and Article 34 paragraph (2) have not been explicitly stated in the legislation in below it. This research uses sociological juridical approach and qualitative research method. The data used are primary data and secondary data through field study and literature study. The field study was conducted by interviewing the Director of Operations of Soegijapranata Social Foundation, Semarang Archidiose, Head of Al Rifdah Foundation of Semarang City, Representative of Badan Penyelenggara Jaminan Sosial (BPJS) of Semarang City Health, Head of the Double Disability Orphanage Management Bhakti Asih Kota Semarang, and the Chairman of the Double Disability Orphanage Management Al Rifdah Semarang City. The analysis used qualitative methods The results of the study indicate that there is no national regulation on health insurance rights for children with disability explicitly as mandated by the Constitution and Law Number 40 Year 2004 regarding National Social Security System. The obstacles that are experienced are in the case of regulations which regulating health insurance for children with disabilities are not harmonious and not clearly regulate about health insurance rights for children with disabilities. In addition, there are also obstacles in the form of administrative factors, the management of the Double Disability Children's Orphanage has difficulties in applying for children with disability who are cared or hospitalized just because there is no Identity Number and Family Card Number which is the main requirement to register the National Health Insurance program. Children with Disabilities in Al-Rifdah Dual Disability Orphanage have received the contribution of Health Insurance Semarang City, but this has not been obtained by Children with Disabilities in Double Disability Orphanage Management Bhakti Asih.
Dilihat 0 kaliDiunduh 0 kaliPengaturan Tentang Tenaga Kesehatan Dalam Peraturan Perundang-Undangan Dan Azas Kepastian Hukum
UUD NRI 1945 selaku konstitusi hukum tertinggi Indonesia mengamanatkan pemenuhan kebutuhan dasar dan hak sipil setiap warga Negara yang meliputi kebutuhan kesehatan sehingga dibutuhkan undang-undang di bidang kesehatan yang menjamin terpenuhinya kebutuhan warga Negara masyarakat akan jaminan pelayanan kesehatan yang baik. Penelitian ini bertujuan untuk mendeskripsikan pengaturan tenaga kesehatan yang telah diatur dengan undang-undang dan azas kepastian hukum. Penelitian ini menggunakan metode penelitian hukum normatif dengan pendekatan doctrinal legal approach dan statuteapproach dengan desain penelitian kualitatif. Hasil Penelitian meliputi: 1) Ditemukan norma yang tidak konsisten pada UU Nomor 36/2009 pada pasal 21 ayat (2) dan (3). 2) Perbedaan Terminologi tenaga Kesehatan pada UU No. 44/2009, UU No. 29/2004, UU No. 38/2014 dan UU No. 36/2014 menimbulkan perbedaan dalam mengklasifikasi tenaga kesehatan. 3) Perbedaan tingkat Pengaturan Tenaga Kesehatan di Indonesia. Rekomendasi: 1) Mengamandemen UU No. 36/2009 agar lebih menjamin kepastian hukum, karena UU Kesehatan sering menjadi rujukan Perundang-undangan lainnya. 2) DPR, Pemerintah dan Organisasi Profesi masing-masing tenaga kesehatan mengupayakan pengaturan dengan UU tersendiri. 3) Pemerintah segera menerbitkan Peraturan Pelaksanaan UU yang mengatur Tenaga Kesehatan 4) Pelaksana Peraturan perundang-undangan hendaknya menggunakan azas Preferensi dalam menyikapi peraturan perundang-undangan yang mengatur tenaga kesehatan yang bertentangan, tidak jelas dan tidak konsisten. 5) Organisasi Profesi harus Proaktif dalam membela kepentingan anggota dan selalu berkoordinasi dengan pemerintah sesuai dengan Peran dan fungsinya.
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