scholarly journals Hubungan Hukum Antara Dokter dan Pasien dalam Pemberian Jasa Kesehatan

2021 ◽  
Vol 8 (5) ◽  
pp. 1273-1288
Author(s):  
Iman Imanuddin ◽  
RR Dewi Anggraeni ◽  
Maulin Nasikah
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Insurance ◽  
Medical Practice ◽  
Qualitative Method ◽  
Community Services ◽  
Health Improvement ◽  
Legal Relationship ◽  
To Receive ◽  
Provide Health Insurance

The health care system in Indonesia includes medical services and community services. In general, public health is a service substance that aims to achieve preventive (prevention) and promotive (health improvement) services. In addition, the target is for the community to receive curative (treatment) and rehabilitative (recovery) services. The legal relationship between doctors and patients has been regulated in Hospital Law Number 29 of 2004 concerning Medical Practice and Law Number 44 of 2009 concerning Hospitals. This study uses a qualitative method with a literature approach. The results of the study stated that the need for supervision from the hospital to the doctors to provide health insurance according to the procedure should be as regulated in the Act.Keywords: Legal Relations; Doctor; Patient Abstrak:Sistem pelayanan kesehatan di Indonesia mencakup pelayanan kedokteran dan pelayanan masyarakat. Secara umum kesehatan masyarakat merupakan subtansi pelayanan yang bertujuan untuk mencapai pelayanan prefentif (pencegahan) dan promotive (peningkatan kesehatan). Selain sasarannya agar masyarakat mendapat pelayanan kuratif (pengobatan) dan rehabilitasif (pemulihan). Hubungan Hukum antara Dokter dan Pasien telah diatur dalam Undang-Undang Rumah Sakit Nomor 29 Tahun 2004 Tentang Praktek Kedokteran dan Undang-Undang Nomor 44 Tahun 2009 Tentang Rumah Sakit. Penelitian ini menggunakan metode kualitatif dengan pendekatan literature. Hasil penelitian menyatakan bahwa perlunya pengawasan dari pihak Rumah Sakit terhadap para dokter untum memberikan jaminan kesehatan sesuai prosedur seharunya sebagaimana yang diatur dalam Undang-Undang.Kata Kunci: Hubungan Hukum; Dokter; Pasien

scholarly journals Household preferences and willingness to pay for health insurance in Kampala City: a discrete choice experiment

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Edward Kalyango ◽  
Rornald Muhumuza Kananura ◽  
Elizabeth Ekirapa Kiracho
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Insurance ◽  
Willingness To Pay ◽  
Health Care Providers ◽  
Public Health Care ◽  
Care Providers ◽  
Potential Health ◽  
Kampala City ◽  
Household Preferences

Abstract Introduction Uganda is in discussions to introduce a national health insurance scheme. However, there is a paucity of information on household preferences and willingness to pay for health insurance attributes that may guide the design of an acceptable health insurance scheme. Our study sought to assess household preferences and willingness to pay for health insurance in Kampala city using a discrete choice experiment. Methods This study was conducted from 16th February 2020 to 10th April 2020 on 240 households in the Kawempe division of Kampala city stratified into slum and non-slum communities in order to get a representative sample of the area. We purposively selected the communities that represented slum and non-slum communities and thereafter applied systematic sampling in the selection of the households that participated in the study from each of the communities. Four household and policy-relevant attributes were used in the experimental design of the study. Each respondent attended to 9 binary choice sets of health insurance plans that included one fixed choice set. Data were analyzed using mixed logit models. Results Households in both the non-slum and slum communities had a high preference for health insurance plans that included both private and public health care providers as compared to plans that included public health care providers only (non-slum coefficient β = 0.81, P < 0.05; slum β = 0.87, p < 0.05) and; health insurance plans that covered extended family members as compared to plans that had limitations on the number of family members allowed (non-slum β = 0.44, P < 0.05; slum β = 0.36, p < 0.05). Households in non-slum communities, in particular, had a high preference for health insurance plans that covered chronic illnesses and major surgeries to other plans (0.97 β, P < 0.05). Our findings suggest that location of the household influences willingness to pay with households from non-slum communities willing to pay more for the preferred attributes. Conclusion Potential health insurance schemes should consider including both private and public health care providers and allow more household members to be enrolled in both slum and non-slum communities. However, the inclusion of more HH members should be weighed against the possible depletion of resources and other attributes. Potential health insurance schemes should also prioritize coverage for chronic illnesses and major surgeries in non-slum communities, in particular, to make the scheme attractive and acceptable for these communities.

BPJS Kesehatan Memberikan Jaminan Kesehatan Terhadap Pasien Atau Masyarakat

2021 ◽  
Vol 7 (2) ◽  
pp. 146-154
Author(s):  
Aidha Puteri Mustikasari
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Health Services ◽  
Social Security ◽  
The State ◽  
Universal Health Care ◽  
Universal Health Insurance ◽  
Universal Health ◽  
Provide Health Insurance

Abstrak. Kepesertaan BPJS Kesehatan pada tahun 2020 tidak akan mencakup 90% penduduk Indonesia, namun rencana Universal Health Care Implementation (UHC) telah direncanakan sejak tahun sebelumnya. Di masa pandemi Covid, sejumlah besar status kepesertaan BPJS Kesehatan  dicabut karena terlambat, padahal masyarakat membutuhkan layanan kesehatan dan asuransi dengan kondisi yang ada. Kajian ini bersifat norma deskriptif , dibahas dalam konteks kepesertaan BPJS kesehatan, dan cukup  menggunakan prinsip asuransi dengan hanya memberikan jaminan kepada peserta, tetapi negara mengikuti kewajiban UUD 1945 yaitu memberikan jaminan kesehatan dan pelayanan kepada warga negara. Untuk mendukung keberadaan jaminan kesehatan universal, Indonesia perlu menerapkan formulir kepesertaan dan  sanksi untuk ketentuan wajib  peserta jaminan sosial yang efektif dan efisien. Abstract. BPJS Health membership in 2020 will not cover 90% of Indonesia's population, but the Universal Health Care Implementation (UHC) plan has been planned since the previous year. During the Covid pandemic, a large number of BPJS Health membership statuses were revoked because they were late, even though people needed health services and insurance with the existing conditions. This study is descriptive in nature, discussed in the context of BPJS health participation, and it is sufficient to use the insurance principle by only providing guarantees to participants, but the state follows the obligations of the 1945 Constitution, namely to provide health insurance and services to citizens. To support the existence of universal health insurance, Indonesia needs to implement an effective and efficient membership form and sanctions for mandatory provisions for social security participants.

scholarly journals Authoritarian Regime Legitimacy and Health Care Provision: Survey Evidence from Contemporary China

2021 ◽  
Author(s):  
Jane Duckett ◽  
Neil Munro
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Insurance ◽  
Central Government ◽  
Authoritarian Regimes ◽  
Public Health Insurance ◽  
System Support ◽  
Health Care Provision ◽  
Care Provision ◽  
Regime Legitimacy

Abstract Context: Over the last two decades a growing body of research has shown authoritarian regimes trying to increase their legitimacy by providing public goods. But there has so far been very little research on whether or not these regimes are successful. Methods: This article analyzes data from a 2012–2013 nationally representative survey in China to examine whether health care provision bolsters the communist regime’s legitimacy. Using multivariate ordinal logistic regression, we test whether having public health insurance and being satisfied with the health care system are associated with separate measures of the People’s Republic of China’s regime legitimacy: support for “our form of government” (which we call “system support”) and political trust. Findings: Having public health insurance is positively associated with trust in the Chinese central government. Health care system satisfaction is positively associated with system support and trust in local government. Conclusions: Health care provision may bolster the legitimacy of authoritarian regimes, with the clearest evidence showing that concrete benefits may translate into trust in the central government. Further research is needed to understand the relationship between trends in provision and legitimacy over time and in other types of authoritarian regime.

scholarly journals Hubungan Kesiapan Keluarga Menerima Klien Dengan Gangguan Jiwa Terhadap Angka Kekambuhan Pada Klien Gangguan Jiwa Di Poliklinik Rumah Sakit Jiwa Sambang Lihum Tahun 2018

2019 ◽  
Vol 10 (2) ◽  
pp. 745-457
Author(s):  
Muhammad Saputra
Keyword(s):  
Public Health ◽  
Health Care ◽  
Mental Disorders ◽  
P Value ◽  
Mental Impairment ◽  
Cross Sectional ◽  
Spearman Rank ◽  
The Family ◽  
Family Readiness ◽  
To Receive

Latar belakang : Gangguan jiwa merupakan salah satu masalah kesehatan masyarakat di Indonesia. Klien gangguan jiwa dicirikan dengan siklus kekambuhan yang mencapai 60-75% dari keseluruhan penderita. Kekambuhan klien masih tinggi dapat dipengaruhi faktor kesiapan keluarga dalam menerima klien gangguan jiwa.Tujuan Penelitian : Penelitian ini bertujuan untuk mengetahui hubungan kesiapan keluarga menerima klien dengan gangguan jiwa terhadap angka kekambuhan pada klien gangguan jiwa di Poliklinik Rumah Sakit Jiwa Sambang LihumMetode penelitian :  analitik dengan rancangan cross sectional. Populasi adalah seluruh keluarga (keluarga inti) klien gangguan jiwa di Poliklinik Rumah Sakit Jiwa Sambang Lihum yang berjumlah 1.751 orang. Sampel sebagian dari populasi sebanyak 97 orang dengan teknik pengambilan puposive sampling. Analisis data melalui uji Spearman Rank dengan tingkat kepercayaan 95%.Hasil penelitian Didapatkan keluarga klien gangguan jiwa sebagian besar siap dalam menerima klien gangguan jiwa sebanyak 77 orang (79,4%) dan angka kekambuhan klien gangguan jiwa sebagian besar kategori sedang sebanyak 65 orang (67%). Ada hubungan kesiapan keluarga dalam menerima klien dengan angka kekambuhan pada klien gangguan jiwa di Poliklinik Rumah Sakit Jiwa Sambang Lihum Provinsi Kalimantan Selatan (p value = 0,000; r = 0,744).Saran : rumah sakit hendaknya memberikan sosialisasi misalnya melalui kegiatan peningkatan home visite kepada keluarga pasien untuk meningkatkan kesiapan keluarga untuk menerima klien. Kata Kunci : Angka Kekambuhan, Kesiapan Menerima Klien.Background : Mental disorders is one of the problems of public health in Indonesia. The mental impairment client is characterized by a relapse cycle that reaches 60-75% of the sufferer. Client relapse is still high can be influenced by family readiness factor in receiving the client's mental disorders.Research objectives : PEnelitian aims to know the family readiness relationship to receive clients with a mental impairment on the number of relapse in Mental disorders in the clinic of mental illness in Sambang LihumResearch method :       cross sectional analytic. Population is the whole family (core family) of the clients of mental disorders in the polyclinic of the Sambang Lihum psychiatric hospital amounting to 1,751 people. Samples of a portion of the population of 97 people    with        puposive    samplingtechniques. Analysis of data by Test  Spearman Rank    with a trust rate of 95%.The results obtained by the family of mental disorders clients are mostly ready in receiving clients of mental disorders as much as 77 people (79.4%) and the number of mental impairment clients of most categories is currently 65 people (67%). There is a family readiness relationship in accepting clients with a number of relapse on the client's mental disorder in the clinic of health care Sambang Lihum South Kalimantan Province (P  value  = 0.000; r = 0.744).Suggestion : RHospital should provide socialization e.g. through  home visite   Improvement activities to the patient family to improve the family readiness to receive clients. Keywords: number of relapse, readiness of accepting clients

Historical and medical aspects of the formation and development of regional general medical practice

2021 ◽  
pp. 55-61
Author(s):  
Lyudmila Ilyinichna Kaspruk
Keyword(s):  
Public Health ◽  
Primary Care ◽  
Health Care ◽  
Medical Practice ◽  
Public Health Care ◽  
General Medical Practice ◽  
Orenburg Region ◽  
Medical Analysis ◽  
Territorial Systems

The results of the historical and medical analysis of the processes of formation and development of primary care in the Orenburg Region are quite relevant, especially in connection with the renewed demand for resolving urgent issues that have arisen in the system of domestic health care. Consideration of the above aspects on the example of a separate territory, the Orenburg Region, is significant, given that public health care is formed by various structures of territorial systems in the context of demographic, social and economic gradations.

scholarly journals Addressing Social Needs in Health Care Settings: Evidence, Challenges, and Opportunities for Public Health

2020 ◽  
Vol 42 (1) ◽  
Author(s):  
Matthew W. Kreuter ◽  
Tess Thompson ◽  
Amy McQueen ◽  
Rachel Garg
Keyword(s):  
Public Health ◽  
Health Care ◽  
Social Determinants Of Health ◽  
Social Services ◽  
Social Determinants ◽  
Safety Net ◽  
Social Needs ◽  
Determinants Of Health ◽  
Health Improvement ◽  
Health Care Settings

There has been an explosion of interest in addressing social needs in health care settings. Some efforts, such as screening patients for social needs and connecting them to needed social services, are already in widespread practice. These and other major investments from the health care sector hint at the potential for new multisector collaborations to address social determinants of health and individual social needs. This article discusses the rapidly growing body of research describing the links between social needs and health and the impact of social needs interventions on health improvement, utilization, and costs. We also identify gaps in the knowledge base and implementation challenges to be overcome. We conclude that complementary partnerships among the health care, public health, and social services sectors can build on current momentum to strengthen social safety net policies, modernize social services, and reshape resource allocation to address social determinants of health. Expected final online publication date for the Annual Review of Public Health, Volume 42 is April 2021. Please see http://www.annualreviews.org/page/journal/pubdates for revised estimates.

scholarly journals Utilization of public health care by people with private health insurance: a systematic review and meta-analysis

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Congcong Zhang ◽  
Chenwei Fu ◽  
Yimin Song ◽  
Rong Feng ◽  
Xinjuan Wu ◽  
...  
Keyword(s):  
Public Health ◽  
Systematic Review ◽  
Health Care ◽  
Health Insurance ◽  
Private Health Insurance ◽  
Meta Analysis ◽  
Public Health Care

scholarly journals Workshop: Better prison health for better public health

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
Keyword(s):  
Public Health ◽  
Health Care ◽  
Drug Use ◽  
Prison Population ◽  
Community Services ◽  
Health Issues ◽  
Public Health Systems ◽  
Prison Health ◽  
Problem Drug Use ◽  
Problem Drug

Abstract According to the latest data, in 2018 about 590,000 people were held in prison on any given day in the EU, and more than double in the entire region. People in prison face multiple and complex health care issues, including a higher prevalence of communicable diseases than the general population. These are likely to be the result of a combination of overlapping, and sometimes interlinked, risk factors for infection, ill-health, and incarceration, such as problem drug use. Incarceration may facilitate the offer of quality health care services to people who are otherwise hard to reach and provide an occasion to target socially deprived groups who often have low level of healthcare access when in the community. Delivering health protection and harm reduction programmes in prisons not only benefits the prison population but also has the potential to reduce the risk of transmission of some infectious diseases in the community, intervening earlier in the natural history of disease. They are also likely also to have a knock-on effect in supporting individuals’ reintegration into community life and future health - providing a ‘community dividend’ to health interventions in prisons. Yet, such health gains may be diminished by suboptimal integration with community services. Continuity of care, or throughcare, between prison and community services is a mainstay of any health care interventions delivered in detention, especially when tackling chronic conditions (e.g. HIV, mental illnesses) or problem drug use. The World Health Organization (WHO) has long supported the concept of prison health as an inseparable component of public health. This view is enshrined by the principle of Equivalence of Care between prison and community, endorsed by the United Nations in the Nelson Mandela Rules. During the 2019 WHO Prison Health Conference in Helsinki, it was acknowledged that prisons contribute to achieving the UN’s Sustainable Development Goals through improving health, reducing health inequalities and provide a fairer and safer society for all. However, a number of challenges hampers the successful implementation of such a concept, including the need for evidence-based decision making, inter-sectoral partnerships and adequate monitoring systems. This workshop will provide attendees with a comprehensive overview of prison health and the relevance of a multi-sectorial public health approach to frame and address it. The workshop will be structured around three main topics: governance of prison health and current models in Europe; health issues and disease burden in the prison population; current and future perspectives for evidence-based approaches to prison health. The discussion of two case studies, problem drug use and HCV micro-elimination, will create the context for an in-depth analysis of key challenges for prison health implementation, reflecting on aspects such as health needs, equity, multidisciplinarity, continuity of care, monitoring and community dividend. Key messages Provide a comprehensive picture of the main challenges of prison health in Europe, the public health issues affecting the prison population and how these relate to community public health systems. Reflect on how public health systems need to incorporate prison health into their strategies for reducing inequalities and improving health outcomes of vulnerable and socially deprived populations.

Sign in / Sign up

Export Citation Format

Share Document