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"ABSTRAKJudul: Analisis Peran Komite Medik dalam Tata Kelola Klinis RumahSakit Era Jaminan Kesehatan Nasional: Studi Kasus pada RumahSakit Umum Daerah di Provinsi JambiPenelitian ini bertujuan untuk mengetahui peran komite medik dalam tata kelolaklinis rumah sakit era Jaminan Kesehatan Nasional JKN pada Rumah SakitUmum Daerah RSUD di Provinsi Jambi pada tahun 2016. Penelitian dilakukanpada bulan Agustus sampai Desember 2016 di tiga RSUD kelas C denganpendekatan studi kualitatif. Teknik untuk memperoleh data adalah denganwawancara mendalam, telaah dokumen dan focused group discussion.Hasil penelitian menunjukkan bahwa Komite medik secara umum belumberperan optimal dalam tata kelola klinis rumah sakit era JKN pada RSUD KelasC Kabupaten/Kota di Provinsi Jambi, baik dari sisi struktur, proses maupun outputmeskipun ada pula peran dan fungsi Komite Medik yang telah tertunaikan denganbaik. Kinerja Komite Medik sudah cukup optimal dilihat dari aspek sumber dayadan struktur organisasi. Komite Medik belum berperan optimal dalam proseskredensialing, pemeliharaan mutu profesi dan penjagaan disiplin/etika profesi.Sistem Jaminan Kesehatan Nasional memberi pengaruh baik terhadap perankomite medik dalam tata kelola klinis rumah sakit, karena terdapat beberaparegulasi atau peraturan pelaksana tentang JKN yang terintegrasi dengan perankomite medik, khususnya pada aspek kendali mutu kendali biaya. Peningkatankompetensi, etika dan disiplin profesi medik serta peningkatan kapasitas pengurusKomite Medik maupun Direktur Rumah Sakit merupakan upaya yang dapatmeningkatkan peran Komite Medik. Demikian juga halnya dengan pengelolaanorganisasi dan penyempurnaan regulasi terpadu terkait tata kelola klinis rumahsakit era JKN.Kata kunci: Komite Medik, tata kelola klinis, RSUD, Era JKN

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ABSTRACTJudul Analisis Peran Komite Medik dalam Tata Kelola Klinis RumahSakit Era Jaminan Kesehatan Nasional Studi Kasus pada RumahSakit Umum Daerah di Provinsi JambiPenelitian ini bertujuan untuk mengetahui peran komite medik dalam tata kelolaklinis rumah sakit era Jaminan Kesehatan Nasional JKN pada Rumah SakitUmum Daerah RSUD di Provinsi Jambi pada tahun 2016. Penelitian dilakukanpada bulan Agustus sampai Desember 2016 di tiga RSUD kelas C denganpendekatan studi kualitatif. Teknik untuk memperoleh data adalah denganwawancara mendalam, telaah dokumen dan focused group discussion.Hasil penelitian menunjukkan bahwa Komite medik secara umum belumberperan optimal dalam tata kelola klinis rumah sakit era JKN pada RSUD KelasC Kabupaten Kota di Provinsi Jambi, baik dari sisi struktur, proses maupun outputmeskipun ada pula peran dan fungsi Komite Medik yang telah tertunaikan denganbaik. Kinerja Komite Medik sudah cukup optimal dilihat dari aspek sumber dayadan struktur organisasi. Komite Medik belum berperan optimal dalam proseskredensialing, pemeliharaan mutu profesi dan penjagaan disiplin etika profesi.Sistem Jaminan Kesehatan Nasional memberi pengaruh baik terhadap perankomite medik dalam tata kelola klinis rumah sakit, karena terdapat beberaparegulasi atau peraturan pelaksana tentang JKN yang terintegrasi dengan perankomite medik, khususnya pada aspek kendali mutu kendali biaya. Peningkatankompetensi, etika dan disiplin profesi medik serta peningkatan kapasitas pengurusKomite Medik maupun Direktur Rumah Sakit merupakan upaya yang dapatmeningkatkan peran Komite Medik. Demikian juga halnya dengan pengelolaanorganisasi dan penyempurnaan regulasi terpadu terkait tata kelola klinis rumahsakit era JKN.Kata kunci Komite Medik, tata kelola klinis, RSUD, Era JKN"

"Summary "With this book nursing and health administration students can increase their understanding of the myriad global ethical issues. The book examines key issues of health services delivery (insurance, rationing of care, allocation of resources, and cost-containment) and the health care industry (corruption, kickbacks, and conflicts of interest) in both developing and developed countries. The book also considers cross-border issues that arise from the movement of patients and providers across national boundaries, such as treatment of undocumented aliens, medical tourism, and the "brain drain" of health care personnel from developing countries"--Provided by publisher.Contents Machine generated contents note: Introduction. -- Acknowledgments. -- The Author. -- 1 Ethical Theories and Bioethics in a Global Perspective. -- Theories of Ethics. -- Are Theories of Ethics Global? -- Can Theories of Ethics Encourage People to Do the Right Thing? -- 2 Autonomy and Informed Consent in Global Perspective. -- Ethical Principles and Practical Issues of Informed Consent. -- Does Informed Consent Really Matter to Patients? -- Is Informed Consent a Universal Principle or a Cultural Value? -- 3 Withholding or Withdrawing Treatment and Physician-Assisted Suicide. -- Withholding or Withdrawing Treatment at the End of Life. -- Assisting Patients in Committing Suicide. -- 4 Ethical Issues in Reproductive Health. -- Ethics of Abortion in Different Times, Places, and Cultures. -- Current Ethical Issues in Abortion. -- Assisted Reproductive Technology and Stem Cell Research. -- Emergency Contraception. -- Ethics of Imposing Conditions on Funding. -- 5 Ethical Issues of Female Genital Mutilation. -- The Facts About FGM. -- FGM as a Challenge to Ethical Relativism. -- Ethics of FGM for Adult Women. -- 6 Ethical Issues of Research with Human Subjects. -- Background Information and the Belmont Report. -- Autonomy and Voluntary Informed Consent. -- Beneficence and Cost-Benefit Analysis. -- Issues of Justice and Fairness for Human Subjects. -- 7 The Right to Health Care, and Ethical Obligations to Provide Care. -- Is There an Ethical Right to Health Care? -- Ethical Obligations of Health Care Professionals. -- Ethical Obligations of for-Profit Health Care Providers. -- 8 Ethical Issues in Rationing and Allocation of Limited Resources. -- Levels of Allocating Resources. -- Methods of Rationing Health Resources. -- Comparative Effectiveness Research and Cost-Effectiveness Analysis. -- 9 Ethical Issues of Health Insurance and Health System Reform. -- Ethical Issues in Financing Health Services and Designing Insurance Systems. -- Fundamental Values of Health Systems. -- 10 Ethical Issues in the Movement of Patients Across National Borders. -- Ethical Duties to Provide Health Care to Undocumented Aliens. -- Ethical Issues in Medical Tourism. -- 11 Ethical Issues in the Movement of Health Care Professionals Across National Borders. -- Ethical Issues in the Migration of Health Professionals. -- Proposed Solutions and Their Ethical Implications. -- Fair Treatment of Health Care Workers from Other Countries. -- 12 Corruption and Informal Payments in Health Systems. -- Payment of Informal Fees by Patients and Their Families. -- Is Corruption Bad for Your (and Other People's) Health? -- References. -- Index."

"Tesis ini membahas tentang peran dan kedudukan hukum Majelis Kehormatan Etik Kedokteran dalam putusan hakim dan menganalisis putusan No. 90/PID.B/2011/PN.MDO, Kasasi No. 365 K/PID. 2012, dan Putusan Nomor 79 PK/PID/2013. Tujuan penelitian ini adalah untuk memahami peran Majelis Kehormatan Etik Kedokteran dalam menyelesaikan sengketa medis di pengadilan umum dan menganalisis putusan. Penelitian ini merupakan jenis penelitian deskriptif yuridis normatif, yaitu penelitian ini bertujuan untuk mendeskripsikan secara tepat ciri-ciri seseorang, kondisi, gejala atau kelompok tertentu, atau untuk mengetahui penyebaran suatu gejala, atau untuk mengetahui hubungan suatu gejala dengan gejala lainnya. gejala di masyarakat. Berdasarkan hasil penelitian dapat disimpulkan bahwa persidangan MKEK dapat dibuka atau ditutup dengan memperhatikan kondisi tertentu dan diumumkan oleh Majelis Penguji MKEK, dan putusan MKEK dapat menjadi alat bukti dalam persidangan umum dengan izin Ketua MKEK. MKEK Pusat. Dalam menjalankan profesinya, dokter dan tenaga kesehatan lainnya diharapkan memperhatikan hak pasien dan kewajibannya dalam berusaha menyembuhkan penyakit pasien sesuai dengan peraturan perundang-undangan yang berlaku, serta senantiasa berpedoman pada Kode Etik Kedokteran Indonesia. , yang bertujuan untuk mencegah dokter dari perselisihan dan kerusakan medis. tidak diinginkan. Kemudian masih ada ketentuan di ORTALA yang terkesan berpihak pada dokter, belum kepada masyarakat sehingga perlu ditinjau kembali guna melindungi kepentingan semua pihak. Sebaiknya ketentuan tata cara persidangan MKEK juga diatur dalam UU Praktik Kedokteran yang bertujuan untuk memperjelas kedudukan hukum sidang MKEK agar tidak disalahgunakan untuk kepentingan satu pihak saja.

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This thesis discusses the role and legal position of the Medical Ethics Honorary Council in judge decisions and analyzes decision No. 90/PID.B/2011/PN.MDO, Cassation No. 365 K/PID. 2012, and Decision Number 79 PK/PID/2013. The purpose of this study is to understand the role of the Medical Ethics Honorary Council in resolving medical disputes in general courts and analyzing decisions. This research is a type of juridical normative descriptive research, that is, this research aims to describe precisely the characteristics of a person, condition, symptom or a certain group, or to determine the spread of a symptom, or to determine the relationship of a symptom to other symptoms. symptoms in society. Based on the results of the research, it can be concluded that MKEK trials can be opened or closed with due observance of certain conditions and announced by the MKEK Examination Council, and MKEK decisions can serve as evidence in general trials with the permission of the Chief Justice of the MKEK. Central MKEK. In carrying out their profession, doctors and other health workers are expected to pay attention to the rights of patients and their obligations in trying to cure a patient's illness in accordance with the applicable laws and regulations, and always be guided by the Indonesian Medical Code of Ethics. , which aims to prevent doctors from medical disputes and damage. undesirable. Then there are still provisions in ORTALA that seem to side with doctors, not to the community so that it needs to be reviewed in order to protect the interests of all parties. It is better if the provisions for the trial procedure of the MKEK are also regulated in the Medical Practice Law which aims to clarify the legal position of the MKEK trial so that it is not misused for the benefit of one party only."

"Thoughtful Health Care offers a timely antidote to a climate dominated by endless rules, regulations, mission statements, and codes of practice. Fixation on avoiding risk at all costs has created a checkbox culture where everyone is treated according to standardized plans. Yet, people are complicated, and cannot be understood disconnected from the complex histories, values, and environments that shape us. Obsessive focus on “safety first” has obscured this reality and drastically undervalued critical thinking and insightful practice. David Seedhouse explains how simplistic labeling, mindless targets and empty slogans have created a delusion of control and efficiency, obscuring actual patient and carer realities. Using thought-provoking examples from health care and beyond, the book advocates the restoration of thoughtfulness, creativity, and independence in health work. By reading this book, students and practitioners alike will be aided in developing their decision making and critical thinking skills, and ultimately serve those in their care better and with more honesty. The book ends with a powerful and practical toolkit that can be used thoughtfully and effectively by every open-minded health worker. Thoughtful Health Care is for any health worker committed to caring with ethical awareness and practical sensitivity."

"ABSTRAKPengisian rekam medik merupakan kegiatan yang sangat penting untuk memberikan pelayanan yang baik kepada pasien dan data rekam medik sangat diperlukan untuk kepentingan manajemen rumah sakit, pasien, dan petugas kesehatan sendiri. Pengelolaan rekam medik yang dilakukan secara seksama dan lebih profesional merupakan salah satu pelayanan yang dapat menunjang pemberian pelayanan medik yang cepat, tepat, dan akurat. Tujuan penelitian ini adalah untuk mengetahui faktor-faktor yang mempengaruhi perilaku dokter spesialis surgical dalam kelengkapan pengisian resume medik pasien rawat inap di RSUP Fatmawati tahun 2014. Penelitian ini merupakan jenis penelitian analitik dengan pendekatan kuantitatif dan kualitatif. Sedangkan desain penelitiannya adalah cross sectional. Sampel pada penelitian ini adalah total sampel 73 orang dokter spesialis bedah surgical ( THT, mata, bedah, orthopedi, kebidanan ). Analisis menggunakan uji Chi-Square dan regresi logistik berganda.Hasil penelitian ada hubungan yang signifikan antara monitoring, beban kerja, pengetahuan, variabel pelatihan dan kompensasi dengan perilaku dokter spesialis pegisian resume medik di RSUP Fatmawati. Variabel kompensasi merupakan variabel paling dominan memiliki hubungan secara signifikan dengan perilaku dokter spesialis surgical dalam pengisian resume medik di RSUP Fatmawati. Pihak manajemen perlu meningkatkan pengawasan (monitoring) terhadap pengisian resume medis bekerjasama dengan tim komite medik. Kendala-kendala yang ditemukan dalam pengisian resume medis dibahas dan diselesaikan bersama dengan melibatkan seluruh dokter.

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ABSTRACT

Completion of medical records is an activity that is very important to provide good service top patient and medical records management is indispensable for the benefit of hospitals, patients, and health workers themselves. Management of medical records that done carefully and professionally is one of the care that can support the provision of medial services that is fast, precise, and accurate. The purpose of this study was to determine the factors that influence the behavior of the completeness of inpatient discharge summaries in Fatmawati Hospital in 2014. This research is analytic study with quantitative and qualitative approaches. While the sampla of 73 surgical surgeons (ENT, eye, surgery, orthopaedic, obstetrics). Analysis using Chi-square test and multiple logistic regression.

The results of the study there was a significant correlation between monitoring, workload, knowledge, training and compensation variables with the completion behavior of discharge summary by surgeons in Fatmawati Hospital. Variable compensation is the most dominant variable has a significant correlation with the behavior of surgical specialists in medical resume completion. The management needs to improve supervision the completion of medical resume working together with a team of medical committee. Barriers found in medical resume completion discussed and solved together by all the doctor."