EFEKTIVITAS PELAKSANAAN PERATURAN MENTERI KESEHATAN NOMOR 290 TAHUN 2008 TENTANG PERSETUJUAN TINDAKAN KEDOKTERAN DI FASILITAS PELAYANAN KESEHATAN RUMAH SAKIT GIGI DAN MULUT UNIVERSITAS JENDERAL SOEDIRMAN PURWOKERTO

riska nurfadilah, dwi hapsari retnaningrum, kuat puji prayitno

Abstract


Approval of medical measures is approval given to the patient or the patient's
family after getting complete information about the medical action to be done and the
risks. According to Decree No. 290 of 2008, all medical measures must be approved.
Lawsuits and lawsuits against doctors and hospitals in Indonesia today often occur, one
of which is related to medical records. Based on this background, the author formulated
the problem of how effective the implementation of medical action approval based on
Decree No. 290 of 2008 at Rsgm Unsoed Purwokerto and whether the factors that affect
the effectiveness of the implementation of medical action approval based on Decree.
This research is an empirical juridical type of research, which examines legal
provisions derived from secondary data in the form of primary, secondary, and tertiary
legal materials and from primary data obtained from respondents and sources by
conducting research in the field in the form of observations and interviews then analyzed
qualitatively and the results of analysis are explained by descriptive methods. The
location of the study is at purwokerto Dental and Oral Hospital.
Based on the results of the analysis, it was concluded that the implementation of
medical approval at RSGM Unsoed has not been fully effective. Factors that affect the
implementation of approval of medical actions based on Decree No. 290 of 2008 at Rsgm
Unsoed Purwokerto are factors of legal substance, legal structure and legal culture of
rsgm unsoed community. The substance factor of the law is the director's regulation
which still does not fully refer to Permenkes 290 of 2008. The legal structure has
constraints on law enforcement related to the limited number of human-age resources
that result in the absence of supervision of the implementation of approval of medical and
dentist actions that are not professionalism. Legal cultural factors have constraints in the
form of low patient legal awareness, lack of patient knowledge levels, and indifference to
patients. Another factor that affects is the infrastructure factor. Suggestions for RSGM
Unsoed, among others, need to be made policies related to supervision and enforcement
of the implementation of medical action approvals and must be socialized, policies need
to be made in the integration unit, the addition of dentists and provide leaflets to take
home related to medical actions that will be carried out by dentists

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DOI: http://dx.doi.org/10.20884/1.jih.2021.7.2.272

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