Implementation of Patient Legal Protection in Internal Policy Implementing BPJS Health in Wangaya Hospital, Denpasar City

  • I Gusti Agung Dhian Maharani Swari Dewi Master of Law, Universitas Warmadewa
  • Ni Made Jaya Senastri Master of Law, Universitas Warmadewa
  • Ni Komang Arini Styawati Master of Law, Universitas Warmadewa
Keywords: bpjs health, health services, policy, patient legal protection

Abstract

Policies in the implementation of health services at BPJS Health there are still obstacles experienced by patients and the hospital. Legal protection in health services aims to ensure legal certainty obtained by patients, so that patients avoid losses when receiving health services that should be optimally provided by health workers. The purpose of this study is to examine the implementation of the internal policies established by the Wangaya Hospital, Denpasar City in the implementation of BPJS Health services and to examine the legal protection for patients in BPJS Health services at Wangaya Hospital Denpasar City. This study uses empirical legal research methods, using the approach to legislation, analysis of legal concepts and facts. The research location is at Wangaya Hospital, Denpasar City. The results of this study showed that the implementation of internal policies at Wangaya Hospital, Denpasar City in providing BPJS Health services, namely with the authority of hospitals to be able to formulate and implement hospital regulations (hospital by laws) which contain general hospital services policies that support corporate governance and good governance, clinical governance. In the implementation of BPJS Health at Wangaya Hospital, Denpasar City, there are obstacles, such as: obstacles in claiming, technical, procurement of medicines that are not available or not yet available at distributors. Meanwhile, legal protection in BPJS Health services where patients are BPJS Health participants to be able to fulfill their rights as participants or patients. Patient rights have been regulated in the Medical Practice Law, Health Law, and Hospital Law. Legal protection is provided by the BPJS Health and the Hospital, namely by establishing a PIC (Personal in Change) which functions to accommodate handling patient complaints or related to BPJS Health services.

References

Amir. (1997). Bunga Rampai Hukum Kesehatan. Medan: Woya Medika.

Ananta, G. A., Arjaya, I. M., & Agung, A. A. I. (2021). Law Enforcement and Protection of Notaries in the Criminal Domain and Law of Notary Position (Case Study of Decision Number 196/PID.B/2019/PN Denpasar). NOTARIIL Jurnal Kenotariatan, 6(1), 38–45. doi:10.22225/jn.6.1.3612.38-45

Ardiansah, A. (2020). Responsibility of Public Health Service Based on the Constitution of Indonesia. Diponegoro Law Review, 5(1), 51–66. doi:10.14710/dilrev.5.1.2020.51-66

Arjaya, I. M. (2018). The Role of Administrator and Procedure of Payment Suspension in the Commercial Court: A Case Study. In Proceedings of the International Conference on Business Law and Local Wisdom in Tourism (ICBLT 2018) (pp. 67–69). Paris, France: Atlantis Press. doi:10.2991/icblt-18.2018.16

Arjaya, I. M. (2022). The Strength of Traditional Villages in Managing Coastal Areas in Bali. Law Doctoral Community Service Journal, 1(1), 54–59. doi:10.55637/ldcsj.1.1.4430.54-59

Arjaya, I. M., Budiartha, I. N. P., & Jayasenastri, N. M. (2021). The Role of Indigenous Communities and Entrepreneurs in Developing Village with an Ecological Insight in Bali by Implementing CSR. In Proceedings of the 2nd International Conference on Business Law and Local Wisdom in Tourism (ICBLT 2021) (pp. 172–175). Atlantis Press. doi:https://dx.doi.org/10.2991/assehr.k.211203.038

Arjaya, I. M., & Martina, N. W. U. (2019). The Role of the Curator as a Mediator in the Settlement of a Bankruptcy Case. Sociological Jurisprudence Journal, 2(1), 58–61. doi:https://doi.org/10.22225/scj.2.1.997.58-61

Frisyudha, A. B., Budiartha, I. N. P., & Arini Styawati, N. K. (2021). Renegosiasi sebagai Upaya Penyelesaian Wanprestasi dalam Kontrak Bisnis Selama Masa Pandemi Covid-19. Jurnal Konstruksi Hukum, 2(2), 344–349. doi:10.22225/jkh.2.2.3253.344-349

Hadjon, P. M. (1987). Perlindungan Hukum Bagu Rakyat Indonesia. Surabaya: Bina Ilmu.

Hendrik. (2013). Etika dan Hukum Kesehatan. Jakarta: EGC.

Is, M. S. (2015). Pengantar Ilmu Hukum. Jakarta: PT. Kharisma Putra Utama.

Kansil, C. S. . (1989). Pengantar Ilmu Hukum Dan Tata Hukum Indonesia. Jakarta: Balai Pustaka.

Mertokusumo, S. (1985). Mengenal Hukum Suatu Pengatar. Yogyakarta: Liberty.

Notoatmodjo, S. (2010). Etika Hukum dan kesehatan. Jakarta: PT. Rineka Cipta.

Purwanta, P. S. F., Suwitra, I. M., & Wijaya, K. K. A. (2021). Legal Protection for Buyers in Buying and Selling with Counterfeit Certificate Object. Jurnal Hukum Prasada, 8(2), 136–144. doi:10.22225/jhp.8.2.2021.136-144

Putra, I. B. W. (2016). Teori Hukum Dengan Orientasi Kebijakan. Denpasar: Udayana University Press.

Putra, I. M. W., Wati, N. L. M. M., & Styawati, N. K. A. (2021). Akibat Pandemi Covid-19 Sebagai Alasan Force Majeure dalam Perjanjian Pinjam-Meminjam Uang. Jurnal Interpretasi Hukum, 2(2), 234–240. doi:10.22225/juinhum.2.2.3410.234-240

Rachmat, H. H. (2004). Pembangunan Kesehatan di Indonesia. Yogyakarta: Gadjah Mada University Press.

Ramadhani, A. N. A., Aspan, Z., & Hasrul, M. (2021). Legal Protection for unregistered citizen at Healthcare and Social Security Agency (BPJS). Jurnal Hukum Volkgeist, 6(1), 69–78. doi:10.35326/volkgeist.v6i1.1548

Setyawati, D. A., & Purnaweni, H. (2018). Implementasi Kebijakan Kerjasama Pemerintah dengan Swasta (Public Private Partnership) dalam Pengelolaan Sampah di TPA Jatibarang (Studi Kasus Kerjasama Pemerintah Kota Semarang dengan PT. Narpati). Journal Of Public Policy And Management Review, 7(4), 227–237. doi:https://doi.org/10.14710/jppmr.v7i4.21940

Soekanto, S. (1984). Pengantar Penelitian Hukum. Jakarta: UI Press.

Soekanto, S., & Mamudji, S. (2003). Penelitian Hukum Normatif: Suatu Tinjauan Singkat. Jakarta: PT. Raja Grafindo Persada.

Sujana, I. N., Setyawati, K. A., & Ujanti, N. M. P. (2018). The Existence of The Lesbian, Gay, Bisexual and Transgender (LGBT) Community in the Perspective of a State Based on Pancasila. Mimbar Hukum - Fakultas Hukum Universitas Gadjah Mada, 30(1), 126. doi:10.22146/jmh.28655

Takdir. (2018). Pengantar Hukum Kesehatan. Palopo: Lembaga Penerbit Kampus IAIN Palopo.

Wahab, S. . (1997). Analisa Kebijakan dari Formulasi Implementasi Kebijakan Negara (Ed. 2). Jakarta: Bumi Aksara.

Wijaya, I. K. K. A. (2021). Principles of General Benefits in Arrangements of Water Resources Enterprises to Realize Welfare and Community Justice. In 2nd International Conference on Business Law and Local Wisdom in Tourism (ICBLT 2021) (pp. 156–158). Atlantis Press. Retrieved from https://www.atlantis-press.com/proceedings/icblt-21/125965372

Yuningsih, H., Kridasakti, S. W., Fadli, M., Majid, A., & Jayasenastri, N. M. (2022). Studi Kasus Pengaturan Hubungan Kelembagaan Pemerintahan Desa-Birokrasi dengan Desa-Adat di Wilayah Provinsi Bali. Jurnal Supremasi, 12(1), 25–43. doi:10.35457/supremasi.v12i1.1825

Zainudin, A. (2009). Metode Penelitian Hukum. Jakarta: Sinar Grafika.

Kesepakatan Bersama Panduan Penatalaksanaan Solusi Permasalahan Klaim INA-CBG Tahun 2009

Laporan Rincian Data Hasil Verfikasi Pelayanan Kesehatan BPJS Kesehatan RITL, RJTL, dan Susulan RSUD Wangaya Kota Denpasar Tahun 2020

Peraturan Menteri Kesehatan Republik Indonesia Nomor 26 Tahun 2021 tentang Pedoman Indonesia Care Base Groups (INA-CBG) Dalam Pelaksanaan Jaminan Kesehatan

Perjanjian Kerjasama antara Badan Penyelenggara Jaminan Sosial Kesehatan Cabang Denpasar dengan Rumah Sakit Umum Daerah Wangaya Kota Denpasar tentang Pelayanan Kesehatan Rujukan Tingkat Lanjutan Bagi Peserta Program Jaminan Kesehatan

Undang-Undang Nomor 8 Tahun 1999 tentang Perlindung konsumen (Lembaran Negara Republik Indonesia Tahun 1999 Nomor 22, Tambahan Lembaran Negara Republik Indonesia Nomor 3821)

Undang-Undang Nomor 36 Tahun 2009 Tentang Kesehatan, (Lembaran Negara Republik Indonesia Tahun 2009 Nomor 144, Tambahan Lembaran Negara Republik Indonesia Nomor 5063)

Undang-Undang Nomor 44 Tahun 2009 Tentang Rumah Sakit, (Lembaran Negara Republik Indonesia Tahun 2009 Nomor 153, Tambahan Lembaran Negara Republik Indonesia Nomor 5072)

Published
2022-09-12
How to Cite
Dewi, I. G. A. D. M. S., Senastri, N. M. J., & Styawati, N. K. A. (2022). Implementation of Patient Legal Protection in Internal Policy Implementing BPJS Health in Wangaya Hospital, Denpasar City. Jurnal Hukum Prasada, 9(2), 107-116. https://doi.org/10.22225/jhp.9.2.2022.107-116
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