Analysis of the Application of Zaakwarneming for Doctors Who Perform Medical Actions Without Permission

Anita Kamilah; Kayla Andini Putri; Salsa Octaviani Suryanto; Ajeng Permana

doi:10.47134/ijlj.v2i3.3884

Authors

Anita Kamilah Universitas Suryakancana
Kayla Andini Putri Universitas Suryakancana
Salsa Octaviani Suryanto Universitas Suryakancana
Ajeng Permana Universitas Suryakancana

DOI:

https://doi.org/10.47134/ijlj.v2i3.3884

Keywords:

Doctor, Licence, Medical, Patient, Zaakwaarneming

Abstract

This research analyses the application of the concept of zaakwarneming in the medical world, specifically related to medical actions taken by doctors without the consent of patients or their families in emergency conditions. In Indonesian civil law, zaakwarneming allows a person to take care of the interests of others without power of attorney with the aim of protecting their interests. In the medical context, the application of this concept can justify the doctor's actions in situations where consent cannot be obtained in a timely manner. However, this action still poses legal and ethical dilemmas, especially in relation to the patient's right to autonomy as well as the doctor's professional responsibility. This research uses a mixed method, namely a quantitative approach through a community survey and a qualitative approach through a literature study. The survey results show that most people understand the importance of informed consent, but there are differences of opinion on whether doctors can act without consent in an emergency. Most respondents also support transparency and better communication between doctors and patients to avoid legal disputes. Legally, unauthorised medical action can have consequences in civil, criminal and administrative aspects. Therefore, clearer regulations are needed regarding the limits and responsibilities of doctors in the application of zaakwarneming. A more detailed Standard Operating Procedure (SOP) and public education on patient rights in medical services are expected to reduce the potential for legal disputes and increase legal certainty for medical personnel.

References

Adnan, C., Saraswati, R., & Retnaningsih, C. (2022). Application of Aspects of Consent in Medical Procedures (Informed Consent) As a Form of Consensualism Principle. SOEPRA: Jurnal Hukum Kesehatan, 8(2), 234–250. https://doi.org/https://doi.org/10.24167/shk.v8i2.5164

Agelika.S, M., & Gunawan Widjaja. (2022). Persetujuan Tindakan Medis: Apa Yang Harus Disampaikan? Jurnal Medika Hutama, 3(2), 1947–1968. https://jurnalmedikahutama.com/index.php/JMH/article/view/394

AK Wisnu Baroto SP, Y. A. M. (2023). Presumed Consent Atas Tindakan Medis Berisiko Tinggi Pada Kegawatdaruratan: Perspektif UU Nomor 17 Tahun 2023. Jurnal Hukum Dan Etika Kesehatan, 3(2), 67–81. https://doi.org/10.30649/jhek.v3i2.131

Alfi Amaliah, Ardan Wirabuana, D. A. (2024). Perlindungan Hukum Bagi Tenaga Kesehatan Berdasarkan Perjanjian Terapeutik. Prosiding Masyarakat Hukum Kesehatan Indonesia, 1(1), 30–42.

Aprita, S., & Wulandari, M. (2023). Hukum Perikatan. Penerbit Kencana.

Arthanti, W. B., Rusdi, M. S., & Yuliwulandari, R. (2024). Etika Kedokteran dengan Hukum Kesehatan (I. Sa’diyah, Ed.; Cetakan 1). Thalibul Ilmi Publishing & Education.

Dongan Butar-Butar, H. Y. (2024). Sanksi Hukum Tindak Pidana Malpraktik Dokter Menurut Undang-Undang Nomor 17 Tahun 2023 Tentang Kesehatan. Jurnal Locus Penelitian Dan Pengabdian, 3(3), 318–329. https://doi.org/10.58344/locus.v3i4.2568

Dwi Sandry Resky Dzulhizza, Darwis Anatami, R. N. (2024). Aspek Yuridis dalam Pertanggungjawaban Hukum Profesi Dokter pada Perspektif Pelayanan Informed Consent Untuk Mewujudkan Perlindungan Hukum. Jurnal Kajian Ilmiah, 23(1), 43–50. https://doi.org/10.31599/ns23rd60

Elizar, S. P., Arief, M. T., & Satia, R. A. (2023). Etika Kesehatan Dalam Upaya Persetujuan Tindakan Medis (Inform Consent) Dalam Pelayanan Kesehatan. Nusantara: Jurnal Pendidikan, Seni, Sains Dan Sosial Humanioral, 1(2), 1–17. https://doi.org/10.11111/nusantara.xxxxxxx

Galih Putra Wijaya, M Catur Rizki, S. (2025). Pertanggungjawaban Hukum terhadap Perawat yang Melakukan Tindakan Medis di Luar Kewenangannya. Jurnal Ilmu Hukum, Sosial Dan Humaniora: Kultura, 3(1), 272–288.

Kamilah, A., & Majid, R. (2021). Health Services Controversy in Emergency Conditions Seen Through the Zaakwaarneming Approach. Journal Atlantic Press, 592(Iclhr), 315–321. https://doi.org/10.2991/assehr.k.211112.040

Karwur, C. E. T., Lumunon, T. H., & Tinangon, E. N. (2024). Pemenuhan Hak Memperoleh Kesehatan Ditinjau dari Pasal 28 H Ayat 1 Undang-Undang Dasar Negara Republik Indonesia Tahun 1945. Jurnal Fakultas Hukum Unsrat Lex Privatum, 13(02), 1–12.

Kasiman, Azhar, A. F., & Rizka. (2023). Tinjauan Hukum Informed Consent Terhadap Perlindungan Hukum Dokter Dalam Pelayanan Kesehatan. Universitas Muhammadiyah Surakarta.

Kumalasari Eri Puji. (2022). Informed Consent Dalam Penanganan Pasien Gawat Darurat Di Puskesmas Kota Kediri Wilayah Selatan. SINAR Jurnal Kebidanan, 4(1), 1–8.

Nugraha, M. A., R. Wicaksana, A., Rafli, M. H., Ferdiansyah, D. G., & Muhammad.S, H. (2023). Perkembangan Zaakwarneming di Indonesia Dan Implementasinya Di Era Digitalisasi. DPLR, 10(2), 142–154. https://ejournal2.undip.ac.id/index.php/dplr/article/view/21058

Prima Ivan Ricky Manurung, Sulyaprilawati Battri Siahaan, A. R. M. S. (2025). Persetujuan Tindakan Medis Dalam Anestesiologi dan Perawatan Intensif Tinjauan Teori Hukum dan Hak Pasien. Jurnal Hukum, Administrasi Publik Dan Negara, 2(2), 13–25.

Purba, H. (2022). Hukum Perikatan dan Perjanjian (Tarmizi, Ed.; Cetakan 1). Sinar Grafika.

Rahayu, A., Rokhmat, Silitonga, V. D., Nasser, M., & Suswantoro, T. A. (2024). Payung Hukum Terhadap Profesi Dokter Dalam Menghadapi Perselisihan Medis. Jurnal Cahaya Mandalika, 3(1), 784–810. https://doi.org/https://doi.org/10.36312/jcm.v3i1.3687

Ramadhan, M. S., & Nugraha, A. (2021). Tindakan Medis Dokter terhadap Pasien Tanpa Informed Consent Dalam Perspektif Hukum Progresif. Simbur Cahaya, 28(1), 1–14. https://doi.org/10.28946/sc.v28i2.1199

Rezki Pebrina, A., Najwan, J., & Alissa, E. (2022). Fungsi Penerapan Informed Consent sebagai Persetujuan pada Perjanjian Terapeutik. Zaaken: Journal of Civil and Business Law, 3(3), 468–486. https://doi.org/10.22437/zaaken.v3i3.18966

Rosa, M. C. (2025). Diduga Malapraktik Amputasi Kaki Pasien Tanpa Izin, RSU Mitra Sejati: JS Miliki Riwayat Diabetes Mellitus. Kompas.com.

Setiawan, I. K. O. (2021). Hukum Perikatan. Sinar Grafika.

Sinaga, H. (2024). Pengaturan Perlindungan Hukum Bagi Dokter Sesuai Undang-Undang Nomor 17 Tahun 2023. Jurnal Review Pendidikan Dan Pengajaran, 7(1), 1125–1130.

Sony, E., Rahayu, A. H., Yakub, Y., Bertholomeus, Cristison, G., Fitri.Z, Yenny, Sukm, M., Hasibuan, R. F., Yustrisia, L., M, A. N. F., Syahrin, M. A., Sushanty, V. R., Sony, R. U. E., Rahayu, A. H., Yakub, Y., Bertholomeus, G. C., Fitri.Z, Y., Sukma, M., … Usman, R. (2024). Hukum Kesehatan (R. T. A. Bhakti, Ed.). CV Gita Lentera.

Syamsul Bachri. (2024). Implikasi Hukum Atas Isu Etika Dalam Praktik Kedokteran. Jurnal Berita Kesehatan, 17(1), 86–97.

Widjaja, N. (2024). Kedudukan Perjanjian Terapeutik dan Informed Consent dalam KUH Perdata. Hukum Online.

Widodo, N., Putera, A. P., & Nugraheni, N. (2023). Tindakan Gawat Darurat Oleh Dokter Akibat Kecelakaan Pada Pasien Yang Tidak Kompeten Dan Tanpa Keluarga. Collegium Studiosum Journal, 6(1), 350–359. https://doi.org/https://doi.org/10.56301/csj.v6i1.942