Penerapan Nilai Etik, Norma, dan Disiplin Kesehatan dalam Praktik Pelayanan Kesehatan dengan Penyelesaian Sengketa Etik
DOI:
https://doi.org/10.47134/lawstudies.v2i4.4520Keywords:
Health Services, Ethical Disputes, MediationAbstract
This study aims to analyze the application of ethical values, norms, and professional discipline in healthcare practice, with particular emphasis on ethical dispute resolution mechanisms. Using a qualitative approach, this research combines normative legal analysis with case studies by reviewing laws and regulations, professional codes of ethics, guidelines, and documented cases of ethical disputes resolved through mediation and ethics committees. The study highlights the central role of ethical principles such as respect for patient autonomy, beneficence, non-maleficence, and justice in ensuring the protection of patient rights and maintaining the integrity of healthcare professionals. The findings reveal that the healthcare sector often faces complex ethical dilemmas arising from conflicts of interest, resource limitations, and professional accountability. Non-litigation mechanisms, particularly mediation reinforced by Article 310 of Law Number 17 of 2023 on Health, have proven effective in resolving conflicts fairly, transparently, and constructively. These mechanisms not only provide immediate solutions but also contribute to rebuilding trust between healthcare providers and patients while promoting restorative justice. The study concludes that integrating ethical principles with effective dispute resolution and fostering an institutional culture of ethics are crucial to strengthening professionalism, accountability, and public trust. Continuous ethical education, leadership commitment, and institutional support are key to building a sustainable healthcare system oriented toward patient welfare and social justice.
References
Afri Novianto. (2015). Penafsiran Hukum Dalam Menentukan Unsur-Unsur Kelalaian Malpraktek Medik (Medical Malpractice). Yustisia Jurnal Hukum, 92. https://doi.org/10.20961/yustisia.v92i0.3832
Agustina, R., Dartanto, T., Sitompul, R., Susiloretni, K. A., Achadi, E. L., Taher, A., ... & Khusun, H. (2019). (2019). Universal health coverage in Indonesia: concept, progress, and challenges. The Lancet, 393(10166), 75-102.
Al-Wathinani, A. M., Barten, D. G., Alsahli, H., Alhamid, A., Alghamdi, W., Alqahtani, W., Alghamdi, R., Aljuaid, M., Albaqami, N. A., & Goniewicz, K. (2023). The Right to Refuse: Understanding Healthcare Providers’ Perspectives on Patient Autonomy in Emergency Care. Healthcare (Switzerland), 11(12). https://doi.org/10.3390/healthcare11121756
Beauchamp, T., & Childress, J. (2019). Principles of Biomedical Ethics: Marking Its Fortieth Anniversary. American Journal of Bioethics, 19(11), 9–12. https://doi.org/10.1080/15265161.2019.1665402
Budianto, A. (2020). Legal research methodology reposition in research on social science. International Journal of Criminology and Sociology, 20(9), 1339–1346. https://doi.org/10.6000/1929-4409.2020.09.154
Cook, R., Pan, P., Silverman, R., & Soltys, S. M. (2010). Do-not-resuscitate orders in suicidal patients: Clinical, ethical, and legal dilemmas. Psychosomatics, 51(4), 277–282. https://doi.org/10.1016/s0033-3182(10)70697-6
Desideria, B. (2025). Kemenkes Terima 51 Aduan Malapraktik Sepanjang 2023-2025, Bagaimana Penanganannya? Liputan 6.
Deussom, R., Mwarey, D., Bayu, M., Abdullah, S. S., & Marcus, R. (2022). Systematic review of performance-enhancing health worker supervision approaches in low- and middle-income countries. Human Resources for Health, 20(1). https://doi.org/10.1186/s12960-021-00692-y
Einan Nabil, M. (2024). Rekonstruksi Regulasi Hak dan Kewajiban Profesi Dokter Sebagai Penyedia Pelayanan Kesehatan yang Berkeadilan. 176.
Gillon, R. (1994). Medical ethics: Four principles plus attention to scope. In Bmj (Vol. 309, Issue 6948, p. 184). https://doi.org/10.1136/bmj.309.6948.184
Gunderson, E. A., Gripshover, S. J., Romero, C., Dweck, C. S., Goldin-Meadow, S., & Levine, S. C. (2013). Parent praise to 1- to 3-year-olds predicts children’s motivational frameworks 5 years later. Child Development, 84(5), 1526–1541. https://doi.org/10.1111/cdev.12064
Harun, F. S., Adam, A., & Alim, A. (2025). Pengaruh Budaya Organisasi terhadap Kinerja dan Pelayanan Kesehatan di Puskesmas : Suatu Tinjauan Literatur. Jurnal Berita Kesehatan, 17(1), 122–130. https://doi.org/10.58294/jbk.v17i1.259
Herabudin. (2022). Implementation of Norms and Ethics in Public Services in Indonesia. Jurnal Ilmiah MEA (Manajemen, Ekonomi Dan Akuntansi), 6(2), 2022. https://doi.org/https://doi.org/10.31955/mea.v6i2.2367
Hollósvölgyi, M. (2025). What does restorative justice promise? European Journal of Probation, 17(1), 21–34. https://doi.org/10.1177/20662203251319907
Kastury, A. H. (2024). Kedudukan Lembaga Majelis Kehormatan Disiplin Kedokteran Indonesia Dalam Prespektif Hukum Positif Indonesia. Vifada Assumption Journal of Law, 2(2), 1–12. https://doi.org/10.70184/vh8xwy88
Khasanah, U., Kelliat, B. A., Afiyanti, Y., Besral, B., & Sari, D. W. (2024). The Problems and Needs of Self-Management Among Indonesian Older Adults With Hypertension: A Qualitative Study. SAGE Open Nursing, 10. https://doi.org/10.1177/23779608241282915
Menkel-Meadow, C. (2017). The Evolving Complexity of Dispute Resolution Ethics Carrie Menkel-Meadow The Evolving Complexity of Dispute Resolution Ethics. https://ssrn.com/abstract=3044859Electroniccopyavailableat:https://ssrn.com/abstract=3044859Electroniccopyavailableat:https://ssrn.com/abstract=3044859
Partama, T. A. (2025). Tanggung Jawab Hukum Pelaku Usaha Pelayanan Kesehatan Tradisional: Studi Systematic Literature Review dalam Perspektif UU No. 17 Tahun 2023. https://doi.org/https://doi.org/10.55123/sehatmas.v4i3.5589
Pelafu, J. (2021). Pelaksanaan Penegakan Kode Etik Kedokteran. Lex Crimen, 4(3), 43–49.
Roberts, M. C., Kennedy, A. E., Chambers, D. A., & Khoury, M. J. (2017). The current state of implementation science in genomic medicine: Opportunities for improvement. Genetics in Medicine, 19(8), 858–863. https://doi.org/10.1038/gim.2016.210
Rufaida, A., Anisa, & Yusuf, H. (2025). Peran IDI Dalam Pengawasan Etika Profesi Kedokteran di Indonesia. JIIC: Jurnal Intelek Insan Cendikia, 2(1), 391–398. https://jicnusantara.com/index.php/jiic/article/view/2190
Sari, K. P. B. S. (2022). Penyelesaian Sengketa Medis Pasca Disahkannya Undang-Undang Kesehatan Nomor17 Tahun 2023. Jurnal Cahaya Mandalika, 5, 942–952.
Sitohang, E. (2014). Prinsip Hukum Dalam Tata Kelola Rumah Sakit. Yuridika, 29(1). https://doi.org/10.20473/ydk.v29i1.359
Sudra, R. I., & Mahawati, E. (2021). Medicolegal Bioethics Study Regarding Refusal of Cardio Pulmonary Resuscitation Stated in the Do-Not-Resuscitate Form. https://doi.org/10.2991/assehr.k.210101.047
Sulistiadi, W., Rahayu, S., Veruswati, M., & Asyary, A. (2022). Health Personnel Improvement in the Implementation of Shariah’s Ethical Code of Conduct in Tangerang Hospital, Indonesia. Journal of Environmental and Public Health, 2022(1). https://doi.org/10.1155/2022/5548840
Suryanto, Plummer, V., & Boyle, M. (2017). Healthcare System in Indonesia. Hospital Topics, 95(4), 82–89. https://doi.org/10.1080/00185868.2017.1333806
Wahyudia Putri, S. B. S. R. (2024). Analisis Teori Tujuan Hukum Gustav Radbruch Dalam Kedudukan Majelis Penyelesaian Perselisihan Medis Dalam Undang - Undang Nomor 17 Tahun 2023 Tentang Kesehatan. SANGAJI : Jurnal Pemikiran Syariah Dan Hukum, 8(2), 315–326. https://doi.org/10.52266/sangaji.v8i2.3463
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