Kewajiban BPJS Kesehatan dalam Pemberian Pelayanan Telekonsultasi Klinis yang Dilakukan Antara Dokter dan Pasien BPJS
Keywords:
Telemedicine, Medical Teleconsultation, BPJS Healthcare, DefaultAbstract
BPJS Health Obligations in Providing Clinical Teleconsultation Services Performed between Doctor and BPJS’ Patients
By the decree of the minister of health of the Republic of Indonesia HK.01.07/MENKES/4829/2021 on guidelines of telemedicine utilization to prevent coronavirus disease 2019 (Covid-19). Telemedicine provided by doctors in medical teleconsultation form has been widely considered in this pandemic era. This research uses normative legal research. The approach used in this research is applying the law and the conceptual approach. The result showed various legal norms for BPJS healthcare medical teleconsultation in terms of service. However, BPJS healthcare users are said to be burdened by medical teleconsultation fees, which is different from the initial legal norms. Therefore, it can be said that BPJS has done unlawful acts and is an opening chance for BPJS healthcare users to sue BPJS. Therefore, the researcher recommends that the government make rules regarding the clinical teleconsultation system so that it can run according to its function when needed, for example, during the current covid-19 pandemic. Thus, the task of BPJS in organizing national health insurance for all Indonesian people can be realized. In addition, BPJS Health is required to guarantee the legal protection of patients in clinical teleconsultation services so that the rights and obligations of BPJS participants can be fulfilled. If the rights of the BPJS participants are not fulfilled, the BPJS participants can make mediation efforts. If the mediation mechanism cannot be implemented, the settlement can be submitted to the District Court in the area where the participant lives.
References
Anwar, A. (2016). Aspek Hukum Telemedicine. Fakultas Hukum Universitas Pattimura.
Arif, M. A. I. (2018). Tinjauan Hukum Atas Layanan Medis Berbasis Online. Universitas Hasanuddin, Makassar.
Awaluddin, M. A., Warka, M., & Budiarsih. (2019). Perlindungan Hukum terhadap Pasien yang memperoleh Pelayanan Kesehatan Berbasis Online. Jurnal Akrab Juara, 4(5), 264–280.
BPJS Kesehatan, B. (2014). Pedoman Umum Tata Kelola yang Baik (Good Governance) BPJS Kesehatan. BPJS Kesehatan.
BPJS Kesehatan, F. (2020). JKN-KIS Jadi Bantalan Sosial Di Tengah Pandemi. Media Info BPJS Kesehatan Edisi 92, 6.
Cushing, M. (2022). What Is Telemedicine, Telehealth, and Teletriage? Veterinary Clinics of North America: Small Animal Practice, 52(5), 1069–1080. https://doi.org/https://doi.org/10.1016/j.cvsm.2022.06.004
Eedy, D. J., & Wootton, R. (2001). Teledermatology: A review. British Journal of Dermatology, 144(4), 696–707. https://doi.org/10.1046/j.1365-2133.2001.04124.x
Hadjon, P. M., & Djatmiati, T. S. (2009). Argumentasi Hukum. Gajah Mada University Press.
Hartono, C. F. G. S. (1991). Penelitian Hukum Menuju Satu Sistem Hukum Nasional. Alumni Bandung.
Humas. (2022a). Puskesmas Berperan Penting dalam Penguatan Promotif dan Preventif Peserta JKN. BPJS Kesehatan.
Humas. (2022b). Telemedicine Jadi Kunci Layanan Kesehatan di Masa Pandemi. BPJS Kesehatan.
Jamil, M., Khairan, A., & Fuad, A. (2015). Implementasi Aplikasi Telemedicine Berbasis Jejaring Sosial dengan Pemanfaatan Teknologi Cloud Computing. Jurnal Edukasi Dan Penelitian Informatika (JEPIN), 1(1), 1–5. https://jurnal.untan.ac.id/index.php/jepin/article/view/9930
Keputusan Menteri Kesehatan Republik Indonesia HK.01.07/MENKES/4829/2021 tentang Pedoman Pelayanan Kesehatan Melalui Telemedicine Pada Masa Pandemi Corona Virus Disease 2019 (Covid-19).
Kulchar, R. J., Chen, K., Moon, C., Srinivas, S., & Gupta, A. (2022). Telemedicine, safe medication stewardship, and COVID-19: Digital transformation during a global pandemic. Journal of Interprofessional Education and Practice, 29(August), 1–7. https://doi.org/10.1016/j.xjep.2022.100524
Ma, Q., Sun, D., Tan, Z., Li, C., He, X., Zhai, Y., Wang, L., Cui, F., Li, M., Gao, J., Wang, L., & Zhao, J. (2022). Usage and perceptions of telemedicine among health care professionals in China. International Journal of Medical Informatics, 166(August), 1–9. https://doi.org/10.1016/j.ijmedinf.2022.104856
Marzuki, P. M. (2008). Penelitian Hukum. Prenada Media Group.
Mawuntu, A. H. P. (2020). Telekonsultasi Medis Meningkat Pesat Saat Pandemi Covid-19, Tapi Muncul Tiga Masalah Baru. The Conversation.
Mehl, S. C., Short, W. D., Powell, P., Haltom, T. M., Davis, S., Belfort, M. A., Ball, R. H., Lee, T. C., Keswani, S. G., & King, A. (2022). Impact of Telemedicine on Prenatal Counseling at a Tertiary Fetal Center: A Mixed Methods Study. Journal of Surgical Research, 280(2), 288–295. https://doi.org/https://doi.org/10.1016/j.jss.2022.07.020
Mulyana, A. (2017). Perlindungan Hukum Terhadap Perempuan dan Anak Akibat Tindak Pidana Abortus Provokatus Criminalis. Jurnal Wawasan Yuridika, 1(2), 139–154. https://doi.org/10.25072/jwy.v1i2.132
Nestlerode, C., Pavelka, J., Basil, J., Schuler, K., Fellner, A. N., Ghaderian, M., & Neff, R. (2022). Patient perspectives of telemedicine in gynecologic oncology during COVID. Gynecologic Oncology Reports, 43(September), 1–5. https://doi.org/10.1016/j.gore.2022.101071
Nie, J. Z., Karras, C. L., Texakalidis, P., Trybula, S. J., & Dahdaleh, N. S. (2022). A systematic review on outpatient telemedicine utilization in neurosurgery following the start of COVID-19. World Neurosurgery, 1–13(August), 1–13. https://doi.org/10.1016/j.wneu.2022.08.145
Novianto, W. T. (2015). Penafsiran Hukum dalam Menentukan Unsur-Unsur Kelalaian Malpraktek Medik (Medical Malpractice). Yustisia Jurnal Hukum, 4(2), 488–503. https://doi.org/10.20961/yustisia.v92i0.3832
Oktavira, B. A. (2019). Aturan tentang Konsultasi Dokter Jarak Jauh (Telemedicine). Hukum Online.Com.
Peraturan Presiden Nomor 82 Tahun 2018 tentang Jaminan Kesehatan Lembaran Negara Republik Indonesia Tahun 2018 Nomor 165
Peraturan Menteri Kesehatan Republik Indonesia Nomor 69 Tahun 2013 Tentang Standar Tarif Pelayanan Kesehatan Pada Fasilitas Kesehatan Tingkat Pertama Dan Fasilitas Kesehatan Tingkat Lanjutan Dalam Penyelenggaraan Program Jaminan Kesehatan Nomor 1392
Peraturan Menteri Kesehatan Nomor 20 Tahun 2019 tentang Penyelenggaraan Pelayanan Telemedicine Antar Fasilitas Pelayanan Kesahatan Berita Negara Republik Indonesia Tahun 2019 Nomor 890
Peraturan Menteri Kesehatan Nomor 46 Tahun 2017 tentang Strategi e-Kesehatan Nasional Berita Negara Republik Indonesia Tahun 2017 Nomor 1635
Peraturan Konsil Kedokteran Indonesia Nomor 74 Tahun 2020 tentang Kewenangan Klinis dan Praktik Kedokteran Melalui Telemedicine Pada Masa Pandemi Corona Virus Disease 2019 (Covid-19) di Indonesia Nomor 428
Putri, A. E. (2014). Pahama SJSN (Sistem Jaminan Sosial Nasional). Friedrich-Ebert-Stiftung, Kantor Perwakilan Indonesia. https://doi.org/10.1017/CBO9781107415324.004
Ramanda, A. T. H. (2020). Tanggung Jawab Hukum Dokter Terhadap Telekonsultasi Via Online Apabila Pasien Mengalami Kerugian. Universitas Hang Tuah Surabaya.
Sansoko, B. A. (2020). Akankah BPJS Membiayai Pelayanan Kesehatan dengan Telemedicine. Trustmedis.Com.
Tartaglia, E., Anna, E., Iervolino, A., Egidio, R., Buonocore, G., Perrone, A., Toscano, G., Tremante, R., Cesaro, F., Sommella, V., Magri, P., & Iodice, L. (2022). Telemedicine: A cornerstone of healthcare assistance during the SARS-Cov2 pandemic outbreak but also a great opportunity for the near future. Smart Health, 26(August), 1–9. https://doi.org/10.1016/j.smhl.2022.100324
Undang-Undang Dasar Negara RepulikIndonesia Tahun 1945.
Undang-Undang Nomor 36 Tahun 2009 tentang Kesehatan Lembaran Negara Republik Indonesia Tahun 2009 Nomor 144
Undang-Undang Nomor 40 Tahun 2004 tentang Sistem Jaminan Sosial Nasional Lembaran Negara Republik Indonesia Tahun 2004 Nomor 150
Undang-Undang Nomor 24 Tahun 2011 tentang Badan Penyelenggara Jaminan Sosial Lembaran Negara Republik Indonesia Tahun 2011 Nomor 116 Tambahan Lembaran Negara Republik Indonesia Nomor 5256
Undang-Undang Nomor 11 Tahun 2008 tentang Informasi Dan Transaksi Elektronik Lembaran Negara Republik Indonesia Tahun 2008 Nomor 58
Zaelani. (2012). Komitmen Pemerintah dalam Penyelenggaraan Jaminan Sosial Nasional. Jurnal Legislasi Indonesia, 9(2), 191–206. https://e-jurnal.peraturan.go.id/index.php/jli/article/download/385/265
Zhang, W., He, D., Wang, G., Zhu, C., & Evans, R. (2022). Analyzing national telemedicine policies in China from the perspective of policy instrument (1997–2020). International Journal of Medical Informatics, 166(2), 1–9. https://doi.org/https://doi.org/10.1016/j.ijmedinf.2022.104854
