Ethic o Legal

8/19/2019 Ethic o Legal

1/22

“Resiko Dokter Diadili/Diperiksa” pasca UU Pradok

Dokter

MKDKI

PN Pidana

MKEK

BPSK-Kesehatan

PN Perdata

MKDKI

RELEVENSI

MAKERSI

“Peradilan Pers”

Koite Etik/Medik

RS setepat

Ps !! "#$

Ad%erse E%ent &

Malpractise

Merasa dir'(ikan

PS ))

*RANSISI

“Sisa lan((ar etis” MKDKI

PS !+


2/22

*he ,orld is

chan(in( rapidl

Pop'lation e.pansion Urani0ation Increase in International tra%el Social chan(es 1 Ne2 Kno2led(e 1 Ne2 Risks

Rapid and 2idespread co'nication


3/22

I3 the I4R 2ere a li(htho'se 56

NATIONAL

SURVEILLANCE AND

RESPONSE

WHO ALERT AND

RESPONSE SYSTEM

INTERNATIONAL

TRAVELS AND

TRANSPORTS

THREAT-SPECIFICCONTROL

PROGRAMME

RELEVANSI

HAM & KES

7 Broader rane o!

r"#$#

7 Broader rane o!

r"#$#

NE,

I4R"899)$5 a solid

3o'ndation and 3o'r li(ht

eas

GLOBAL PARTNERSHIP


4/22

PENDEKA*AN *E:RI

Ethicole(al Perspecti%es

Ethics/oralit

& nat'ral la2

;e(al &

Positi%e ;a2

& oral principles

4'k' isa cacat oral ila


5/22

Eleent o3

Ethicole(al Sste A('s P'r2adianto> 899!

Pro!e##"ona%

D"n"'

Pa"en(#

Sa!e'

Goa% o!

Med")"ne

Bona3ide

Pro3essionalis

D"#)"*%"ne +

a))o,na"%"'

L"a"%"'

Per#ona% re#*on#""%'

?opetenc

Maintain technical

E.pertise

Sel3-re('lation

?olle(e

?ME/?PD

Pro3 :r(ani0ation

?ode o3 Ethics/peer re%ie2

Respectalr stat's

Pro3 ins'rance/MDU/MPS


6/22

KEKUA*AN etis UU PRAD:K

*'@'an norati3 petient sa3et & protectin( thepeople "erpihak pada pihak p'lik/rakat$ karenakesehatan & 4AM

Peerdaaan oran( oro3esional & s'sidiaritas -


7/22

Ethico-le(al Sste A('s P'r2adianto> 899)

4ealth Personnel4ealth Personnel

4ealth Cacilities4ealth Cacilities

4ealth Sste4ealth Sste

;a2 as social;a2 as social

en(ineerin(en(ineerin(Va%,e o! Hea%.Va%,e o! Hea%.

Responsiilit

Ethies

PR:CESSI:NA;ISM

Patient/?lient

Cail

?o'nit

Societ

Medical oalsPatients

Sa3et

Pro3essionalPro3essional

Di(nitDi(nit Acco'ntailit Acco'ntailit

DisciplineDiscipline;iailit

SOCIAL CONTRACTSOCIAL CONTRACT

MEDICAL INDICATIONMEDICAL INDICATION CONTE/TUALLYCONTE/TUALLY BALANCING CONFLICTBALANCING CONFLICT

OF INTERESTOF INTEREST

PUBLIC TRUST

BEST INTEREST0

PREFERENCES

1UALITY OF LIFE


8/22

Ethico-le(al Sste Politic o3 4ealth A('s P'r2adianto> 899F

4ealth Personnel4ealth Personnel

4ealth Cacilities4ealth Cacilities

4ealth Sste4ealth Sste

I4R ,4: 899)I4R ,4: 899)

E:s;A,E:s;A,BEHAVIORBEHAVIOR

VBM-BASEDVBM-BASED

Responsiilit

Ethies

SOCIAL ETHICS a# Fard., K"!a'a.

Patient/?lient

Cail

?o'nit

Societ

Medical oalsPatients

Sa3et

Pro3essionalPro3essional

Di(nitDi(nit Acco'ntailit Acco'ntailit

DisciplineDiscipline;iailit

CHECK & BALLANCECHECK & BALLANCE

MEDICAL INDICATIONMEDICAL INDICATION CONTE/TUALLYCONTE/TUALLY BALANCING CONFLICTBALANCING CONFLICT

OF INTERESTOF INTEREST

PUBLIC TRUST

ECOSOC RIGHTS0

RIGHT TO HEALTH

SOLIDARITY +

GLOBAL 2USTICE

CRITICAL MASS


9/22

E*4I?S

THE DISCIPLINE DEALING WITH IS GOOD AND BAD WITH MORAL DUTY ANDOBLIGATION (Webster’s)

ETHICS OFFERS CONCEPTUAL TOOLS TOEVALUATE AND GUIDE MORAL DECISIONMAKING

MEDICAL ETHICS IS A DISCIPLINE

MOTHODOLGY FOR CONSIDERING THEIMPLICATIONS OF MEDICAL TECHNOLOGY TREATMENT AND WHAT OUGHT TO BE (U!"#$% W&s'"!t$! S'$$* $% Me+""!e)


10/22

,h 'sin( PBE & Principle-ased

Ethics "Basic Moral Principle$

"Ethical Princilis$

+ $a"da. da#ar "oe"$a + KDB 333+ $a"da. da#ar "oe"$a + KDB 333


11/22

GENIS KAIDA4 DASAR BI:E*IKA

Medical

Indication

Non Mele3ienceBene3icence A'tono G'stice

?ara & Peernaran Moral "Ded'kti3 ;o(is$

Cara + Ke*,,#an E"$ Men'a,

Dn H,$,4 Ber$one$# Pa#"en


12/22

Rele%anc o3 PBE/KDB

Act'al to atch 2ith clinical ethicssettin( "Gonsen Sie(ler Method$

DR need sol'tion as 2ell as ('idance -<

'se critical reasonin( analsis tools -<close to the 2ork o3 Ethical Re%ie2in(Board "R6 Heatch ethod$

In line 2ith st'dent rationall coplettin(po2er to analsis -< preser%in( the lo(ics"ded'cti%e ethod o3 4enr Ricahrdson$


13/22

Rele%anc o3 PBE/KDB "8$

Match 2ith the ME* ethod to archie%e itso@ecti%e & co(niti%e de%elopental approach Ja33ecti%e de%6 app < c'lt'ral transisson6

In line 2ith ethico-le(al approach -< %er 'se3'lto archie%e de3end ar('entation a(aints the“2ron( a'ses le(al ar('ents” "A('s Pethod 8998$

More practical ethics to anal0e “ti(htl co'pled”ethics-discipline-le(al case o3 e%er pro3essionaliscond'ct rele%ant 2ith Medical Practise Act899


14/22

Rele%anc o3 PBE/KDB "#$

A pre%io's step to %al'e clari3icationethod "4o2ard Brod$

Certili0er to “pria-3acie-is” "AP-899$

rele%ant to critics to 'ltic'lt'ris iss'esand critics to (loali0ation ashoo(eni0ation po2er to 'ni%ersal

ioethics nor6 "Koisi Bioetika Nas$?onnectin( 2ith Asian Hal'es Ethics o3

lo%e "Darrl Macer 1 UNES?: Ban(kok$


15/22

KAIDAH DASAR BIOETIK I 5ALTURUISME DALAM

BERPRAKTEK6

No KriteriaL Men('taakan &*t,r,"s-e "enolon( tanpa parih> rela erkoran

'nt'k kepentin(an oran( lain$

8 Men@ain nilai pokok harkat dan artaat a'sia

# Menolon( pasien/kel'ar(a/ses'at' tak hana se@a'h en('nt'n(kandokter6

Men('sahakan a(ar keaikan/an3aatna leih anak diandin(kanden(an ke'r'kanna6

) P&ter!&*"s-e ertan(('n( @a2a/erkasih saan(

! Men@ain kehid'pan aik-inial an'sia6

F Peatasan $&* b&se+

+ Maksialisasi pe'asan keaha(iaan/ .re%ere!s" pasien

Minialisasi akiat 'r'k

L9 Ke2a@ian enolon( pasien (a2at dar'rat

Bene!")en)e


16/22

KAIDAH DASAR BIOETIK I 5ALTURUISME DALAM

BERPRAKTEK6 576

No Kriteria

LL Men(har(ai hak-hak pasien secara kesel'r'han

L8 *idak enarik honorari' dil'ar kepantasan

L# Maksialisasi kep'asan tertin((i secara kesel'r'han

L Men(ean(kan pro3esi secara ter's-ener's

L) Meerikan oat erkhasiat secara 'rah

L! Menerapkan G$*+e! R,*e Pr"!".*e

Bene!")en)e


17/22


18/22

KAIDAH DASAR BIOETIK II 5DO NO HARM DALAM SITUASI

EMERGENSI DAN PRAKTEK KLINIS6 576

No Kr"er"a

+ T"+&/ -e!e&' .&s"e! +&r" b&'&0&

Men(hindari irepresentasi dari pasien

L9 *idak eahaakan kehid'pan pasien karena kelalaian

LL *idak eerikan sean(at hid'p

L8 *idak elindn(i pasien dari seran(nL# *idak elak'kan 1'"te $**&r r"-e dala idan(

kesehatan/ker'ah-sakitan an( er'(ikan pihakpasien/kel'ar(ana

Nona4a%e!")en)e


19/22

KAIDAH DASAR BIOETIK III 5OTONOMI PASIEN DALAM BERBAGAI

SITUASI6

No Kr"er"a

L Men(ahar(ai hak enent'kan nasi sendiri> en(har(ai artaatpasien

8 *idak en(inter%ensi pasien dala e'at kep't'san "pada kondisi

e*e/t"% $# Berter's teran(

Men(har(ai pri%asi

) Men@a(a rahasia pasien

! Men(har(ai r&s"$!&*"t&s pasien

F Melaksanakan "!%$r-e+ $!se!t

+ Me-b"&r/&! .&s"e! +e1&s& +&! /$-.ete! -e!&-b"* /e.,t,s&!se!+"r"2

T"+&/ -e!"!ter#e!s" &t&, -e!'&*&!" &,t$!$-" .&s"e!

L9 Me!e&' ."'&/ *&"! -e!"!ter#e!s" .&s"e! +&*&- -e-b,&t/e.,t,s&!3 ter-&s,/ /e*,&r& .&s"e! se!+"r"

A,ono4"


20/22

KAIDAH DASAR BIOETIK III 5OTONOMI PASIEN DALAM BERBAGAI

SITUASI6 576

No Kr"er"a

LL S&b&r -e!,!, /e.,t,s&! 0&! &/&! +"&-b"* .&s"e! .&+& /&s,s !$!e-ere!s"

L8 *idak erohon( ke pasien eskip'n dei

keaikan pasien

L# Men@a(a h''n(an (/$!tr&/)

A,ono4"


21/22

KAIDAH DASAR BIOETIK IV 5PRINSIP KEADILAN DALAM KONTEKS

HUBUNGAN DOKTER - PASIEN6

No Kr"er"a

L Meerlak'kan se(ala ses'at' secara 'ni%ersal6

8 Men(ail porsi terakhir dari proses

ea(i an( telah dilak'kan6

# Meerikan hak sehat pasien "&%%$r+&b"*"t03 e4,&*"t03 &ess"b"*"t03&"*&b"*"t03 4,&*"t0 $

Men(har(ai hak h'k' pasien

) Bi@ak dala akro alokasi6 6

! *idak elak'kan penalah('naan

F *idak elak'kan penalah('naan6

+ Bi@ak dala akro alokasi6

Me-ber"/&! /$!tr"b,s" 0&! re*&t"% s&-& +e!&! /eb,t,'&! .&s"e!2

L9 Meerikan kontri'si an( relati3 saa den(an ke't'han pasien6

2,#")e


22/22

KAIDAH DASAR BIOETIK IV 5PRINSIP KEADILAN DALAM KONTEKS

HUBUNGAN DOKTER - PASIEN6 576

No Kr"er"a

L Meinta partisipasi pasien ses'ai den(an keap'anna6

8 Ke2a@ian endistri'sikan ke'nt'n(an dan

ker'(ian "iaa> ean> sanksi$ secara adil6

# Men(ealikan hak kepada peilikna pada saat an( tepat dankopeten6

*idak eeri ean erat secara tidak erata tanpa alasan

sah/tepat6

) Men(horati hak pop'lasi an( saa-saa rentanpenakit/(an(('an kesehatan

! *idak eedakan pelaanan pasien atas dasar SARA> stat'ssosial> dll6

2,#")e

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Ethic o Legal