Deontology Aspect of P-Care Utilization in the First Healthcare Facility in Yogyakarta (Raboan Discussion Forum)

Wednesday (24/11), Center For Bioethics and Medical Humanities held weekly Discussion Forum Raboan. CBMH UGM has brought a recent issue about ethics and health practice that is Deontology Aspect of P-Care Utilization in the First Healthcare Facility in Yogyakarta. This topic is presented by Zahwa Arsy Azzahra S.T., M.Sc. Also present as moderator is Puri Swastika GKD, SE, M.Sc.

According to Zahra, the use of Big Data in healthcare services has the potential to be misused. Based on Lenca’s research on Big Data, there is misuse potential in privacy and confidentiality, informed consent, Fairness, and Justice, etc.

 

Today, Badan Penyelenggara Jaminan Sosial Kesehatan (BPJS Indonesia) has using digital data to improve Healthcare Facility services. Thus, Zahra trying to find the ethical aspect especially the Deontology of BPJS system called P-Care (Primary Care) in Yogyakarta. Zahra said that finding the deontology aspect on the big data use is crucial because patient data is a private matter.

Based on Zahra’s findings there are three ethical issues on P-Care. The first is privacy and confidentiality. It is caused by the lack of ethical understanding of the respondents. Another issue found is a safety issue. Zahra’s respondents stated that BPJS as the system provider does not support a high-quality safety system. Another issue found is informed consent. This is caused by the involvement of third parties in P-Care data input.

 

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Ethical Disruption in Healthcare Digital Marketing Issues (Raboan Discussion Forum)

Yogyakarta – Raboan Discussion Forum was again organized by the Center for Bioethics and Medical Humanity (CBMH UGM) on Wednesday (19/11). This weeks topic is  Ethical Issues in Healthcare Digital Marketing. CBMH UGM invited Dr. dr. Andreasta Meliala, DPH., M.Kes., MAS from the Center for Health Policy Management FK-KMK UGM. Meanwhile, the moderator  is Dr. Nur Azid Mahadinata.

In the past few years, the development of technology and the healthcare industry has grown very rapidly. This has resulted in new issues for health care providers one of them is Healthcare Marketing.

The Marketing practice in healthcare provider is becoming one of the topics that is increasingly being discussed by practitioners and researcher in the health and medical fields. Because, this challenges of industrialization and digitalization demand a balance between ethics and humanity.

 

Dr. dr. Andreasta explained that in the past advertising activities were unusual and unethical for a hospital. However, nowadays the term marketing is increasingly accepted and even becomes an important thing for the sustainability of the hospital. So that it brings disruption and also new challenges for the realization of the ethical principles that have been applied previously.

“Principles such as beneficence, fiduciary responsibility, respect for autonomy, non-maleficence have also disappeared, thus challenging the main ethical principle, namely human dignity,” said Dr. dr, Andreas.

One of the problems that often arise in Healthcare Marketing is the existence of excessive claims of a health product. Many health advertisements are found scattered among the public displaying research results that do not meet the rules of clinical research. For example, in advertisements targeting cancer patients.

“Because it is wrapped or used as a marketing strategy, the results have been blown up,” added Dr. Dr. Andreasta.

In his presentation, Dr. dr Andreasta also added some principles that can be applied by health care providers to promote a product. First, the information provided must be honest and balanced. Second, it is not allowed to exaggerate claims just for the sake of building perceptions. Third, providing data that can be accessed by all parties so that claims can be proven and accounted for. Fourth, ensure that the drugs given are appropriate for each group.

 

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Assisting Terminally ill Patients with Pastoral Care (Raboan Discussion Forum)

Yogyakarta – Wednesday (10/11) Center for Bioethics and Medical Humanities Universitas Gadjah Mada (CBMH UGM) held a Raboan discussion forum. CBMH UGM presented topic Pastoral Care for Terminal Disease Patients. This topic is carried by Imanuel Eko Anggun S., M.Sc who is an alumni of UGM Bioethics Masters Program. Meanwhile, the discussion forum was led by Puri Swastika GKD, SE, M.Sc as moderator.

Pastoral Care is a form of patient assistance that has long been applied in the health sector. However, in Indonesia, the service from the hospital is still not widely known by the patient and the patient’s family. According to Anggun’s research, there are still many patients who do not know or even hesitate to ask for spiritual assistance. As a result, this service does not run optimally in hospitals. Although spiritual assistance is needed especially for patients with severe disease or terminal illness.

 

According to Anggun’s research Pastoral Care has benefited terminally ill patients. They receive encouragement, support, blessings, and the last energy of patients to undergo their healing period. Patients can also feel light, happy, calm, and excited. In addition, pastoral care was also responded positively by the patient’s family. The family felt grateful, happy, no longer discouraged, felt strengthened, and helped a lot.

Another problem with spiritual service is that many still think that Pastoral Care is a form of spiritual service carried out by religious leaders. Anggun mentioned that Pastoral Care also can be done in the form of assistance by doctors and nurses. So that the sensitivity of doctors and nurses is also very needed to help treat patients.

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Human Rights and Bioethics in the Quranic Perspective (Raboan Discussion Forum)

Yogyakarta – Center for Bioethics and Medical Humanities (CBMH UGM) held the Raboan discussion forum on Wednesday (03/11). This regular discussion forum raised an interesting theme Human Rights and the Perspective of the Qur’an.

CBMH collaborated with  Center for Religious and Cross-cultural Studies (CRCS UIN Sunan Kalijaga) and invited Prof. Syafaatun Almirzanah Ph.D, a professor in the field of Islamic Studies and the head of CRCS UIN Sunan Kalijaga as a speaker. Meanwhile dr. Nur Azid Mahadinata acts as a moderator who guides the discussion.

Prof. Syafaatun who is also called Prof. Shafa started the discussion by explaining the values ​​of the Universal Declaration of Human Rights (UDHR) in the Quran. According to Prof. Safa, the Quran has accommodated UDHR values. As one of them is stated in the letter Al-Isra verse 70.

“Really, we have glorified every human being” said Prof. Safa quoted a verse from the Quran.

Prof. Shafa said that the implementation of human rights values ​​must be carried out with individual obligations. This notion is related to the science of Bioethics which is morally responsible for professionals.

The science of Bioethics was born out of a deep concern for human suffering. However, in reality, the science of Bioethics is still based on secular rational thinking. Thus according to Prof. Shafa’s Bioethics science becomes less responsive in dealing with suffering.

“We moved from thick bioethics to thin bioethics,” added Prof. Shafa.

 

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