Unplanned Complication and How to Ethically Deal With it? [Raboan Discussion Forum]

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Wednesday (13/4), the Center for Medical Bioethics and Humanities again held the Raboan Discussion Forum. The topics discussed at this event were Unplanned Complication and How to Deal with It. The speaker on this topic was Dr. dr. H. Sophan Yahya Warnasouda, Sp.OT and Traumatology, Master of Health Law, a bioethicist from the Indonesian Bioethics Forum. Meanwhile, the moderator is dr. Tiea Khatija.

In medicine, ethics has an important role in life. So that its application covers all areas of life, including in health services. Doctors have the obligation to follow the regulations stipulated in KODEKI Year 2012 Article 1 and Law of the Republic of Indonesia Number 29 Year 2004 concerning Medical Practice. 

The purpose of ethics education in medical education is to make prospective doctors more humane and have intellectual and emotional maturity. The Principles of Medical Ethics contain four (4) principles: autonomy, beneficence, nonmaleficence, and justice. Ethics related to the medical profession are recorded in the form of the Indonesian Code of Medical Ethics, namely: general obligations, obligations of doctors to patients, obligations to colleagues and obligations of doctors to themselves. 

In KODEKI, actions or actions have been regulated categories of violations, namely: purely ethical and ethical violations. The Indonesian Disciplinary Honor Council explained that communication errors caused 45% of disciplinary infractions. So communication in health services is very important. Doctors who make mistakes are responsible for ethical, disciplinary, legal, and responsibility to God. 

So Informed Consent is needed to avoid complications. The doctor must give Inform Consent so that the information that needs to be conveyed using language that the patient can understand. 

So that ethics are needed to create behavior, behavior is not only about being given information about which is good which is bad, which is okay which should not be in accordance with the code of ethics and then can change its behavior, but it needs sustainable environmental conditions, from students to becoming doctors, it needs to be escorted by meetings that discuss ethics, so that it can sharpen and still maintain medical ethics. Therefore ethics are constantly required in medicine. 

 

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Unplanned Complication and How to Ethically Deal With it – Dr. dr. H. Sophan Yahya Warnasouda, Sp.OT MHKes

 

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Business Ethics [Raboan Discussion Forum]

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Wednesday (05/4), the Center for Medical Bioethics and Humanities held the Raboan Discussion Forum again. The topic discussed at this event was Business Ethics. The speaker on this topic is Dr. Peter Johannes Manoppo, a Bioethicist from the Indonesian Bioethics Forum. Meanwhile, the moderator was Nathan Agwin Khenda.

The business makes one’s living because it can make money, products, and services. However, the increase in population is inversely proportional to the amount of human and natural resources; this can cause ethical problems. The thing to note is that when we study science, we will find gold fields, while when we look at ethics, we will find minefields.

A business person must have creativity, innovation, novelty, value, execution, pioneering, ethical ground, and empowering business. In addition, companies must respect all business stakeholders, including management, workforce, customers, suppliers, competitors, regulators, other corporate citizens, and society because all of these things can do a business last a long time.

The UNDP goals contain 17 SDGs, namely sustainable growth. Here there are many themes on health, education, and climate change; there are also themes concerning economic development and infrastructure. Right now, the industry has to innovate, but human resources don’t exist, and there are more and more human resources. Moreover, the principle of the UNDP Global Goals is to seek peace for all human beings. Therefore, it can be used as a guide in business ethics.

There are four pillars of business management, business analysis, learning and leadership development, strategic partnerships, and funding opportunities. These four Pilat must have the correct ethical foundation to run well. Therefore it is necessary to have an ethics committee conducting business to pay attention to the following matters, Sexual harassment, Diversity & discrimination, Bullying, Health & Safety, Environmental protection, Accounting practices, Data privacy, and Theft.

Businesses should improve human welfare & prosperity through good business governance based on the four pillars of business management. When doing business, sometimes there are competing or conflicts of interest in business, but all business stakeholders should avoid this. Social responsibility is essential to the morality of business, internally & externally.

 

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dr. Peter Johannes Manoppo, SpB, MBIO, FINACS, FiCS. – Business Ethics

 

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Seeking Treatment in a Neighboring Country, What Are the Ethical Aspects? [Raboan Discussion Forum]

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On Wednesday (29/03),  Center for Medical Bioethics and Humanities held the Raboan Discussion Forum again. This time, the topic raised was Ethical Aspects When Seeking Treatment In A Neighboring Country. The speaker of the discussion was dr. Effiana with the moderator dr. Tiea Khatija.

Every year the number of Indonesian people seeking treatment in neighboring countries such as Malaysia, Singapore, and Thailand increases. In this discussion, the object of discussion is the city of Pontianak which is near Kuching city in Malaysia.

There are four terms for medical treatment abroad namely health tourism, medical tourism, medical travel (feeling that doctors cannot handle the disease in their origin city), and medical exile (considered as refugees). Nowadays, generally, it’s more common to call it a medical trip.

According to Ormond, two reasons can motivate people to seek treatment abroad: dissatisfaction (dissatisfaction) and limited access or services (disfranchisement). It is also influenced by two factors such as the pull factor perspective (availability of world-class health facilities/services in the country you want to go to) and the push factor perspective (dissatisfaction with health facilities/services in the origin city).

There are several phenomena of medical travel carried out by Indonesian people (especially in Pontianak), namely having experience of being misdiagnosed by doctors in their country of origin, not trusting medical personnel in their country of origin, having experience of being students abroad, having foreign spouses, and working immigrant.

Those who seek treatment abroad have a higher trust in doctors in the destination country. Some of them had satisfying experiences of being treated abroad so that if they got sick again in the future, they would return for treatment there. Feeling that the price is the same as going to Java for treatment, they can already travel together. They also have experience trading in the country, so they seek treatment there because they feel more familiar with the environment.

Medical trips carried out by Indonesian people have a wide impact, so in deciding to seek treatment abroad, careful consideration of ethical issues/aspects is required to carry out the treatment appropriately.