Doctor’s Ethical Dilemma In The JKN Era (Raboan Discussion Forum)

Wednesday (23/02) the Center for Bioethics and Medical Humanities (CBMH FK-KMK) Universitas Gadjah Mada held a weekly Raboan Discussion Forum. On that occasion, the title that was raised was I Did Everything For My Patients Ethical Dilemmas of Specialist Doctors in the JKN Era. Present as speakers were dr. Sigid Kirana Lintang Bhima, Sp.FM(K), Secretary of the MKEK IDI Region of Central Java and Lecturer at the Faculty of Medicine, Diponegoro University. Meanwhile, the forum was chaired by dr. Nur Azid Mahadinata.

dr. Sigid highlighted a phenomenon that occurred to doctors in the era of the National Health Insurance (JKN) or also commonly known as BPJS. The existence of health insurance raises ethical dilemmas that are often experienced by doctors.

A doctor in carrying out his profession in providing health services has an obligation to follow three things, namely ethical legal discipline. These three things are contained in the Indonesian Doctor’s Code of Ethics (KODEKI), Laws and Regulations (UU 29 of 2004), as well as the Standard Operating Procedure (SOP) of each health facility.

In practice, as a decision-makers, doctors often experience dilemmas when faced with JKN patients. In the JKN era, doctors have a duty to consider patient funding as a factor in making decisions.

Based on the research of dr. Sigid in Semarang, this phenomenon turned out to be difficult for specialist doctors in making decisions regarding patient care. This is also coupled with the lack of socialization related to BPJS implementing regulations for specialist doctors. Often doctors feel they have to do trial and error when treating patients.

From dr. Sigid research can be concluded as an input for stakeholders, especially BPJS to improve the way of socializing the use of social insurance. Socialization needs to be carried out thoroughly and directly to doctors and patients so that there are no difficulties for all parties in the future.