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Sejak tanggal 20 April 2000 yang lalu, pemerintah telah memberlakukan Undang-Undang Republik Indonesia Nomor 8 Tahun 1999 tentang Perlindungan Konsumen (UUPK). Sebenarnya sebelum UUPK, sudah ada produk hukum yang memberikan perlindungan terhadap konsumen, salah satu diantaranya adalah Undang-Undang Republik Indonesia Nomor 23 tahun 1992 tentang Kesehatan (UUK). Pada bidang kesehatan, pasien selaku penerima jasa layanan dapat disebut sebagai konsumen, sedangkan rumah sakit sebagai institusi pemberi layanan dapat disebut sebagai pelaku usaha. Majunya sistem informasi yang ditunjang dengan semakin tingginya tingkat pendidikan dan kesadaran masyarakat terhadap hukum, membuat mereka semakin mengerti dan berani menuntut haknya apabila mereka dirugikan. Untuk itu, RSUP Fatmawati sebagai salah satu rumah sakit pemerintah yang akan diPERJANkan telah melakukan beberapa upaya antisipasi, diantaranya adalah penataan peraturan internal sesuai dengan jenis, jumlah dan fasilitas layanan. Instalasi Rawat Jalan (IRJ) merupakan salah satu sumber dana rumah sakit yang setiap hari melayani pasien dalam jumlah besar. Keadaan ini membuat peluang untuk terjadi gugatan semakin besar. Untuk memperkecil kemungkinan tersebut, perlu dilakukan analisa peraturan internal yang sejalan dengan ketentuan UUPK dan UUK serta peraturan perundangan lain, sehingga mutu layanan dapat diperbaiki dan ditingkatkan. Disain penelitian yang dilakukan adalah penelitian deskriptif dengan model penelitian survey pada bulan Juni dan Juli 2001 di IRJ RSUP Fatmawati. Dari hasil penelitian tersebut dapat disimpulkan bahwa: 1. Sebagian besar peraturan internal IRJ RSUP Fatmawati bagi perlindungan pasien dan rumah sakit sudah sejalan dengan ketentuan UUPK dan UUK serta peraturan perundang-undangan lain yang berlaku. 2. Semua peraturan internal IRJ RSUP Fatmawati bagi perlindungan pasien dan rumah sakit sudah dapat diterapkan walaupun pada kondisi tertentu ada beberapa peraturan yang tidak dapat diterapkan sepenuhnya. 3. Masukan masyarakat terhadap peraturan IRJP RSU Fatmawati yang disampaikan melalui loket pengaduan, tata usaha IRJ RSUP Fatmawati dan kotak saran periode April 2000 sampai dengan April 2001, sebagian besar mengeluhkan pelayanan umum/askes tidak/kurang baik/profesional. Sedangkan sebagian kecil lainnya mengeluhkan akan sikap dokter/petugas tidak ramah, dokter datang terlambat dan waktu pelayanan yang lama/lambat. 4. Sebagian besar saran yang diberikan oleh pelanggan adalah peningkatan pelayanan pasien umum/askes, jumlah dokter/petugas ditambah dan perbaikan perilaku dokter/petugas. 5. Sebagian besar rekomendasi yang diberikan peneliti berdasarkan analisa peraturan internal IRJ RSUP Fatmawati bagi perlindungan pasien dan rumah sakit adalah berupa penambahan hak dan atau kewajiban pasien dan rumah sakit. Daftar bacaan: 54 (1986-2001)
Analysis on Internal Regulation of Outpatient Installation at Fatmawati Hospital, on Law of Consumer's Protections 1999 and Law of Health 1992Since 20`h April 2000, government has applied Law No. 8/1999 about Law of Consumer's Protections (ULTPK). Actually, prior to UUPK, there were law products, which provided protection to consumer, one among others is Law No. 23/1992 about Health (UUK). In health, patient as recipient of service could be considered as consumer, while hospital as institution of service provider could be considered as business doer. Advance of information system that is supported by the growth of education level and community awareness on law make them more understand and dare to fight for their rights if they are being harmed. In that sense, Fatmawati Hospital which will be being PERJAN, Service Company, has done several anticipation efforts, among others are arrangement of internal regulation according to kinds and service facilities. Outpatient Installation (IRJ) is one fund source of the hospital which everyday provides service to patients in big amount. This situation leads to bigger chance to cause of suit. To minimize such possibility, analysis of internal regulation needs to be done according to the stipulation of UUPK and UUK, and also other regulation of law, so that quality of service can be corrected and improved. Research design that was done is descriptive research with model of survey research, done in June and July 2001 at Outpatient Installation (IRJ) Fatmawati Hospital. Results from the research can be concluded that : 1. Most of internal regulation at outpatient installation of Fatmawati Hospital for patient and hospital protection has run according to the stipulation of UUPK and UUK, and also other applied regulation of law. 2. All of internal regulations at outpatient installation of Fatmawati Hospital for patient protection and hospital have been able to be applied even though at a certain condition there were regulation, which cannot be fully applied. 3. Public input on regulation at outpatient installation of Fatmawati Hospital addressed to counter of complaint, management of outpatient installation of Fatmawati Hospital and box of suggestions for period of April 2000 up to April 2001, most of them complained that public service/health insurance (askes) did not good/less professional. While others complained about unfriendliness attitude of doctors/officers, doctors late coming and service which is longer I slower. 4. Most of suggestions given by customers were improvement of service to general patient/askes, increase quantity of doctors/officers and improvement on attitude of doctors/officers. 5. Most of recommendations given by researcher based on analysis of internal regulation at outpatient installation of Fatmawati Hospital for patient and hospital protection are to increase rights and or obligations of patients and hospital. Bibliography: 54 (1986-2001)
Abstrak
Pembentukan kebijakan pengendalian dampak tembakau dipengaruhi oleh faktor diantaranya kesehatan, ekonomi, hukum dan politik. Keempat faktor tersebut merupakan faktor yang saling mempengaruhi didalam membentuk kebijakan pengendalian dampak tembakau. Faktor Kesehatan merupakan faktor yang paling utama dalam pembentukan kebijakan ini. Tingginya prevalensi perokok di Indonesia, perokok dewasa pria maupun wanita, dan terutama perokok remaja dan anak-anak. Rokok menyebabkan sakit dan kematian. Faktor ekonomi tidak seluruhnya mempengaruhi, ekonomi yang terkait beban sakit dan mati saja yang merupakan faktor yang mempengaruhi bagi dibentukan kebijakan ini. Ekonomi terkait pertanian dan industri diatur dalam kebijakan yang berbeda dengan kebijakan pengendalian tembakau. Faktor hukum merupakan faktor yang harus ada dalam memberikan dasar hukum, payung hukum dan menjadi hukum positif yang ditaati dan melindungi kepentingan kesehatan masyarakat dari dampak buruk rokok. Sedangkan faktor politik merupakan faktor penentu dalam mewujudkan kebijakan pengendalian tembakau. Sedangkan faktor politik merupakan kunci bagi sebuah kebijakan untuk dapat diwujudkan menjadi hukum positif. Proses, persepsi dan komitmen dari pembentuk kebijakan merupakan faktor politik yang sangat mempengaruhi pembentukan kebijakan pengendalian dampak tembakau.
The making of policies on the control of Tobacco Effects on Health is affected by various factors, including health, economy, law and politics. Those four factors are mutually affecting in the making of policies on the control of tobacco effects. The health factor is the most dominant factor in this matter, including the high level of smokers? prevalence in Indonesia, adult male and female smokers, and especially teenage and child smokers. Cigarettes cause diseases and death. The economic factor does not entirely affect the policy making, only economic aspects which are related to the burden of illness and death are influential to the policy making. Economic aspects related to agriculture and industry are regulated by policies which are separated from the policies on tobacco control. The legal factor must exist in order to provide legal basis and legal umbrella, and will also become the positive law which must be complied with and will protect public health interest from the negative impacts of cigarettes. Whereas the political factor is a determining factor in realizing policies on tobacco control. The political factor is also a key factor for enabling a policy to become a positive law. The process, perception and commitment of the policy-makers constitute the political factors which greatly affect the making of policies on the control of tobacco effects.
Hasil penelitian diketahui tenaga kesehatan layak disebut sebagai sebuah profesi kesehatan sesuai dengan konten kebijakan. Uji kompetensi yang dilaksanakan tidak melanggar konten kebijakan sepanjang uji kompetensi yang dilaksanakan pada ranah profesi bukan syarat kelulusan (exit exam). Solusi STR bagi tenaga kesehatan masyarakat yang lulus sebelum peraturan ini ditetapkan dapat mengacu pada Peraturan Menteri Kesehatan Nomor 46 Tahun 2013. Secara teoritis pemisahan kesehatan lingkungan dari kelompok kesehatan masyarakat tidak ditemukan dalam literatur.
Regulations on health workers have been scattered in various laws and regulations, therefore made the Act. No. 36 of 2014 on the comprehensive regulating Health Manpower. As a profession that has been established by law requires public health workers to implement what is saved according to the content / content of the policy. The content of policies related to public health personnel, among others, the obligation to register before doing the profession praxis in the community and to take the competency exam as a condition of registration of the registration which later on is given the Registration Certificate (STR). In addition, the policy has also separated the environmental health of public health personnel groups. Therefore, the researcher is interested to conduct policy evaluation especially to policy content related to public health worker. The evaluation of the contents of this policy was dissected using retrospective analysis compared to real conditions of public health personnel in the field, related policy review literature, theories about public health sciences and the views of public health experts. The result of the research is known that health workers deserve to be called as a health profession in accordance with policy content. The competency test carried out does not violate the policy content during the competency test conducted in the professional field not the exit exam. STR solutions for public health personnel who pass before this regulation is set up can refer to Minister of Health Regulation No. 46 of 2013. Theoretically the separation of environmental health from public health groups is not found in the literature.
