Yogyakarta – Wednesday (25/11), the Center for Bioethics and Medical Humanities Faculty of Medicine Public Health and Nursing at UGM, in collaboration with the Master Program in Bioethics at UGM and UNESCO Chair on Bioethics at UGM, hosted an online event “Raboan Discussion Forum.” The forum delved into the crucial topic of “Application of Respect for Autonomy in Hospital Services within the National Health Insurance System.” dr. Desdiani, Sp.P, M.K.K., M.Bio.Et Lecturer from Sultan Ageng Tirtayasa University Serang Banten and alumnae of Master Program in Bioethics UGM was invited as the speaker. Meanwhile the event was moderated by Erlin Erlina, Ph.D.
The webinar highlighted several critical issues concerning the implementation of respect for autonomy in healthcare services, particularly within the framework of national health insurance. dr. Desdiani emphasized that the lack of adherence to respect for autonomy has led to delayed referrals, high healthcare costs, increased disease severity, and disabilities.
One of the significant concerns raised during the discussion was the prevalent practice of verbal consent for medical procedures and treatments in primary healthcare facilities and hospitals. It was noted that patients often do not have the opportunity to choose their treatments or procedures, and there is a lack of awareness regarding the regulations of the national health insurance program.
Moreover, the role of medical professionals in primary and advanced healthcare facilities in respecting patients’ wishes and decisions was scrutinized. The discussion revealed a lingering paternalistic approach among healthcare providers, leading to a lack of understanding among patients regarding their medical treatments.
Furthermore, the challenges faced by healthcare facility management regarding the adherence to national formulary standards and the inconvenience faced by patients in accessing multiple healthcare services were also discussed.
The webinar concluded with a resounding call to action for stakeholders within the healthcare sector to collaborate in addressing these challenges and prioritizing the welfare and autonomy of patients in Indonesia’s healthcare landscape.
Watch full video here