The Center for Bioethics and Medical Humanities (CBMH FK-KMK UGM) again held the Raboan Discussion Forum on Wednesday (26/07). The weekly forum raised the topic Bioethical Problems in Child Marriage. On this occasion, the speaker was Dr. Pinky Saptandari, Dra., M.A. Meanwhile, the moderator of the discussion was dr. Tiea Khatija.

The problem of child marriage is an issue of violation of the rights of children and women, both from a legal, political, health, and social perspective. This issue involves many scientific disciplines, such as law, medicine, psychology, anthropology, and social affairs. Child marriage contributes to stunting, maternal mortality, and educational problems. Even though there is a legal umbrella, such as laws and international conventions, marriage dispensation is still easy to obtain. Culture, tradition, and religious interpretations also influence this issue. read more

The Center for Medical Bioethics and Humanities (CBMH FK-KMK UGM) held the Raboan Discussion Forum last Wednesday (12/7). The topic discussed in the forum was “Knowledge Level of Residents on Bioethical Principles.” The speaker for the forum was dr. Narumi Hayakawa while the moderator was Noviyanti Fahdilla, S.Tr.Keb, MPH.

Research conducted by Narumi shows that the level of knowledge of bioethics among the Indonesian population still needs to be improved. The study illustrates that most of the residents have a moderate level of knowledge of bioethics, indicating a challenge in dealing with ethical issues in medical practice. read more

Wednesday (21/6), the Center for Medical Bioethics and Humanities held the Raboan Discussion Forum. The topic that we raised was Patient Preference VS Family Preference in Palliative Care. The speaker for this discussion was Dr. Christantie Effendy, S.Kp., M.Kes. and moderated by dr. Galuh Dyah Fatmala.

The family in Indonesia is consists of extended family, so making decisions cannot be based on personal preferences. Elderly people in Indonesia are often not the important to have the opportunity to express their opinions, as they are perceived as lacking competence in decision-making. read more

On Wednesday (7/6), the Center for Medical Bioethics and Humanities held the Raboan Discussion Forum. The topic discussed was the Ethical Aspects in RUU. The speaker for this discussion was Dr. dr. Carolina K, SpB., SH., MH and it was moderated by dr. Gregorius Yoga Panji Asmara, S.H., M.H., CLA.

The medical/dental profession has ethical, disciplinary, and legal responsibilities. Bioethical principles, such as beneficence, non-maleficence, autonomy, and justice. Violations of discipline or the law undoubtedly contravene the code of ethics. The Omnibus Law (OBL) was made with good intentions, aims to overcome the hyper-regulation. Ethics in the RUUK OBL explains professional organizations, legal protection, Health Workers of Foreign Nationals (TKWNA), and health funding. read more

Writers

Agnes Bhakti Pratiwi

Hermawati Setiyaningsih

Maarten Olivier Kok

Trynke Hoekstra

Ali Ghufron Mukti

Elizabeth Pisani

Abstract

Objectives

To analyse the relationship between health need, insurance coverage, health service availability, service use, insurance claims and out-of-pocket spending on health across Indonesia.

Design

Secondary analysis of nationally representative quantitative data. We merged four national data sets: the National Socioeconomic Survey 2018, National Census of Villages 2018, Population Health Development Index 2018 and National Insurance Records to end 2017. Descriptive analysis and linear regression were performed. read more

Writers

Agnes Bhakti Pratiwi

Retna Siwi Padmawati

Dick L. Willems

Background:

The importance and attention to patient privacy in recent decades have been directed mostly toward medical data protection in electronic means. Hence, other aspects of patients’ privacy were overlooked, particularly in the primary health care (PHC) level. In the attempt of many countries, including Indonesia, to strive toward universal healthcare provision, a strong and accessible PHC is essential. This situation may create a tension in privacy provision where patients who need to disclose secrets may opt for other facilities, such as hospitals. This study aimed to describe and discuss patients’ and doctors’ perspectives and experiences about privacy in PHC in Indonesia, particularly since the universal coverage started. read more

Writers

Agnes Bhakti Pratiwi

Retna Siwi Padmawati

Joko Mulyanto

Dick L. Willems

Abstract

Background

Accessible and high-quality primary health care (PHC) is fundamental to countries moving towards universal health coverage. In order to improve the quality of patient-centered care provided in PHC, a comprehensive understanding of patients’ values is crucial to address any gaps in the health care system. This systematic review aimed to identify patients’ values relevant to PHC.

Methods

We searched primary qualitative and quantitative studies about patients’ values related to primary care in PubMed and EMBASE (Ovid) from 2009 to 2020. The studies’ quality was assessed using Joanna Briggs Institute (JBI) Critical Appraisal Checklist for both quantitative and qualitative studies and Consolidated Criteria for Reporting Qualitative Studies (COREQ) for qualitative studies. A thematic approach was used in the data synthesis. read more

On Wednesday (24/5), the Center for Medical Bioethics and Humanities held the Raboan Discussion Forum. The topic discussed was the Moral and Legal Guidelines for Genetic Editing. The speaker for this discussion was Prof Benjamin Gregg (expert in epigenetics) and it was moderated by dr Wika Hartanti, MIH .

Epigenetics is the study of how a person’s behaviour and environment can change the genes in their body. A genome is all of an organism’s genetic information. The germline consists of the cells that form the egg, sperm, and the fertilized egg. They pass on their genetic material to the offspring. read more

The Center for Bioethics and Medical Humanities welcomed Visiting Professor Prof. Benjamin Gregg from the University of Texas at Austin on Friday (19/05). The visit was carried out in order to build collaboration in the fields of research and education. The welcoming ceremony was attended by Dr. dr. Retna Siwi Padmawati, MA as Director of the Center for Bioethics and Medical Humanities Faculty of Medicine Public Health and Nursing Universitas Gadjah Mada. Apart from that, the event was also attended by Dr. dr. Soenarto Sastrowijoto, SpTHT(K), Prof. dr. Yati Soenarto, Sp.A(K) Ph.D, and Prof. dr. Sofia Mubarika Harjana, M.Med.Sc., Ph.D, dr. Wika Hartanti, MIH, and dr. Nur Azid Mahardinata. read more

Center for Bioethics and Medical Humanities (CBMH FK-KMK UGM) held Raboan Discussion Forum last Wednesday (17/5). The discussed topic on the forum was “Autonomy VS Paternalism”. CBMH FK-KMK UGM, as the organizer, invited Prof. Hans Van Rostenberge from University Sains Malaysia as the speaker. Meanwhile dr. Nur Azid Mahardinata moderated the online discussion forum.

There are four pillars of medical ethics: Autonomy, Beneficence, Non-Maleficience, and Justice. In the discussion, we focus on the first pillar, Autonomy. Medical paternalism, which involves making decisions for patients without their consent, was contrasted with non-paternalism in medicine. For example, a patient refusing a life-saving surgery raises questions about the Autonomy of parents in pediatric cases. Especially when dealing with severe conditions like newborns with severe jaundice and brain issues. read more