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

Center for Bioethics and Medical Humanities (CBMH) FK-KMK UGM akan meyelenggarakan HELP Course 2nd Series dengan tema “Basic Medical Ethics“

Topik yang dibahas antara lain:
1. Etika Medis dan Filosofi
2. Pengenalan Prinsip Dasar Biomedical Ethics
3. Perspektif Agama dan Perspektif Kemanusiaan dalam Etika Medis
4. dan masih banyak lagi

Kegiatan ini akan dilaksanakan secara luring pada:
Tanggal: 14 – 16 Juni 2023
Lokasi: Prime Plaza Hotel Yogyakarta

Tautan Pendaftaran: http://ugm.id/HELPSeri2Batch6 read more

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. read more

Wednesday (1/03), the Center for Medical Bioethics and Humanities held the Raboan Discussion Forum. This time, the topic that we raised was Climate Change and Rural Health Care. The speaker for this discussion was dr. I Nyoman Sutarsa, Ph.D and moderated by dr. Tiea Khatija.

Climate change is anthropogenic emission, such as coal burning activities. So that it will increase in rainfall which causes flooding, prolonged drought can cause food insecurities. If food insecurities have occurred, those who feel the biggest impact are the vulnerable people. Climate change can also cause extreme weathers such as storms, hailstorms, heat waves, and bush fires. read more

Wednesday (22/02) Center for Bioethics and Medical Humanities (CBMH FK-KMK UGM) just held Raboan Discussion Forum. The weekly online forum invited Gita Nasution, Ph.D from Australia National University. She presented her research titled Gendered Care and Ethics in Social Research. The discussion was lead by Erlin Erlina, Ph.D from FK-KMK UGM.

Gita presented her ethnographic study that explores the emergence and dynamics of the baby sitter profession in Indonesia, with a focus on the social and economic factors driving its growth and the aspirations of both employers and workers. The study highlights the gendered nature of care work, with women primarily taking on the role of careers in both domestic and public settings. read more

Center for Bioethics and Medical Humanities (CBMH FK-KMK UGM) held Raboan Discussion Forum last Wednesday (15/2). The discussed topic on the forum was “A Dialogical Approach to Clinical Ethics Support for Critical Yet Respectful Learning.” CBMH FK-KMK UGM, as the organizer, invited Prof. Bert Molewijk from UMC University of Amsterdam as the speaker. dr. Wika Hartanti MIH also moderated the online discussion forum.

Prof. Bert said that a dialogical approach to ethics is crucial for meaningful engagement and understanding. Ethics plays a vital role in clinical practice. Ethics can provides a framework for making morally sound decisions and ensures the well-being of patients. In addition, ethics is important because it upholds the integrity of the healthcare professionals and fosters trust in professional relationships. read more