Wednesday, (23/08) Center for Bioethics and Medical Humanities (CBMH FK-KMK UGM) held Raboan Discussion Forum. The routine webinar was held in collaboration with International Medical University Malaysia. The speaker was Dr. Renu Agarwal and the moderator was Erlin Erlina, PhD. The raised topic is Translational Value of Animal Models in Research: Ethical Viewpoint.

Understanding how the human body functions, identifying diseases that affect humans, and developing effective treatment options are pivotal endeavors in medical and scientific research. To advance these goals, animal testing has played a significant role in various fields, including research and development (R&D), fundamental research, quality control (QC), production, and toxicity testing. Commonly used animals for these purposes include mice, rats, ectotherms, rabbits, and birds. read more

Wednesday (16/08), Center for Bioethics and Medical Humanities, Faculty of Medicine, Public Health, and Nursing held a Raboan Discussion Forum titled “Tube Feeding in Dementia at the End of Life from an Islamic Perspective.” The event, which was held online, invited speakers, Dr. Hadil Lababidi from Erlangen University, Germany. Meanwhile, the discussion was led by Ns. Wahyu Dewi Sulistyarini, M.SN.

Dementia is an umbrella term for a disease of decreased cognitive ability. One type of disease in dementia is Alzheimer’s. People living with acute dementia will experience severe symptoms such as being confined to bed, wetting the bed, and having difficulty swallowing food. read more

Wednesday (09/08), Center for Medical Bioethics and Humanities, Faculty of Medicine, Public Health, and Nursing, Gadjah Mada University held Raboan: International Collaboration in collaboration with International Medical University Malaysia. The boldly held event raised the topic of Student Empowerment: Professionalism & Ethical Responsiveness, which was presented by Dr. Serena In from IMU Malaysia. Meanwhile, the moderator who led the discussion was Dr. Wika Hartanti MIH from CBMH FK-KMK UGM. read more

Wednesday (02/08) Center for Bioethics and Medical Humanities held the Raboan Discussion Forum again. The webinar, which was held online, raised the topic of Cultural Influence on Clinical Ethics. The speaker was Peter Johannes Manoppo Bioethicist, General Surgeon. Meanwhile, the role of the moderator was Nathan Agwin Khenda, Ftr.

Culture influence is the influence of culture or tradition in clinical practice. The challenges that arise in the doctor-patient relationship occur because of differences in culture and language. One of the cultural influences of paternalism is when doctors make decisions without considering patient autonomy. read more

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

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