Budiyanti, Rani Tiyas
YAYASAN ALIANSI CENDEKIAWAN INDONESIA THAILAND (Indonesian Scholars Alliance)

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Selective Abortion After Preimplantation Sex Selection: An Ethical and Legal Issue in Indonesia Pujiyono, Pujiyono; Budiyanti, Rani Tiyas
Global Health Management Journal Vol 2, No 2 (2018)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Abstract

Background: The emerging of sex selection technology in Indonesia is sperm sorting, meanwhile sex selection with Preimplantation Genetic Diagnosis (PGD) methods is not widely used. The use of sperm sorting has bigger chance to fail than PGD, thus potentially cause ethical and legal problems that is selective abortion during pregnancy. The potency for selective abortion is enlarged by Indonesian law that permitting sex selection without distinction of medical and non-medical reasons. There is no special policy to regulate the selective abortion because of sex selection failure.  Aims: This study aims to find out the legal concept of selective abortion after preimplantation sex selection that appropriate to be applied in Indonesia.Methods: This research is normative research that use analytics method with legal approach and conceptual approach. The research material consists of primary legal material (legislation about sex selection and abortion in Indonesia), secondary legal materials (legal journals, law books, and legal proceedings), and also non-legal materials (journals, books, and health proceedings about sex selection and abortion).Results: In Indonesia meanwhile in general, abortion is permitted for pregnancy with medical indication and rape victim. Through a statue approach in Indonesia, selective abortion after preimplantation sex selection can be implemented for strong medical reasons. While the failure for non-medical reasons can’t be aborted. This regulation contrary with ethics, morals and religion. Selective abortion should not be done because of preimplantation sex selection failure either medical or non-medical reasons. Conclusion: Selective abortion after preimplantation sex selection both medical and non medical reason contrary with moral, ethical, and religion. Indonesia needs to regulate further policy about selective abortion if there is a failure of preimplantation sex selection.
Tantangan Etika dan Hukum Penggunaan Rekam Medis Elektronik dalam Era Personalized Medicine Budiyanti, Rani Tiyas; Herlambang, Penggalih Mahardika; Nandini, Nurhasmadiar
Jurnal Kesehatan Vokasional Vol 4, No 1 (2019): February
Publisher : Sekolah Vokasi Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (166.363 KB) | DOI: 10.22146/jkesvo.41994

Abstract

Background: Personalized medicine is one of the health treatment approaches that has developed in the last ten years. This treatment is specific because it considers the genomics of patients and requires a complete database or medical record covering clinical and genomic data. Nevertheless, there are ethical and legal challenges in the implementation of electronic medical records in personalized medicine.Objective: This study aimed  to determine the ethical and legal challenges in the use of electronic medical records in personalized medicine based on previous literature.Methods: The method used in this study was literature review with sources from journals, books, and articles on electronic medical records, personalized medicine, as well as legal and ethical aspects related both domestically and abroad. Results: Ethical and legal challenges that can occurred in the use of electronic medical records in the personalized medicine era include security and ownership of data, legal responsibility, genomic discrimination, and changes in the relationship between doctors and patients.Conclusion: Indonesia does not yet have specific regulations regarding data security, data ownership, and data sharing in the health sector. Further regulations regarding the use of electronic medical records in the personalized era are needed so that their implementation does not conflict with the ethics and laws that apply in Indonesia
HUBUNGAN DOKTER-PASIEN MELALUI MEDIA SOSIAL DITINJAU DARI PRINSIP DASAR BIOETIKA Budiyanti, Rani Tiyas
Majalah Kedokteran Andalas Vol 37 (2014): Supplement 1 | Published in March 2014
Publisher : Faculty of Medicine Andalas University

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AbstrakPerkembangan teknologi yang ditandai munculnya berbagai alat canggih, kemudahandan kecepatan akses informasi serta komunikasi terjadi di segala aspek kehidupan masyarakattermasuk aspek kedokteran. Munculnya web 2.0 memudahkan penyebarluasan informasi olehadmin maupun pengguna. Salah satunya adalah munculnya media sosial yang dapat diaksesoleh siapa saja, termasuk dokter dan pasien. Fleksibilias dan keterbukaan penggunaan mediasosial menyebabkan pergeseran makna 'kontrak terapeutik' antara dokter dan pasien.Kebebasan interaksi antara dokter pasien mulai dari masalah personal hingga konsultasimasalah kesehatan dapat dilakukan melalui media sosial seperti facebook atau twitter denganmudah dan cepat. Seorang dokter seharusnya berpijak pada kaidah dasar bioetika sebagaiprinsip dasar hubungan dokter-pasien. Hubungan melalui media sosial sebaiknyadipertimbangkan lebih lanjut berdasarkan konsep beneficience, otonomy, nonmaleficience, danjustice. Hubungan dokter-pasien melalui media sosial memberikan efek yang menguntungkanbagi dokter dan pasien, dengan syarat terdapat aturan terlentu yang harus disepakati bersama.Kata kunci: hubungan dokter-pasien, media sosial, prinsip dasar bioetikaAbstractTechnology improvemenf resuifs variety of sophisticated tool, ease of communication inall aspects of iife including meriical aspecfs. The advent of Web 2.0 facilitate dissemination ofinformation by the admin and user. One of them is social media that can be acces-ced by anyane,inctuding doctors and patients. Flexibility oi social media change the meaning of 'therapeuticcontract' between doctors and patients. Free interactions between physicians and patients aboutpersonal to heatth problems can be done through social media like facebook or twitter easily andquickly A doctor should stand on the basic principles of bioethics as a l.rasic principle of thedoctor - patient relationship. Relationship through social media should be considered further bythe concept of beneficience, otonomy, nonmaleficience, and iustice. Doctor-patient relationshipthrough social ntedia provide a beneficial effect for doctars and patients with the ceftain rules.Keywords. doctor - patient relattonship, social media, basic principles of bioethics
Development Model of Perinatal Death Surveilance and Response (PDSR) in Semarang City, Indonesia Jati, Sutopo Patria; Budiyanti, Rani Tiyas; Dewanti, Nikie Astorina Yunita; Sriatmi, Ayun; Martini, Martini
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 8, No 1 (2019): April
Publisher : Universitas Muhammadiyah Yogyakarta in Clollaboration with ADMMIRASI

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (338.8 KB) | DOI: 10.18196/jmmr.8181

Abstract

The infant mortality rate is the important things to measure health status and achievement of Sustained Development Goals (SDGs). It can be used to audit the cause of perinatal death and used to planning program to prevent the death. In addition, data on perinatal deaths must be recorded in terms of population administration. The problem is underreported perinatal death so that data not valid. This is because many government stakeholder such as Health Office, Administrative Village, Family Empowerment and Welfare (PKK), and the Information and Communication Department has reported and recorded perinatal death themself but not integrated. This study aims to develop a concept of integrated perinatal death report and record. This research is qualitative research with following steps advocation, initial assessment, and development models through interview, observation, and Focus Group Discussion methods. The result of this study is existing condition and concept model that can integrate of  perinatal death record and reported. The concept model in Semarang City, Indonesia can be done in two ways. First, data comes from the Health Office (SIM-KIA). Second, data comes from Administrative Village and Family Empowerment and Welfare (PKK). All of the data forwarded to the Integrated Data Integration System (SIDADU) in Information and Communication Service in Semarang City. To support the validity of data, the Health Office should identify all public and private health facilities related to perinatal care. The local government should release Circular Letter concerning the notification of services regarding the recording and reporting of perinatal deaths in Administrative Village.
Analysis of The Use “RSPWC Mobile” Online Registration Application in Complexity Perspective Patients BPJS in Pantiwilasa Citarum Hospital Semarang Rakhmaningtyas, Annisa; Jati, Sutopo Patria; Budiyanti, Rani Tiyas
Jurnal Kesehatan Masyarakat (e-Journal) Vol 7, No 4 (2019): Jurnal Kesehatan Masyarakat (E-Journal)
Publisher : Fakultas Kesehatan Masyarakat

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Abstract

Long queue and waiting time in outpatient registration place at Pantiwilasa Citarum Semarang Hospital are becoming problems among BPJS patient. In order to solve this problem, Pantiwilasa Citarum Semarang Hospital develops an innovation of online based registration called RSPWC Mobile for androids. The innovation has not been utilized in maximum by BPJS patients. Thus, this research aims to determine the factors which are associated with the decision of usage for the application. This quantitative research are conducted with cross-sectional study. Questionnaire were given to 100 respondents or Patients with the criteria of those who have not yet used the RSPWC application and have medical record number. The data processing used is univariat and bivariat analytical method with chi square statistic test. The results of the study show that the variables which are signicifantly correlated to BPJS patients decision to use RSPWC mobile are relative advantages (p=0.016), compatibility (p=0.028), complexity (p=0.038), and observe abilities (p=0.009). The variable which is not significantly correlated is tested ability (p=0.322). The hospital is advised to add costumer care services menu for the users to give the feedbacks and the RSPWC Mobile application can saved files the first time are used to avoid repetition.