Webinar of Courageous Compassion (WECOCO)
Medicolegal Aspect of Compassionate Service on Patients
Dr.dr.Erwin Kristanto, SH, SpFM, SubSpFM(K), FISQua Indonesia
Curriculum Vitae
Nama : Dr. dr. Erwin Gidion Kristanto, SH, SpFM, SubSpPF(K), FISQua Pendidikan : - Dokter dari FK UNSRAT
- Spesialis Kedokteran Forensik dari FK UI - Doktor dari Pasca Sarjana UNSRAT
Pekerjaan : - Ketua Bagian Forensik & Medikolegal FK UNSRAT
- Ketua Komite Mutu RSUP Prof. Dr. R. D Kandou
- Surveyor Akreditasi RS dari KARS
Hubungan Dokter-Pasien
• Dokter tahu yang terbaik
• Pasien mengikuti perintah dokter
• Nasib pasien di tangan dokter
• Tanggung jawab ada pada dokter Hubungan Paternalistik
• Pasien merupakan partner dokter
• Pasien memutuskan tindakan medis sete- lah memperoleh informasi yang memadai
• Dokter-pasien berbagi tanggung jawab Hubungan Kontraktual
Doctor
Patient
Hubungan Dokter Pasien
Hubungan dokter pasien merupakan inti dari Etika Kedokteran
AMSA - UNIBA
Etika Pelayanan
Komunikasi
Komunikasi yang baik antara dokter, pasien dan tim pelayanan pasien
Empati
Empati membantu dokter memahami kebutuhan pasien dalam pelayanan kesehatan
Kepercayaan
Kepercayaan pasien bahwa dokter menjaga rahasia ke- dokteran, akan membuat pasien terbuka pada dokter
Informed Consent
Dokter memberi kesempatan pasien memutuskan tindakan yang akan dilakukan pada dirinya
Batasan Profesional
Memahami Batasan hubungan yang professional an- tara dokter dan pasien.
Definisi PCC
Pelayanan berfokus pada pasien menjadikan kebutuhan individual pasien menjadi fokus pelayanan kesehatan. Tujuan pelayanan berfokus pada pasien yaitu mengajak pasien berperan aktif dalam proses perawatan dan pengobatan mereka. Proses ini menuntut agar para dokter, perawat, dan seluruh pekerja di bidang kesehatan membangun komunikasi yang baik dan merespons kebutuhan
pasien dengan efektif. Pelayanan berfokus pada pasien ini juga mendorong para insan pelayanan kesehatan menjadi penasihat pasien dan berupaya untuk menyediakan pengobatan dan per- awatan yang tidak hanya efektif, namun juga aman.
Apa yang dimaksud Compassionate Service / Patient Centered Care?
What To Do in PCC
Pelayanan berfokus pada pasien :
• mendorong penyampaian ide & pendapat pasien pd pelayanan,
• menanyakan pasien dgn model pertanyaan terbuka,
• mencatat & menganalisis kondisi emosi pasien dan lingkungan sosial pasien untuk kepentingan perawatan.
Apa yang berbeda pada Compassionate Service / Patient Centered Care?
The patient-centered model encourages patients' ideas, views patients and physicians as partners, takes patients' emotional and social envi- ronments into account, and requires open-ended questions and mutual participation. Embracing patient-centered care is clearly a win-win sit- uation for patients and professionals. When provided with patient-cen- tered care, patients report higher satisfaction and improved outcomes without significant increases in time and money for the provider. Pa-
tient-centered care also benefits health care professionals who become more fulfilled by the care they provide. Patient-centeredness is not
something that will develop overnight; it will take practice, continued
education, and in-services to be effectively provided to patients
Patient Centered Care
• UU No.17 tahun 2023 tentang Kesehatan (Penjelasan UU No.17 tahun 2023 tentang Kesehatan).
• Peraturan Menteri Kesehatan No. 34 Tahun 2022 tentang Akredi- tasi Puskesmas, Klinik, Laboratorium Kesehatan, UTD, Tempat Praktik Mandiri Dr, dan Tempat Praktik Mandiri Drg.
Keputusan Menteri Kesehatan no. 1128 tahun 2022 ten- tang Standar Akreditasi RS
Pelayanan Kesehatan Primer
Pelayanan Kesehatan Sekunder & Tertier
Layanan kesehatan
Masyarakat yang memper- hatikan kebutuhan
masyarakat.
Kesehatan Masyarakat
Layanan kesehatan per- orangan yang didasarkan
pada kebutuhan pasien.
Kesehatan Perorangan
Pengawasan
Pelaksanaan Patient Centered Care
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Patient Centred Care Wajib Dilaksanakan Semua Pekerja Kesehatan
Pengawasan Patient Centered Care di RS di motori oleh Pimp-
inan RS, dibantu oleh Komite Mutu dan dilaporkan kepada Kementerian Kesehatan. Organ-
isasi Profesi mem- bantu pengawasan pelaksanaannya se-
bagai NGO inde- penden Kementerian Kesehatan
Kementerian Kesehatan memonitor melalui LIPA, dan program mutu nasional serta sis- tem pembelajaran keselamatan pasien na- sional.
Pimpinan Faskes
Pimpinan Faskes memiliki kewajiban men- gawasi pelayanan kesehatan agar tetap aman dan berfokus pada pasien.
Komite Mutu / Tim Mutu
Komite Mutu mengemban amanat undang- undang dalam mengawasi pelayanan PCC termasuk patient safety
Organisasi Profesi
Organisasi profesi mengawasi etika dan disiplin anggotanya dalam pelaksanaan pelayanan pasien.
Standar Pengawasan
Keselamatan Pasien dan Kepuasan Pengguna Layanan
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• Keputusan Menteri Kesehatan No.
1128 tentang Standar Akreditasi RS
• Peraturan Menteri Kesehatan No. 34 Tahun 2022 tentang Akreditasi Puskesmas, Klinik, Laboratorium Kesehatan, UTD, Tempat Praktik Mandiri Dr, dan Tempat Praktik Mandiri Drg.
Patient Centered Care
Peraturan Menteri Pendayagunaan Aparatur Negara Dan Reformasi Birokrasi RI No. 14 Tahun 2017 Tentang Pedoman Penyusunan Survei Kepuasan Masyarakat Unit Penyeleng- gara Pelayanan Publik
Kepuasan Pengguna Layanan
Peraturan Menteri Kesehatan Republik Indonesia Nomor 11 Tahun 2017 Ten-
tang Keselamatan Pasien.
Keselamatan Pasien Peraturan Menteri Kesehatan Nomor 3 Tahun 2020 tentang Klasifikasi dan Per-
izinan Rumah Sakit Standarisasi Layanan
Thank you
Mari sharing pengalaman dan pengetahuan
Wherever the of art medicine is loved there is also love of humanity
“Hippocrates”
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