Doctor Placement’s Policy and Its Implications in Indonesia: Legal Qualitative Study

Authors

  • Absori Absori Department of Doctoral Law
  • Kiara Hanna Quinncilla Department of Law, Faculty of Law, Universitas Muhammadiyah Surakarta, Surakarta, Indonesia https://orcid.org/0000-0003-1106-1960
  • Rizka Rizka Department of Law, Faculty of Law, Universitas Muhammadiyah Surakarta, Surakarta, Indonesia https://orcid.org/0000-0001-6058-0949
  • Arief Budiono Department of Law, Faculty of Law, Universitas Muhammadiyah Surakarta, Surakarta, Indonesia https://orcid.org/0000-0002-5284-5684
  • Natangsa Surbakti Department of Doctoral Law, Faculty of Law, Universitas Muhammadiyah Surakarta, Surakarta, Indonesia

DOI:

https://doi.org/10.3889/oamjms.2022.8692

Keywords:

Doctor distribution, Proportional justice, Health

Abstract

BACKGROUND: Remote, Underdeveloped Areas, Frontiers, and Islands (RUAFI) in Indonesia have a less equal distribution of doctors compared to other more developed areas, causing a decline in healthcare service quality in RUAFI and the health degree of the overall population.

AIM: This research aims to describe the policy and the implication of doctor distribution in Indonesia and to provide a proportional justice-based doctor distribution policy concept.

METHODS: This is a mixed qualitative research of juridical-normative and literature review. The laws that regulate the distribution of doctors in Indonesia are the 1945 Constitution, Law No. 36 of 2009, Law No. 26 of 2014, Governmental Decree No. 67 of 2019, Presidential Decree No. 72 of 2012, and the Decree of the Minister of Health No. 16 of 2017.

RESULTS: The unequal doctor distribution is mainly caused by the low motivation for recruitment and retention in RUAFI. The affecting factors include disparity of incentives between doctors, low regional government involvement in the healthcare system in RUAFI, and the lack of career development for doctors being placed in RUAFI.

CONCLUSION: The concept of proportional justicebased policy proposed is as follows: (a) Intensive proportionality between doctors and other types of health workers, (b) a direct regional government function of control, and (c) providing career and educational prospects.

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Author Biography

Kiara Hanna Quinncilla, Department of Law, Faculty of Law, Universitas Muhammadiyah Surakarta, Surakarta, Indonesia

Lecturer

References

Suhardin Y. The role of law in achieving social welfare. Pro Justitia. 2007;25(3):270.

Tumanggor R. Sociocultural issues in health development. Masy Budaya. 2010;12(2):232.

Pasaribu RM. Solutions in handling social health development issues in Indonesia. Dunia Ilmu. 2015;1(2):2.

Hermawan A. Analysis of the distribution of health workers (doctors, nurses, midwives) in Indonesia in 2013 using the Gini index. Bul Penelit Sist Kesehat. 2019;22(3):168. DOI: https://doi.org/10.22435/hsr.v22i3.1304

World Health Organization. World Health Data Platform. Geneva: World Health Organization Available from: https://www.who.int/data/gho/data/indicators/indicator-details/GHO/medical-doctors-(per-10-000-population) [Last accessed on 2022 Jan 02].

Ministry of Health of the Republic of Indonesia. Available from: http://bppsdmk.kemkes.go.id/info_sdmk/info/renbut [Last accessed on 2022 Jan 03].

Arcaya MC, Arcaya AL, Subramanian SV. Inequalities in health: Definitions, concepts, and theories. Glob Health Action. 2015;8:27106. https://doi.org/10.3402/gha.v8.27106 PMid:26112142 DOI: https://doi.org/10.3402/gha.v8.27106

World Health Organization. The World Health Report 2000: Health Systems: Improving Performance. WHO Library Cataloguing in Publication Data. Geneva: World Health Organization; 2000.

Sarumpaet S, Tobing B, Siagian A. Mother and child health services differences in the urban and remote areas. Natl Public Health J. 2012;6(4):147-52. DOI: https://doi.org/10.21109/kesmas.v6i4.91

Arnindiah N, Safriantini D. Analisis kepuasan pasien rawat inap peserta jaminan kesehatan nasional di rumah sakitislam siti khadijah palembang. J Kesehatan UMS. 2018;11(2):35-9. https://journals.ums.ac.id/index.php/jk/article/view/7580. DOI: https://doi.org/10.23917/jk.v11i2.7580

Ola C, Huda K, Putera A. Criminal, civil, and administrative responsibilities of nursing assistants in independent village health services. Legality. 2017;25(2):134-46. DOI: https://doi.org/10.22219/jihl.v25i2.5997

Suharmiati S, Handayani L, Kristiana L. Factors affecting the affordability of health services at health centers in remote border areas in Sambas district. Health Syst Res Bull. 2012;15(3):223.

Yunita I, Saputra M, Handayani Y, Maradona RO, Rusdi F, Achadi A. Analysis of determinants of intern doctor career choices in DKI Jakarta Province. Indonesia Med Assoc J. 2020;70(12):246-52. DOI: https://doi.org/10.47830/jinma-vol.70.12-2020-324

Ministry of Health of the Republic of Indonesia. Health Center Basic Data. Jakarta: Ministry of Health of the Republic of Indonesia; 2019.

Directorate General of Pharmacy and Medical Instrument RI. 2016 Performance Accountability Report Pharmaceutical Services Director. Jakarta: Ministry of Health of Republic of Indonesia; 2017.

Noya F, Freeman K, Carr S, Thompson S, Clifford R, Playford D. Approaches to facilitate improved recruitment, development, and retention of the rural and remote medical workforce: A scoping review protocol. Int J Health Pol Manag. 2021;10(1):22-8. https://doi.org/10.34172/ijhpm.2020.27 PMid:32610716 DOI: https://doi.org/10.34172/ijhpm.2021.160

Meliala A, Hort K, Trisnantoro L. Addressing the unequal geographic distribution of specialist doctors in Indonesia: The role of the private sector and effectiveness of current regulations. Soc Sci Med. 2013;82:30-4. https://doi.org/10.1016/j.socscimed.2013.01.029 PMid:23453314 DOI: https://doi.org/10.1016/j.socscimed.2013.01.029

Putri LP, Russell DJ, O’Sullivan BG, Kippen R. Factors associated with working in remote Indonesia: A national cross-sectional study of early-career doctors. Front Med. 2021;8:594695. https://doi.org/10.3389/fmed.2021.594695 PMid:34055819 DOI: https://doi.org/10.3389/fmed.2021.594695

Straume K, Sondena MS, Prydz P. Postgraduate training at the ends of the earth a way to retain physicians? Rural Remote Health. 2010;10(2):1356. PMid:20572748 DOI: https://doi.org/10.22605/RRH1356

Asante AD, Martins N, Otim ME, Dewdney J. Retaining doctors in rural Timor-Leste: A critical appraisal of the opportunities and challenges. Bull World Health Organ. 2014;92(4):277-82. https://doi.org/10.2471/BLT.13.123141 PMid:24700995 DOI: https://doi.org/10.2471/BLT.13.123141

Paramita SA, Yamazaki C, Setiawati EP, Koyama H. Distribution trends of Indonesia’s health care resources in the decentralization era. Int J Health Plan Manag. 2018;33(2):e586-96. https://doi.org/10.1002/hpm.2506 PMid:29527720 DOI: https://doi.org/10.1002/hpm.2506

Heywood PF, Harahap NP. Human resources for health at the district level in Indonesia: The smoke and mirrors of decentralization. Hum Resour Health. 2009;7:6. https://doi.org/10.1186/1478-4491-7-6 PMid:19192269 DOI: https://doi.org/10.1186/1478-4491-7-6

Ensor T. Overcoming barriers to health service access: Influencing the demand side. Health Policy Plan. 2004;19(2):69-79. https://doi.org/10.1093/heapol/czh009 PMid:14982885 DOI: https://doi.org/10.1093/heapol/czh009

Laing R, Hogerzeil H, Ross-Degnan D. Ten recommendations to improve use of medicines in developing countries. Health Policy Plan. 2001;16(1):13-20. https://doi.org/10.1093/heapol/16.1.13 PMid:11238425 DOI: https://doi.org/10.1093/heapol/16.1.13

Dawson A, Nkowane A, Whelan A. Approaches to improving the contribution of the nursing and midwifery workforce to increasing universal access to primary health care for vulnerable populations: A systematic review. Hum Resour Health. 2015;13(1):97. https://doi.org/10.1186/s12960-015-0096-1 PMid:26684471 DOI: https://doi.org/10.1186/s12960-015-0096-1

Tampubolon NR, Fatimah WD, Hidayati AU. Barriers to the implementation of palliative care in Indonesia: Systematic review. J Kesehatan UMS. 2021;14(1):1-10. https://journals.ums.ac.id/index.php/jk/article/view/12815 DOI: https://doi.org/10.23917/jk.v14i1.12815

Dussault G, Franceschini MC. Not enough there, too many here: Understanding geographical imbalances in the distribution of the health workforce. Hum Resour Health. 2006;4:12. https://doi.org/10.1186/1478-4491-4-12 PMid:16729892 DOI: https://doi.org/10.1186/1478-4491-4-12

Putri LP, O’Sullivan BG, Russell DJ, Kippen R. Factors associated with increasing rural doctor supply in Asia-Pacific LMICs: A scoping review. Hum Resour Health. 2020;18:93. https://doi.org/10.1186/s12960-020-00533-4 DOI: https://doi.org/10.1186/s12960-020-00533-4

Center for Planning and Utilization of Health Human Resources. Study Result of Health Personnel Incentives at Health Centers and Self-Assessment Team of Healthy Archipelago Program. Jakarta: Ministry of Health of the Republic of Indonesia; 2016.

Budiono A, Absori A, Harun H, Nugroho HSW, Dimyati K. The ideal management of health insurance for Indonesia according constitution. Calitatea Acces Success. 2020;21(176):48-50.

Wardiono K, Dimyati K, Nugroho SS, Nugroho HS, Acob JR, Budiono A. Philosophy, law, and ethics of handling COVID-19 pandemic in Indonesia. Open Access Macedon J Med Sci. 2021;9(E):1104-8. DOI: https://doi.org/10.3889/oamjms.2021.7107

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Published

2022-02-01

How to Cite

1.
Absori A, Quinncilla KH, Rizka R, Budiono A, Surbakti N. Doctor Placement’s Policy and Its Implications in Indonesia: Legal Qualitative Study. Open Access Maced J Med Sci [Internet]. 2022 Feb. 1 [cited 2024 Apr. 18];10(E):386-91. Available from: https://oamjms.eu/index.php/mjms/article/view/8692

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Public Health Legislation

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