Sistem Pelepasan Informasi Rekam Medis Dalam Menjamin Aspek Hukum Kerahasiaan Rekam Medis Di RSU. Imelda Pekerja Indonesia Tahun 2023
Abstract
Privacy, confidentiality and release of information are communications containing certain confidential information provided by patients to their doctors to be kept confidential, unless the patient has given written consent to release the information from their medical records. The aim of this research is to determine the procedures for the medical record information release system in ensuring the legal aspects of confidentiality at RSU. Imelda Indonesian Worker. This type of research is descriptive, namely a research method carried out with the aim of creating an objective picture of a situation. Research time is from January to August 2023 at RSU. Imelda Indonesian Worker. The subjects in this research were medical records officers, the research informant was the head of medical records. From the results of the research, it is known that the procedures for the release of medical record information system run in accordance with SPO number 002/SPO/MRMIK/2022, there is no specific SPO regarding the confidentiality of medical records but confidentiality has been carried out well in accordance with the SPO for the release of medical record information and in line with the 24 year Health Ministerial Regulation. 2022 regarding medical records, at RSU. Imelda, an Indonesian worker, releases a lot of information for insurance. The obstacle in releasing medical information is patients/families who do not bring a power of attorney and identification, where the patient's family does not understand the importance of a power of attorney. It is hoped that hospitals will create special SOPs regarding the confidentiality of medical records and provide information to patients/families about the requirements and procedures for releasing medical information by placing banners or posters in the information section or other strategic places.
Downloads
References
[2] Dwi Novitasari (2018) ‘GLOBAL HEALTH SCIENCE ----- http://jurnal.csdforum.com/index.php/ghs GLOBAL HEALTH SCIENCE , Volume 3 No . 3 , September 2018 ISSN 2503-5088 ( p ) 2622-1055 ( e ) Berkas Klaim , Rawat Jalan masuk RM Koding Mengurutkan pertanggal pelayanan Kirim berkas ke’, 3(3), pp. 175–180.
[3] Foley, H. et al. (2019) ‘Disclosure of complementary medicine use to medical providers: a systematic review and meta-analysis’, Scientific Reports, 9(1), pp. 1–17. Available at: https://doi.org/10.1038/s41598-018-38279-8.
[4] Gultom, S.P.I.R.M.K.P. et al. (2018) ‘Pelepasan Informasi Rekam Medis Kepada Pihak’, Jurnal Ilmiah Perekam Dan Informasi Kesehatan Imelda, 3(1)(1), p. Hal 425-430.
[5] Handayani, R. (2020) Metodologi Penelitian Sosial. Yogyakarta: Universitas Terbuka.
[6] Hatta, G.R. (2014) Pedoman Manajemen Informasi Kesehatan Di Sarana Pelayanan Kesehatan. Jakarta: UI Press.
[7] Helaluddin and Wijaya, H. (2019) Analisis Data Kualitatif: Sebuah Tinjauan Teori & Praktik. 1st edn. Jakarta Timur: Sekolah Tinggi Theologia Jaffray.
[8] HR, H.S.C. (2018) Metodologi Penelitian Kesehatan Dan Pendidikan. Edited by A. Adriani. Yogyakarta: Penebar Media Pustaka.
[9] Istikomah, F.A., Erawantini, F. and Putra, D.S.H. (2020) ‘Tinjauan Pelepasan Informasi Rekam Medis Berdasarkan Aspek Hukum Keamanan dan Kerahasiaan Rekam Medis untuk Pendidikan di RSUD Sleman’.
[10] Kurniawan, H. (2021) Pengantar Praktis Penyusunan Instrumen Penelitian. Sleman: CV Budi Utama.
[11] Mathar, I. (2018) Manajemen Informasi Kesehatan Pengelolaan Dokumen Rekam Medis. 1st edn. Yogyakarta: CV Budi Utama.
[12] Notoadmodjo, S. (2012) Metode Penelitian Kesehatan. 2nd edn. Jakarta: PT RINEKA CIPTA.
[13] Permenkes (2022) ‘permenkes’, pp. 1–20.
[14] Rahmadhani, H. (2019) Metode Penelitian Kuantitatif: Beberapa Konsep Dasar Untuk Penulisan Skripsi & Analisis Data Dengan SPSS. Yogyakarta: Grup penerbitan CV BUDI UTAMA.
[15] Rodin, R. (2021) Dasar-Dasar Organisasi Informasi: Teori dan Praktik Pengorganisasian Dokumen Perpustakaan dan Informasi. Edited by Penerbit Lembaga Cakra Brahmanda Lentera. Kediri: Penerbit Lembaga Cakra Brahmanda Lentera.
[16] RSU.Imelda (2023) ‘No Title’. Medan.
[17] Sihombing, S.K. (2021) Tinjauan Prosedur Pelepasan Informasi Rekam Medis Kepada Pihak Ketiga Dalam Menjamin Aspek Kerahasiaan Rekam Medis Di RSUP H.Adam Malik Tahun 2021. Medan.
[18] Sitanggang, T., Bandung, U.I. and Medis, R. (2017) ‘ASPEK HUKUM KEPEMILIKAN REKAM MEDIS’, 2(1), pp. 198–211.
[19] Soraya, Asih, H.A. and Asnuriyati, W. (2021) Konsep Dasar Rekam Medis dan Informasi Kesehatan (RMIK). Edited by TimyHea. Malang: CV. Literasi Nusantara Abadi.
[20] Sugiyono (2013) Metode Penelitian Kuantitatif, Kualitatif dan R&D. 19th edn. Bandung: Alfabeta, CV.
[21] Susanto, E. and Sugiharto (2017) Manajemen Informasi Kesehatan IV Etika Profesi dan Hukum Kesehatan. Jakarta: Kemenkes RI.
[22] Tafvizi, M.D. et al. (2019) ‘Investigation of Viewpoints of Patients on Maintaining Confidentiality regarding Disclosure of Name and Diagnosis of Disease in Jahrom Hospitals in 2018’, Journal of Research in Medical and Dental Science, 7(1), pp. 181–187.
[23] Wahyudi, B.E. and Amalia, R. (2021) ‘Tinjauan Pelaksanaan Prosedur Pelepasan Informasi Rekam Medis untuk Klaim Asuransi Non-JKN DI RSUD. dr. R. Soetrasno Rembang’. Available at: d1wqtxts1xzle7.cloudfront,net.
[24] Wang, Y. et al. (2023) ‘Disease information disclosure among patients with mental illness and their family members in China’, Frontiers in Psychiatry, 13(January), pp. 1–10. Available at: https://doi.org/10.3389/fpsyt.2022.1036568.
[25] Warijan, W., Widodo, W. and Nur’afifah, M.M. (2019) ‘Tinjauan Pelaksanaan Pelepasan Informasi Medis’, Jurnal Rekam Medis dan Informasi Kesehatan, 2(1), p. 20. Available at: https://doi.org/10.31983/jrmik.v2i1.4398.
[26] WHO, 2006 (no date) ‘Medical Records Manual : A Guide for Developing Countries’.
[27] Winarni, E.W. (2018) Teori dan Praktik Penelitian Kuantitatif, Kualitatif, PTK, R&D. 1st edn. Edited by R.A. Kusumaningtyas. Jakarta: Bumi Aksara.
Copyright (c) 2024 Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda (JIPIKI)
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
