Pengkajian aspek hukum kepemilikan rekam medis berdasarkan persepsi dan kolaborasi dokter, perawat dan pasien dalam pelayanan kesehatan kardiovaskuler di RS Jantung "Harapan Kita"

KOESNO, Sri Suwarti S, Prof.dr. H. Bambang Poernomo SH

2001 | Tesis | S2 Ilmu Kesehatan Masyarakat

Pengkajian aspek hukum kepemilikan rekam medis berdasarkan persepsi dan kolaborasi dokter, perawat dan pasien dalam pelayanan kesehatan di Rumah Skit Jantung Harapan Kita ditujukan untuk mengetahui gambaran persepsi tenaga kesehatan dan pasien atas aspek hukum kepemilikan rekam medis serta faktor yang mempengaruhinya. Pcnelitian dan intervensi dilakukan 5 buian (November, Desember 2000, Januari, Februari dan Maret 2001). Das sein kepemilikan rekam medis d i m dalam PerMenKes 749d89 (ius constitutznn) sedangkan kenyataan (das sof'f'cnR) SJHK mernberikan beberapa isi (informasi) dan berkas rekam medis yang dibutuhkan pasien untuk melanjutkan pengobatan. Antar &s sein dan &s soffen rekam medis terdapat peitxdaan yang menimbulkan konflik kepentingan sehingga perlu diatur dengan ketentuan yang sesuai (ius constituendum). Mengukur persepsi dengan pendekatan model agenda setting, dilakukan dengan rancangan eksperimen semu nonquivaf'ent control p u p maka sampel (Ron mndomined cbntrof group pretest-pstest desip), responden ditetapkan secara quotum. Eksperimen dilakukan pada responden 200 orang (24 orang dokter, 74 orang perawat dan 102 orang pasien) dengan kuesioner tertutup pa& kelompok kontrol (responden pa& pre test) dan kelompok eksperimen (pa& post test). Eksperimen berupa folder rekam medis kardiovaskuler yang dapat dimiliki pasien. Hasil penelitian ini menunjukkan tidak ada perbedaan yang bermakna dalam persepsi dan kolaborasi dokter, perawat dan pasien terhadap aspek hukum kepemilikan rekam medis dengan hasil p = 0,262 (p > 0,05), sedangkan faktor karakteristik biografis dokter, perawat dan pasien atas aspek hukum kepemilikan rekarn medis dihasilkan @,92 (p > 0,05) kecuali pada pendidikan baik pre dan pos tes dihasilkan secara bermakna p = 0,OO atau p < 0,OS. Nilai rerata pendidikan SD = 40,OO < 159,43 - 183,00 pada pendidikan yang lebih tinggi. Pada cross tabulation persepsi dokter, perawat dan pasien memberikan respn positif dengan tingkat persetyuan atas 3 komponen sikap dalam persepsi 1,8% tidak menjawab, 3,1% sangat tidak setuju, 3,2% tidak sctuju, 10,2% raw-ragu, dan 22,9% setuju serta 59,0% sangat setuju atau respon positif dengan tingkat persetujuan 81,9%. Intervensi dilakukan dengan pemberian folder RM/K dengan hasil tidak bermakna p > 0,OS sehingga ti& ada pen- perscpsi dokter perawat dan pasien atas aspek hukum kepemilikan rekam medis.

The study of the legal aspect of medical record property based on the perception and the collaboration of physician, nurse and patient of the health care service in Rumah Sakit Jantung Harapan Kita was aimed at investigating the perception of the health care employee and the patient of the legal aspect of medical record property and the factors influencing the perception. The study and the intervention were conducted in 5 months (November, December 2000, January, February and March 2001). Das sein of the medical record property was ruled in Pcmenkcs 749d89 (ius wnsti&tti@ while the reality (das solien) of RSJHK contained some information and medical record papers necessary for the patient in treatment continuation. There was the difference between seh and d' solkn of the medical record resulting in the conflict of interests that it was necessary for them to be ruled by an appropriate regulation (;us constituendum). The perception was examined using agenda setting model approach, quasiexperiment of nonequivalent control group and non-randomized control group pretest design. The respondents were determined in quohun manner. The experiment was conducted to 200 respondents (24 physicians, 74 nurses and 102 patients) using closed questionnaire in the control group (the respondents in pretest) and the experiment group (in post test). The experiment was in the form of cardiovascular medical record owned by the patients. The results of the study showed that there was no significant diflkrence in the perception and the collaboration of physician, nurse and patient in term of the legal aspect of the medical record property with p = 0.262 (p > 0.05), while the factor of the biographical characteristics of physician, nurse and patient in term of the legal aspect of the medical rccord property with p - 0.92 (p > 0.05), except that of the education both in pre- and post-test with p = 0.00 or p < 0.05. The average value of the education of Elementary School = 40.00 < 159.43 - 183.00 in the higher education level. In the cross tabulation the perception of the physician, nurse and went gave positive response with the agreement level of 3 attitude components in the perception with 1.8% did not give any response, 3.1% highly disagree, 3.2% disagree, 10.2% in doubt, and 22.9% agree and 59.0% highly agree or gave positive response with the agreement level 81.9%. The intervention was Conducted by giving the folder of the medical m r d property and the result was not significant, p > 0.05 that there was no impact on the perception of physician, nurse and patient in term of the legal aspect of the medical record property.

Kata Kunci : Manajemen Rumah Sakit, Rekam Medis,Aspek Hukum, legal aspect medical record, perception, collabomtion.