The Relationship Between Ethics Institutions in The Health Sector in The Enforcement of Professional Ethics from a Utilitarian Perspective
Keywords:
Relationship, Ethics Institutions, Professional Ethics, Utilitarian PerspectiveAbstract
This research analyzes the existence of ethics institutions in the health sector from a utilitarian perspective. Utilitarianism emphasizes that a good action is one that provides benefits and advantages, while a bad action is one that causes suffering and loss. This perspective is useful as an ethical evaluation tool by considering the overall impact of actions on the welfare of society, using calculations of pleasure and suffering. Although this approach provides a clear view in assessing the consequences of actions, there are criticisms related to the difficulty of objectively measuring pleasure and suffering, as well as the potential for ethical dilemmas where the benefits to the majority can sacrifice the minority. This research is a normative legal study that examines the norms related to the authority of ethical enforcement in healthcare services from a utilitarian perspective. The Indonesian Medical Ethics Honor Council (MKEK) and the Indonesian Medical Discipline Honor Council (MKDKI) play crucial roles in upholding the standards of the medical profession in Indonesia. MKEK focuses on professional ethics and the doctor-patient relationship, while MKDKI handles disciplinary violations and imposes sanctions in accordance with Law No. 29 of 2004. These two institutions work together to ensure ethical medical practice that meets the established standards. The enforcement of medical ethics in Indonesia faces a dualism between MKDKI and MKEK, with a low number of sanctions imposed and an increasing number of legal complaints against doctors. Law No. 17 of 2023 on Health aims to strengthen the enforcement of discipline and promote restorative justice. However, better communication between doctors and patients is still needed to reduce medical disputes.
References
ALI/RZK. (2014). Jimly: Weak Ethics Enforcement, Criminalization of the Profession is Rampant. Hukumonline. https://www. Hukumonline.com/berita/a/jimly--penegakan-atik-sebuah--kriminalization-profesi-marak-lt533017b71e644/
Alwy., S. (nd). Most Allegations of Disciplinary Violations are Due to Lack of Communication between Doctors and Patients. Sehatnegeriku.Kemkes.Go.Id. https://sehatnegeriku.kemkes.go.id/baca/rilis-media/20110521/451104/dugaan-pelanggaran-disciplinary-terbesar-akibat-kurangnya-komunikasi-dokter-dan-patient/
Amin, Y. (2017). Professional Ethics and Health Law . Ministry of Health of the Republic of Indonesia.
Asshiddiqie, J. (2015). Initiating Ethical Justice in Indonesia. Judicial Commission of the Republic of Indonesia. Jakarta , 249–250.
Asshiddiqie, J. (2018). The Role of Ethics Institutions in Supervising and Maintaining the Honor, Nobility and Behavior of Public Officials. Paper Presented at the National Seminar on the Honorary Court of the DPR-RI Regarding the Role of Ethics Institutions in Supervising and Maintaining the Ethical Behavior of Public Officials, at the DPR-RI Building, Jakarta , 8 , 8–9.
Atikah, I. (2017). The Function of Legal Professional Ethics as a Fair Law Enforcement Effort. In: Social Transformation Towards an Ethical and Democratic Information Society.
Baharuddin, M., Lefrandt, R., & Santosa, F. (2017). An ethical review of doctors' working hours regulations in Indonesia. Indonesian Journal of Medical Ethics , 1 (1), 25.
Faizal, L. (2012). Law Enforcement Behavior Towards Progressive Law Enforcement in the Perspective of National Legal Development. ASAS: Journal of Sharia Economic Law , 4 (1).
Hadi, I. (2012). Who are the Law Enforcers in Indonesia? Hukumonline. https://www. Hukumonline.com/klinik/detail/ulasan/lt502201cc74649/anggaran-penegak- Hukum/#:~:text=Meanwhile, law enforcement is defined as those related to judicial matters.
Isnantiana, NI (2019). Law and Legal System as Pillars of the State. Journal of Sharia Economic Law , 2 (1), 19–35.
Jumaka, W.F. (2011). Analysis Of Law Enforcement Against Child Trafficking Through Facebook Media . 25.
Kenedi, J. (2016). Legal Profession and Professional Code of Ethics. El-Afkar: Journal of Islamic Thought and Tafsir Hadith , 5 (1), 43–54.
Kusnu Goesniadhie, S. (2010). Moral Perspective of Good Law Enforcement. Ius Quia Iustum Law Journal , 17 (2), 195–216.
Mangunhardjana, A. (1997). Isms in ethics. Yogyakarta: Kanisius .
Muhammad, A. (2006). Legal professional ethics . Aditya Bakti's image.
ALI/RZK. (2014). Jimly: Weak Ethics Enforcement, Criminalization of the Profession is Rampant. Hukumonline. https://www. Hukumonline.com/berita/a/jimly--penegakan-atik-sebuah--kriminalization-profesi-marak-lt533017b71e644/
Alwy., S. (nd). Most Allegations of Disciplinary Violations are Due to Lack of Communication between Doctors and Patients. Sehatnegeriku.Kemkes.Go.Id. https://sehatnegeriku.kemkes.go.id/baca/rilis-media/20110521/451104/dugaan-pelanggaran-disciplinary-terbesar-akibat-kurangnya-komunikasi-dokter-dan-patient/
Amin, Y. (2017). Professional Ethics and Health Law . Ministry of Health of the Republic of Indonesia.
Asshiddiqie, J. (2015). Initiating Ethical Justice in Indonesia. Judicial Commission of the Republic of Indonesia. Jakarta , 249–250.
Asshiddiqie, J. (2018). The Role of Ethics Institutions in Supervising and Maintaining the Honor, Nobility and Behavior of Public Officials. Paper Presented at the National Seminar on the Honorary Court of the DPR-RI Regarding the Role of Ethics Institutions in Supervising and Maintaining the Ethical Behavior of Public Officials, at the DPR-RI Building, Jakarta , 8 , 8–9.
Atikah, I. (2017). The Function of Legal Professional Ethics as a Fair Law Enforcement Effort. In: Social Transformation Towards an Ethical and Democratic Information Society.
Baharuddin, M., Lefrandt, R., & Santosa, F. (2017). An ethical review of doctors' working hours regulations in Indonesia. Indonesian Journal of Medical Ethics , 1 (1), 25.
Faizal, L. (2012). Law Enforcement Behavior Towards Progressive Law Enforcement in the Perspective of National Legal Development. ASAS: Journal of Sharia Economic Law , 4 (1).
Hadi, I. (2012). Who are the Law Enforcers in Indonesia? Hukumonline. https://www. Hukumonline.com/klinik/detail/ulasan/lt502201cc74649/anggaran-penegak- Hukum/#:~:text=Meanwhile, law enforcement is defined as those related to judicial matters.
Isnantiana, NI (2019). Law and Legal System as Pillars of the State. Journal of Sharia Economic Law , 2 (1), 19–35.
Jumaka, W.F. (2011). Analysis Of Law Enforcement Against Child Trafficking Through Facebook Media . 25.
Kenedi, J. (2016). Legal Profession and Professional Code of Ethics. El-Afkar: Journal of Islamic Thought and Tafsir Hadith , 5 (1), 43–54.
Kusnu Goesniadhie, S. (2010). Moral Perspective of Good Law Enforcement. Ius Quia Iustum Law Journal , 17 (2), 195–216.
Mangunhardjana, A. (1997). Isms in ethics. Yogyakarta: Kanisius .
Muhammad, A. (2006). Legal professional ethics . Aditya Bakti's image.
Muhammad, SRF (2021). Application Of The Duties And Authority Of The Regional Honors Council In Addressing Code Of Ethics Issues Against Notaries Who Violate The Code Of Ethics In Carrying Out The Duties Of The Office (p. 6). Andalas University.
Octaviyani, PR (2018). Mediation Should Be Utilized in Malpractice Cases . Indonesian Media. https://mediaindonesia.com/humaniora/168824/mediasi-besar-dicepatan-dalam-case-malpractice
Pratiwi, E., Negoro, T., & Haykal, H. (2022). Jeremy Bentham's Utilitarianism Theory: Legal Goals or Legal Product Testing Methods? Journal of Constitutions , 19 (2), 268. https://doi.org/10.31078/jk1922
Purnama, S.G. (2017). Health ethics and law module. In Udayana University .
RIYANDI, A. (2024). Reconstruction Of Regulations For Fulfilling The Rights Of Victims Of Trafficking Crimes Based On The Value Of Justice . Sultan Agung Islamic University Semarang.
Sabrina, N. (2017). Qualification of medical negligence, "Medical Malpractice", and medical failure in Indonesian Legislation .
Sinaga, NA (2020). Code of ethics as a guideline for the good implementation of the legal profession. Aerospace Law Scientific Journal , 10 (2).
Tadda, A., Indar, I., & Ilyas, A. (2022). Legal Review of the Existence of the Hospital Ethics and Legal Committee (KEHRS) in Resolving Medical Disputes. Ecosystem Scientific Journal , 22 (1), 120–135.
Wardhani, NK, Gaol, TML, & Syahuri, T. (2024). Application of the Concept of Utilitarianism Theory in Law Enforcement in Indonesia. Journal of Public Relations , 2 (1), 123–130.