Implementation of Medical Records in Physiotherapy Services Home Care in Semarang City
##plugins.themes.academic_pro.article.main##
Abstract
Many physiotherapists in the city of Semarang provide online health services and home care, By Minister of Health Regulation No. 269 and Law No. 36 of 2014 Article 56 (d), health workers are required to keep medical records. Medical records contain records of patient treatment, both written and recorded, which contain the patient's identity, history, laboratory, and diagnosis. This research aims to determine the implementation of medical records in physiotherapy services and home care in the city of Semarang, with analytical descriptive sociological juridical methods. In terms of how data collection is carried out by observation, interviews, questionnaires, documentation, and a combination of the four. The data results are analyzed systematically according to the factual and actual situation of the incident based on facts, characteristics, and phenomena by looking for cause and effect. The research results show the implementation of medical records in physiotherapy services and home care in the city of Semarang is not going well, because it is still found that 37.1% of physiotherapists have not carried out medical records. The physiotherapist can be given sanctions for violating UUPK number 29 of 2004 with a maximum penalty of 1 year and a fine of up to 50 million.
##plugins.themes.academic_pro.article.details##
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright:
- Author retains the copyright and grants the journal the right of first publication of the work simultaneously licensed under a Creative Commons Attribution 4.0 International License that allows others to share the work with an acknowledgment of the work's authorship and initial publication in this journal.
- Author is able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book) with the acknowledgment of its initial publication in this journal.
- Author is permitted and encouraged to post his/her work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of the published work (See The Effect of Open Access).
License:
-
Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
-
No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
You are free to:
- Share — copy and redistribute the material in any medium or format
- Adapt — remix, transform, and build upon the material for any purpose, even commercially.
This work is licensed under a Creative Commons Attribution 4.0 International License.
References
Alfiansyah, G., Wijayanti, R. A., Nuraini, N., Swari, S. J., & Wafiroh, S. (2020). Determinan Keamanan Dan Kerahasiaan Dokumen Rekam Medis Di Ruang Filing Rs X. J-REMI : Jurnal Rekam Medik Dan Informasi Kesehatan, 1(2), 37–51. https://doi.org/10.25047/j-remi.v1i2.1961
Andi Ritonga, Z., & Maya Sari, F. (2019). Tinjauan Sistem Penyimpanan Berkas Rekam Medis Di Rumah Sakit Umum Pusat H Adam Malik Tahun 2019. Jurnal Ilmiah Perekam Dan Informasi Kesehatan Imelda (JIPIKI), 4(2), 637–647. https://doi.org/10.52943/jipiki.v4i2.87
Atmaja, R. A., & Putra, S. (2022). Jurnal Hukum Kesehatan Indonesia Tanggung Jawab Hukum Fisioterapis Yang Melakukan Pelayanan Kesehatan Tanpa Surat Tanda Registrasi. Jurnal-Mhki, 02(02), 97–108. https:https://jurnal-mhki.or.id/jhki
Chusniah Windi. (2019). Promosi Kesehatan & Ilmu Perilaku. In Jakarta: Wineka Media.
Handiwidjojo, W. (2019). REKAM MEDIS ELEKTRONIK. Universitas Kristen Duta Wacana Yogyakarta, 2(1), 36–41. https://ti.ukdw.ac.id/ojs/index.php/eksis/article/view/383
Harlan, J., & Sutjiati, R. (2018). Buku Metodologi Penelitian Kesehatan. Metodologi Penelitian Kesehatan, 44(8), 232.
Heriani, I. (2018). Perlindungan Hukum Bagi Konsumen Kesehatan Dalam Hal Terjadi Malapraktik. Al-Adl : Jurnal Hukum, 10(2), 191. https://doi.org/10.31602/al-adl.v10i2.1363
Hidayat, T., & Ginting, E. D. (2023). Perlindungan Hukum bagi Konsumen Depot Air Minum yang Terpapar Bacteri Escherichia Coli. Al-Manhaj Jurnal Hukum Dan Pranata Sosial Inslam, 5(2), 1247–1256. https://doi.org/10.37680/almanhaj.v5i2.3272
Huda, M. C. (2021). Pendekatan Yuridis Sosiologis. In Metode Pendekatan Hukum.
Iryana. (2022). Teknik Pengumpulan Data Metode Kualitatif. Media Indonesia, 21(58), 99–104.
Kemenkes. (2013). Keputusan Mentri Kesehatan No.80 Tahun 2013. Menteri Kesehatan Republik Indonesia, 1536, 3. file:///C:/Users/User/Downloads/Documents/bn1536-2013.pdf
Kemenkes. (2014). permenkes 9 tahun 2014. Lincolin Arsyad, 3(2), 1–46. http://journal.stainkudus.ac.id/index.php/equilibrium/article/view/1268/1127
Kementerian Kesehatan Republik Indonesia. (2015). Peraturan Menteri Kesehatan Republik Indonesia Nomor 65 Tahun 2015 Tentang Standar Pelayanan Fisioterapi. Kementerian Kesehatan Republik Indonesia, 16(2), 39–55.
Kuswadani, K., Purwoko, A. J., & Wibowo, D. B. (2018). Pelaksanaan Perlindungan Hukum Terhadap Pasien Sebagai Konsumen Jasa Dan Fisioterapis Dalam Pelayanan Fisioterapi Mandiri Di Kota Semarang. Jurnal Fisioterapi Dan Rehabilitasi, 2(2), 79–103. https://doi.org/10.33660/jfrwhs.v2i2.25
Kuswardani. (2022). Implementasi Persetujuan Tindakan Medis (Informed Consent) Pada Layanan Home Visit Fisioterapi Mandiri Implementing Informed Consent for Physiotherapy Services Delivered at Clients’ Homes. Jurnal Fisioterapi Dan Rehabilitasi, 6(1), 67–75.
Kuswardani, K., & Abidin, Z. (2023). Perlindungan hukum Perlindungan Hukum Terhadap Pasien Sebagai Pengguna Fitur Layanan Kesehatan di Aplikasi Fisdok. AL-MANHAJ: Jurnal Hukum Dan Pranata Sosial Islam, 5(1), 101–112. https://doi.org/10.37680/almanhaj.v5i1.1803
Kuswardani, S. S. (2021). Pkm Penerapan Manajemen Rekam Medis Sesuai Dengan Legalitas Pada Fisioterapi Mandiri Di Kota Semarang. Jurnal Implementasi Pengabdian …, 3, 51–54. http://jipmk.uwhs.ac.id/index.php/jpm/article/view/53
Nuraini, N. (2015). Analisis Sistem Penyelenggaraan Rekam Medis di Instalasi Rekam Medis RS “X” Tangerang Periode April-Mei 2015. Jurnal Administrasi Rumah Sakit Indonesia, 1(3), 147–158. https://doi.org/10.7454/arsi.v1i3.2180
Rahayu, N. P., Dahlan, S., & Soerjowinoto, P. (2017). Penyelenggaraan Rekam Medis Pada Pelayanan Kesehatan Bakti Sosial Oleh Rumah Sakit Umum Daerah Kabupaten Temanggung. Soepra, 2(2), 165. https://doi.org/10.24167/shk.v2i2.819
Rika, A., Anisah, A., Dewi, & Purnama, N. (2020). Peran Penting Kelengkapan Rekam Medik di Rumah Sakit. Baiturrahmah Medical Journal, 1(1), 69–76.
Said, J. H. R. (2021). Company Profile QUALITY-HONESTY-INTEGRITY-COMMITMENT-DEDICATION.
UU RI No 29 Pasal 47. (2004). Presiden Republik Indonesia Peraturan Presiden Republik Indonesia. Demographic Research, 4–7.
Wardhani, I. A. S. K. (2014). Implementasi Persetujuan Tindakan Kedokteran (Informed Consent) Dalam Perjanjian Terapeutik Oleh Tenaga Kesehatan Terhadap Pasien Rumah Sakit Di Provinsi Bali. Jurnal Magister Hukum Udayana (Udayana Master Law Journal), 3(1). https://doi.org/10.24843/jmhu.2014.v03.i01.p07
Zuchri, A. (2021). Metode Penelitian Kualitatif (D. P. Rapanna (ed.); kru syakir, Issue 1). syakir media press.