Regulation Of The Minister Of Health No. 1 In 2012

Original Language Title: Peraturan Menteri Kesehatan Nomor 1 Tahun 2012

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Read the untranslated law here: http://peraturan.go.id/inc/view/11e44c50c28ad6a08b44313233303437.html

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Back NEWS REPUBLIC of INDONESIA No. 122, 2011 REGULATIONS MINISTER of HEALTH REPUBLIC of INDONESIA NUMBER 001 in 2012 ABOUT INDIVIDUAL HEALTH SERVICES REFERRAL SYSTEM with the GRACE of GOD ALMIGHTY the MINISTER of HEALTH of the REPUBLIC of INDONESIA, Considering: that in order to implement the provisions of article 42 paragraph (3) of Act No. 44 of 2009 about the hospital needs to set a regulation of the Minister of health about the Individual health care Referral System;
Remember: 1. Act No. 4 of 1984 about infectious disease Outbreaks (Gazette of the Republic of Indonesia Number 20 in 1984, an additional Sheet of the Republic of Indonesia Number (3237));
2. Law number 8 of 1999 on the protection of the consumer (State Gazette of the Republic of Indonesia Number 42 in 1999, an additional Sheet of the Republic of Indonesia Number 3821);
3. Act No. 29 of 2004 concerning the practice of Medicine (State Gazette of the Republic of Indonesia Number 116 of 2004, an additional Sheet of the Republic of Indonesia Number 4431);
4. Law Number 32 of 2004 concerning Regional Government (State Gazette of the Republic of Indonesia Number 125 of 2004, an additional Sheet of the Republic of Indonesia Number 4437), as last amended by law No. 12 of 2008 (State Gazette of the Republic of Indonesia Number 59 in 2008, an additional Sheet of the Republic of Indonesia Number 4844);
5. Act No. 36 of 2009 about health (State Gazette of the Republic of Indonesia Number 144 in 2009, an additional Sheet of the Republic of Indonesia Number 5063);
6. Act No. 44 of 2009 about hospitals (State Gazette of the Republic of Indonesia Number 153 in 2009, an additional Sheet of the Republic of Indonesia Number 5072);
7. Government Regulation Number 40 in 1991 about Tackling Infectious disease outbreaks (Gazette of the Republic of Indonesia Number 49 in 1991, an additional Sheet of the Republic of Indonesia Number 3447);
8. Government Regulation Number 39 in 1995 on Health Research and development (State Gazette of the Republic of Indonesia Number 67 in 1995, an additional Sheet of the Republic of Indonesia Number 3609);
9. Government Regulation Number 32 in 1996 about the health workforce (Gazette of the Republic of Indonesia Number 49 in 1996, an additional Sheet of the Republic of Indonesia Number 3637);
10. Government Regulation Number 38 in 2007 about Government Affairs Divisions between the Government, local governance and local governance Provincial district/city (State Gazette of the Republic of Indonesia Number 82 in 2007, an additional Sheet of the Republic of Indonesia Number 8737);
11. Regulation of the Minister of health Number 656/Menkes/Per/VIII/2009 regarding the delivery and use of Clinical Specimens, material Biologik and charge Information;
12. Regulation of the Minister of health a number 651/Menkes/Per/VIII/2009 on the Laboratory Diagnosis of infectious disease network of New-Emerging and Re-Emerging;
13. the regulation of the Minister of health the number 411/Menkes/Per/III/2010 about Laboratory Clinic;
14. Regulation of the Minister of health Number 028/Menkes/Per/I/2011 about Clinic (news of the Republic of Indonesia number 16 in 2011);
Decide: define: HEALTH MINISTER REGULATION ABOUT INDIVIDUAL HEALTH SERVICES REFERRAL SYSTEM.
CHAPTER I GENERAL PROVISIONS article 1 In this regulation of the Minister, is: 1. health care Facilities are used to organize the efforts of the Ministry of health, good promotif, preventive, curative as well as rehabilitative programmes undertaken by the Government, local government, or the public.
2. The patient is any person who performs consultation health problems to gain the necessary health services, either directly or indirectly in the health care facility.
3. Organization of the profession is Doctor Indonesia Ties to doctor and Dentist Union of Indonesia for the dentist.
CHAPTER II INDIVIDUAL HEALTH SERVICES article 2 (1) of the Ministry of health of individuals consists of three levels, namely: a. the first level of health care;

b. second level health services; and c. third level health services.
(2) the first level health services as referred to in paragraph (1) letter a is the basic medical services provided by doctors and dentists in health centers, public health care, where the individual practices, clinics, clinics in General pratama Hall/health ministries, hospitals and retail.
(3) in certain circumstances, midwife or nurse can provide first level health services in accordance with the legislation.
(4) the second-level health services as referred to in paragraph (1) letter b, including specialised health services was carried out by a specialist or specialist dentist who uses the health knowledge and technology, including specialised.
(5) the third level of health services as referred to in paragraph (2) Letter c is sub, including specialised health services conducted by a doctor or a dentist specialist sub sub specialists who use health knowledge and technology, including specialised sub.
CHAPTER III Common REFERENCE SYSTEM is considered Part of article 3 reference system is the Organization of health services health services set up pelimpahan duties and responsibilities are reciprocal health services either vertically or horizontally.

Article 4 (1) the Ministry of Health implemented a tiered, according to medical need, starting from the first level of health care.
(2) the second-level health services can only be provided upon referral from health service first rate.
(3) the third level of health services can only be provided upon referral from the second-level health services or first level.
(4) midwives and nurses can only do referral to the physician and/or dentist first level health care givers.
(5) the provisions as referred to in paragraph (1), subsection (2), subsection (3), and subsection (4) are excluded on the State of emergency, disaster, the patient's health problems, specificity and geographical considerations.
Article 5 (1) reference system required for the patient who is a participant of health coverage or social health insurance and the health service.
(2) commercial health insurance Participants follow the rules that apply in accordance with the terms of the insurance policy by keeping abreast of tiered health services.
(3) every person who is not a participant of health coverage or social health insurance, referred to in subsection (1) may follow the reference system.
Article 6 in order to improve accessibility, equity and improving the effectiveness of health services, reference is made to the nearest health care facility that has the capability of servicing according to needs of the patient.

The second part of the Ordinance is considered a general Paragraph Reference to article 7 (1) Reference can be done vertically and horizontally.
(2) the vertical Reference referred to in subsection (1) is the reference between the different levels of health care.
(3) the horizontal Reference referred to in subsection (1) is the reference between the Ministry of health in one level.
(4) vertical Reference referred to in subsection (2) may be made from a lower service level to a higher level of service or otherwise.
Article 8 the horizontal Reference referred to in article 7 paragraph (3) is performed when the referrer is not able to provide health services in accordance with the needs of the patient because of limited facilities, equipment and/or workforce which is temporarily or settled.

Article 9 vertical Reference from a lower level of service to the higher service levels referred to in article 7 paragraph (4) is carried out if: a. the patient needs including specialised health services or sub, including specialised;
b. referrer can not provide health services in accordance with the needs of the patient because of limited facilities, equipment and/or the workforce.
Article 10 vertical Reference of higher service levels to lower service levels referred to in article 7 paragraph (4) is carried out if: a. the patient's health problems can be dealt with by the health service levels are lower in accordance with its competence and;
b. competence and authority of the first or second level service is better at handling these patients;
c. the patient requires advanced services that can be handled by levels lower health care and for reasons of convenience, efficiency and long-term services; and/or d. referrer can not provide health services in accordance with the needs of the patient because of limited means, infrastructure, equipment and/or the workforce.
Article 11 (1) every health care givers are obligated to refer patients when health problems or disease state needs it, unless a valid reason and the approval of the patient or his family.
(2) a valid reason referred to in subsection (1) is transported patients can not top medical reasons, resources, or geographically.
Article 12 (1) the reference must obtain the consent of the patient and/or family.
(2) the consent referred to in subsection (1) is given after the patient and/or family get an explanation from the health authorities.
(3) the Description referred to in subsection (2) at least include the following: a. diagnosis and therapy and/or medical action required;

b. the reason and purpose of the reference done;

c. risks that can arise when the reference is not done;

d. transportation reference; and e. the risk or penyulit that can arise during the trip.
Article 13 the Referrer before doing reference must:

a. performing first aid and/or patient conditions appropriate stabilization actions indicative of medical as well as compliance with the ability for the purpose of patient safety during the execution of the reference;
b. do the communication with the recipient of the citation and make sure that the receiver can accept the referral of patients in the event of a State of emergency patients; and c. make a referral cover letter to be delivered to the recipient of the citation.

Article 14 in the communication referred to in Article 13 the letter b, the reference shall be obliged to: a. inform concerning the availability of facilities and infrastructure as well as competence and availability of health care personnel; and b. provide medical considerations over the condition of the patient.

Article 3 cover letters of reference as stipulated in article 13 of the letter c at the least contain: a. the identity of the patient;
b. inspection results (anamnesis, physical examination and inspection support) that has already been done; c. diagnosis work;

d. therapeutic and/or actions that have been given;

e. reference purposes; and f. the name and signature of health care personnel who provide the service.

Article 16 (1) the reference to Transport conducted in accordance with the conditions of the patients and the availability of means of transport.
(2) patients who require continuous medical care must be referred to by ambulance and was accompanied by a competent health workforce.
(3) in case the ambulance is not available at referring health care facilities, the reference referred to in subsection (2), can be performed using other means of transportation.
Article 17 (1) the reference is considered to have occurred when patients have been received by the recipient of the citation.
(2) the recipient of the citation is responsible for conducting follow-up health services since receiving the referral.
(3) the recipient of the reference required to provide information to the patient's State of development regarding the referrer after the completion of the service.
The third part Financing of article 6 (1) in accordance with the implemented Financing references that apply to health insurance or health coverage.
(2) Financing referral for patients who are not participants of health insurance or health coverage is the responsibility of the patient and/or family.
CHAPTER IV MONITORING, evaluation, RECORD KEEPING and REPORTING of article 19 (1) Monitoring and evaluation conducted by the Ministry of health, provincial health Office, the health service district/city and professional organizations.
(2) the record keeping and Reporting done by the referrer or the recipient of a referral in accordance with the legislation.
Chapter V the CONSTRUCTION and SUPERVISION of article 20 (1) the head of Department of health district/city and professional organizations are responsible for coaching and supervision references on the first level of health care.
(2) the head of the provincial health Office and professional organizations are responsible for coaching and supervision of health services referral at the second level.
(3) the Minister is responsible for coaching and supervision of reference on the third level of health services.
(4) in carrying out the construction and supervision of the Minister, the head of the provincial health Office and head of Department of health district/city include perumahsakitan associations and health professional organizations.
(5) in order to conduct surveillance, the Minister, the head of the provincial health Office and Head Office of district/city can take administrative actions in accordance with their respective authority.
(6) the Administrative Acts referred to in subsection (5) may include an oral reprimand, written reprimand, or a revocation practice health workers and/or healthcare facilities permit.
CHAPTER VI TRANSITIONAL PROVISIONS Article 21 the entire health care givers at all levels must comply with this Regulation no later than 1 (one) year calculated from the date set.

CHAPTER VII CLOSING PROVISIONS Article 22 at the time of this Ministerial Regulation entered into force, the decision letter of the Minister of health RI No. 032/Birhup/1972 about the Referral System was revoked and declared inapplicable.

Article 23 this Ministerial Regulation comes into force on the date of promulgation.

In order for everyone to know, ordered this Ministerial Regulation pengudangan with its placement in the news of the Republic of Indonesia.

Established in Jakarta on 18 January 2012 the REPUBLIC HEALTH MINISTER ENDANG RAHAYU SEDYANINGSIH, Enacted in Jakarta on January 30, 2012 the MINISTER of LAW and HUMAN RIGHTS REPUBLIC of INDONESIA, AMIR SYAMSUDDIN * not yet in the form of loose sheets fnFooter ();