Advanced Search

Regulation Of The Minister Of Health No. 1 In 2012

Original Language Title: Peraturan Menteri Kesehatan Nomor 1 Tahun 2012

Subscribe to a Global-Regulation Premium Membership Today!

Key Benefits:

Subscribe Now for only USD$40 per month.

The text is not in the original format.
Back


image
STATE NEWS
REPUBLIC OF INDONESIA

No. 122, 2012

INDONESIA ' S HEALTH MINISTER REGULATION
NUMBER 001 Year 2012
ABOUT
THE INDIVIDUAL HEALTH CARE REFERRAL SYSTEM

WITH THE GRACE OF THE ALMIGHTY GOD

HEALTH MINISTER OF THE REPUBLIC OF INDONESIA,

Weighing: that to carry out the provisions of Article 42 paragraph (3) of the Law No. 44 Year 2009 on the Hospital need to establish the Health Minister ' s Regulation on the Individual Health Care Persuasion System;

Given: 1. Law No. 4 of 1984 on the Plague of Infectious Diseases (sheet of State of the Republic of Indonesia in 1984 No. 20, Additional Gazette of the Republic of Indonesia Number 3237);
2. Act No. 8 of 1999 on Consumer Protection (State Sheet of Indonesia Year 1999 Number 42, Additional Gazette Republic of Indonesia Number 3821);
3. Act No. 29 of 2004 on the Practice of Medicine (leaf of State of the Republic of Indonesia 2004 Number 116, Additional Gazette of the Republic of Indonesia Number 4431);
4. Law No. 32 Year 2004 on Regional Governing Law (Indonesian Republic of Indonesia 2004 Number 125, Additional Gazette Republic of Indonesia Number 4437), as amended last with the 2008 Act Number 12 (sheet of State of the Republic of Indonesia 2008 No. 59, Additional Gazette of the Republic of Indonesia Number 4844);
5. Law No. 36 Year 2009 on Health (State Sheet of the Republic of Indonesia Year 2009 Number 144, Additional Sheet of State of Indonesia Republic No. 5063);
6. Law No. 44 Year 2009 concerning Hospital (Sheet State Republic Of Indonesia 2009 Number 153, Additional Gazette Republic of Indonesia Number 5072);
7. Government Regulation Number 40 Year 1991 on Countermeasures Infectious Disease Outbreak (State Sheet Of The Republic Of Indonesia In 1991 Number 49, Additional Gazette Republic Of Indonesia Number 3447);
8. Government Regulation No. 39 Year 1995 on Health Research and Development (State Sheet of the Republic of Indonesia 1995 Number 67, Additional Sheet of State of Indonesia Number 3609);
9. Government Regulation No. 32 of 1996 on Health Power (State Sheet of the Republic of Indonesia in 1996 No. 49, Additional Gazette of the Republic of Indonesia Number 3637);
10. Government Regulation Number 38 Year 2007 on the Partition of Government Affairs Between Government, Provincial Local Government and District/City Government (State Gazette of 2007 Indonesia Number 82, Extra State Sheet) Republic of Indonesia No. 8737);
11. Health Minister Regulation No. 657 /Menkes/Per/VIII/2009 on the Delivery and Use of the Special Clinic Experiment, Biological Materials and Information Charge;
12. Health Minister Regulation No. 658 /Menkes/Per/VIII/2009 on the Jenets Laboratory Diagnosis of New-Emerging Infectious Diseases and Re-Emerging;
13. Health Minister Regulation Number 411 /Menkes/Per/III/2010 about the Laboratory of the Clintons;
14. Health Minister Regulation Number 028 /Menkes/Per/I/2011 about the Clintons (State News of the Republic of Indonesia Year 2011 Number 16);

DECIDED:

Establish: Health Minister ' s regulations on individual health care referral systems.

BAB I
UMUM PROVISIONS

Section 1
In Regulation of this Minister, referred to by:
1. Health care facilities are the places used to host health care efforts, either the promotion, preventative, curative or rehabilitative undertaken by the Government, local government, or society.
2. The patient is any person who conducts a medical problem consultation to obtain the necessary health care, whether directly or indirectly in the means of health care.
3. The profession organization is the Indonesian Doctors Association for doctors and the Indonesian Association of Dentists for dentists.

BAB II
THE PERSONAL HEALTH SERVICE OF THE INDIVIDUAL

Section 2
(1) Individual health services consist of 3 (three) levels:
a. First-level health care;
B. Second-tier health care; and
C. Third-degree health care.
(2) First-level health care as referred to in paragraph (1) letter a is the basic health care provided by doctors and dentists in puskesmas, care puskesmas, individual practice places, pratama clinic, public clinic at the halls/health care agencies, and the pratama hospital.
(3) In certain circumstances, the midwife or nurse may provide the first level health care according to the provisions of the laws.
(4) Second-level health care as referred to in paragraph (1) letter b is a special health care service conducted by a specialist physician or specialist dentist who uses specialist knowledge and health technology.
(5) Third-level health care as referred to in paragraph (1) letter c is a sub-specificalistic health ministry performed by a sub-specialist physician or sub-specialist dentist using knowledge and health technology. Sub-specialistic.

BAB III
THE REFERRAL SYSTEM

The Kesatu section
Common

Section 3
The health care referral system is the host of health care that regulates the duties and responsibilities of health services in reciprocity both vertically and horizontally.

Section 4
(1) The health care service is carried out, as the medical needs begin with first-degree health care.
(2) Second-degree health care can only be provided for referrals from first-degree health care.
(3) Third-degree health care can only be provided for referrals from second or first degree health services.
(4) Bidan and nurses can only do referrals to doctors and/or dentists of first-degree health care providers.
(5) The terms referred to in verse (1), paragraph (2), verse (3), and verse (4) are excluded from the emergency, disaster, special health problems of the patient, and geographical considerations.

Section 5
(1) The referral system is required for patients who are participants of health insurance or social health insurance and health care providers.
(2) Commercial health insurance participants follow the applicable rules in accordance with the provisions in the insurance policy by staying in the care of a single-level health service.
(3) Any person who is not a health assurance participant or social health insurance, as referred to in paragraph (1) may follow the referral system.

Section 6
In order to improve accessibility, alignment and improvement of health care effectiveness, referrals are made to a nearby health care facility that has a service capability according to the needs of a patient.

The Second Part
Set The Reference Way

Paragraph Kesatu
Common

Section 7
(1) The persuasion can be done vertically and horizontally.
(2) The vertical persuasion as referred to in paragraph (1) is a reference between different levels of health services.
(3) The horizontal persuasion as referred to in verse (1) is a reference between health care in one level.
(4) The vertical persuasion as referred to in verse (2) can be done from a lower level of service to a higher level of service or vice versa.

Section 8
Horizontal referrals as referred to in Section 7 of the paragraph (3) are performed if the referral is not able to provide the health service according to the needs of the patient due to the limitations of the facilities, equipment and/or composure that is temporary or settled.

Section 9
A vertical reference from a lower service level to a higher level of service as referred to in Section 7 of the paragraph (4) is performed if:
a. patients need a special or sub-specialistic health service;
B. Referencing is not available for the patient's needs due to the limitations of the facilities, equipment and/or composure.

Section 10
A vertical reference from a higher level of service to a lesser service level as referred to in Article 7 of the paragraph (4) is performed if:
a. Patient health issues may be handled by a lower level of health care in accordance with the competence and authority;
B. The competency (s) and the first or second level service authority are better at handling such patients;
c. The patient needs advanced services that can be handled by a lower level of health care and for reasons of ease, efficiency and long-term services; and/or
D. Referencing is not available for the patient's needs due to the limitations of the means, infrastructure, equipment, and/or business.

Section 11
(1) Each health care provider is obligated to refer a patient when a state of illness or a health issue requires it, except for valid reasons and gets the consent of the patient or his family.
(2) The legal reason as referred to in paragraph (1) is that the patient may not be transitioned over medical, resource, or geographic reasons.

Section 12
(1) The persuasion must obtain the consent of the patient and/or his family.
(2) The consent as referred to in paragraph (1) is granted after the patient and/or his family obtain an explanation of the health care personnel authorized.
(3) The explanation as referred to in paragraph (2) at least includes:
a. Diagnosis and therapeutic and/or medical conduct are required;
B. reasons and purposes are referrals;
c. The risks that may arise if the referral is not done;
D. reference transport; and
e. Risk or purview that can arise during the course of the journey.

Section 13
Referencing before making a referral must be:
a. perform first aid and/or the conduct of patient condition stabilization in accordance with the medical indication as well as in accordance with the ability for patient safety purposes during the execution of a referral;
B. conduct communication with the referral recipient and ensure that the referral recipient may receive a patient in case of an emergency patient condition; and
c. create a referral letter to be delivered to the referral recipient.

Section 14
In communication as referred to in Article 13 of the letter b, the recipient of the referral is obliged:
a. informing on the availability of the means and infrastructure as well as the competencies and availability of the health energy; and
B. provide medical consideration of the patient ' s condition.

Section 15
The referral letter referred to in Article 13 of the letter c at least contains:
a. patient identity;
B. examination results (anamnesis, physical examination and support checks) that have been performed;
c. work diagnosis;
D. therapy and/or actions that have been given;
e. reference destination; and
f. the name and the health care signature that provides the service.

Section 16
(1) Transport for referrals is performed in accordance with patient conditions and the availability of transport means.
(2) Patients who require constant medical care must be referred to by ambulance and accompanied by competent health care.
(3) In terms of not available ambulances on a referencing health care facility, referrals as referred to in verse (2), can be done using other viable transport tools.

Section 17
(1) The bill is considered to have occurred when the patient has been received by the referral recipient.
(2) The referral recipient is responsible for conducting advanced health services since receiving a referral.
(3) The Licensee's use of the IBM DB2 for DB2 for DB2 for DB2 for DB2 for DB2 for DB2 for DB2 for DB2 for DB2 for

The Third Part
Financing

Section 18
(1) The referral financing is exercised in accordance with the terms applicable to health insurance or health assurance.
(2) The financing of referrals for patients who are not health insurance participants or health reassurance becomes the responsibility of the patient and/or family.

BAB IV
MONITORING, EVALUATION, LOGGING AND REPORTING

Section 19
(1) Monitoring and evaluation is carried out by the Ministry of Health, provincial health services, county/city health services and profession organizations.
(2) Seekers and Reporting are performed by referencing and referral recipients in accordance with the provisions of the laws.

BAB V
COACHING AND SUPERVISION

Section 20
(1) The head of the county/city health service and the profession organization is responsible for the coaching and supervision of referrals on first-degree health care.
(2) The head of provincial health services and the profession organization is responsible for the coaching and supervision of referrals on second-degree health care.
(3) The Minister is responsible for the coaching and supervision of referrals on third-degree health care.
(4) In carrying out the coaching and supervision of the Minister, the head of the provincial health service and the head of the county/city health service includes a public association and the health profession organization.
(5) In order to conduct oversight, the Minister, the head of provincial health services and the head of the county/city service can take administrative action according to their respective authority.
(6) The administrative actions as referred to in paragraph (5) may be oral reprimand, written reprimand, or revocation of the health care practice and/or health care facility permit.

BAB VI
THE TRANSITION PROVISION

Section 21
All health care providers at all levels must adjust to this regulation the slowest 1 (one) year count since the set date.

BAB VII
CLOSING PROVISIONS

Section 22
By the time the Regulation of the Minister came into effect, the Decree of the Minister of Health of Indonesia No. 032 /Birhup/1972 on Referal System was revoked and stated to be not valid.

Section 23
The Minister ' s rules are beginning to apply to the date of the undrased.

In order for everyone to know, order the Ordinance of the Regulation of the Minister with its placement in the News of the Republic of Indonesia.

Set in Jakarta
on January 18, 2012
HEALTH MINISTER
REPUBLIC OF INDONESIA,

" THE RAHAYU SHAWL SEDYANINGSIH
Promulgated in Jakarta
on January 30, 2012
MINISTER OF LAW AND HUMAN RIGHTS
REPUBLIC OF INDONESIA,

AMIR SYAMSUDIN

* not yet in the form of loose sheets