Key Benefits:
b. Diagnosis and diagnosis training is due
work.
(3) Training as referred to in paragraph (2) must
be standardized in accordance with regulatory provisions
laws regarding field training
health.
Article 9
Service of disease due to work in service facilities
Advanced reference health is exercised by a doctor
medical specialist kupasi.
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Article 10
(1) Sarana and the infrastructure in the hosting of the ministry
The disease of the least work is made up:
a. medical record document;
b. Physical checkpoint; and
c. An emergent handling tool.
(2) In addition to the means and infrastructure as intended
in paragraph (1), the referral health care facility
advanced level must have a means of support
diagnosis of the disease due to work.
Article 11
In terms of the health care facility not available
human resources as well as the means and infrastructure
as referred to in Article 8 to the Article
10, must be performed referral according to the provisions
rules The invitations.
section 12
(1) The financing of staging disease services as a result of
work is implemented in accordance with regulatory provisions
laws.
(2) Financing as referred to in paragraph (1)
is exercised based on the diagnosis of diagnosis and grammar
A disease as a result of the work referred to
in Section 4 and Section 5.
Article 13
(1) Any organizer health care facility
service illness service due to mandatory work
records of suspected cases of occupations and cases
occupations of work.
(2) Seekers as Referred to in paragraph (1)
is reported to have been given to the health service
district/city, provincial health service, and Minister
Health.
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(3) Seekers as referred to in paragraph (1)
are part of worker health surveyances.
(4) Examples of case logging formats are suspected of disease due
work and disease cases the work as a result of work as
referred to in paragraph (1) is set forth in Form 1,
Form 2, and form 3 that is not
integral to this Minister's Rule
Section 14
Further provisions regarding diagnosis and treatment
of work and hosting of services
illness as a result of the work listed in Annex I and
Appendix II which is an inseparable part of
This Minister Regulation.
Article 15
(1) the Minister of Health, provincial health services, and service
county/city health doing coaching and
supervision of the hosting of services
illness due to work as set in
This Minister ' s Regulation is in accordance with the duties and functions
respectively.
(2) coaching and supervising as intended
on paragraph (1) may involve the profession organization.
(3) Coaching and supervision as intended
on paragraph (1) is done through:
a. advocacy and socialization;
b. education and training; and/or
c. monitoring and evaluation.
Article 16
The Minister ' s Regulations are beginning to apply to the date
promulgled.
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For everyone to know, ordered
the invitational of the Minister's Regulation with its placement
in the Republic of Indonesia News.
Specified in Jakarta
on October 24, 2016
HEALTH MINISTER
REPUBLIC OF INDONESIA,
ttd
NILA FARID MOELOEK
DiundPour in Jakarta
on 17 November 2016
DIRECTOR GENERAL
THE LAWS
THE MINISTRY OF LAW AND HUMAN RIGHTS
REPUBLIC OF INDONESIA,
ttd
WIDODO EKATJAHJANA
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ANNEX I
HEALTH MINISTER REGULATION
REPUBLIC OF INDONESIA
NUMBER 56 YEAR 2016
ABOUT
HOSTING SERVICES
ILLNESS DUE TO WORK
DIAGNOSIS AND TREATMENT OF THE WORK
BAB I
PRELUDE
A. Background
Workers have a risk to health problems that
is caused by work processes, work environment as well as health behaviour
workers. Workers are not only at risk of developing infectious diseases and
are not contagious but workers can also suffer from work
and/or work-related illnesses. Work illness is a disease
caused by work and/or work environment including
disease-related illness.
Based on the data International Labour Organization (ILO) in 2013
It is known that every year an estimated 2.34 million people die
related to the occupations of both the disease and the accident and about 2.02 million
cases of death related to illness due to work. In Indonesia, the description
of the current work-related diseases such as the "Ice Mountain Peak" phenomenon,
known work disease and is reported to be very
limited and partial based on the results of the research so as yet
illustrates the magnitude of the safety and health issues of the work in
Indonesia. This is because human resources are capable of
performing disease diagnosis still less so that
services for the disease due to work are not optimal.
The relationship with that needs to be drafted. as
referrers for physicians at health care facilities in diagnosis and
workouts of workouts.
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B. Goal
Tersedianya guidelines for diagnosis and treatment of illness due to work at
health care facility.
C. Target
Doctors at the health care facilities both first and
advanced levels.
BAB II
ILLNESS ATTRIBUTABLE TO WORK
A. Workplace Disease Range
The disease of the work is a disease caused by
work and or the work environment including work-related diseases.
Work-related illness is a disease that has several agents
causes with job factors and or work environment holding
roles along with other risk factors.
B. Causes oc. work-class services;
d. service returned to work; and
e. Disability service.
Section 6
The treatment of illness services due to work
is exercised at a level health care facility
first or a level referral health facility
advanced.
Article 7
The treatment of illness services due to work
as referred to in Article 6 should be supported
with:
a. human resources; and
b. means and infrastructure.
Article 8
(1) The disease service due to work at the service facility
First-degree health is exercised by a doctor
with additional competencies related to the disease due
work which is obtained through a formal education or
training.
(2) Training as referred to in paragraph (1) includes:
a. Basic job health training or training
corpora upation are workers ' individuals
and the working community.
The work of the work on the worker's individual consists of
working-class designation, reworking and determination
disability.
a. Workable Treatments
1) Occupation of Work
Work-class penetration including risk assessment,
capacity and toleration of workers with job demands
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that is in the workplace. Assessment results are used for
determining the worker may return to work on
previous work, working with limitations
(limitation) or certain restrictions or changed jobs
which corresponds to Workers ' health conditions. Referral
The determination of employment is required if:
a) a complex patient health status (involving more
of 1 (one) organ system or involves only 1
(one) organ system but vital organ systems).
b) exposure to existing risk factors at work
complex and interrelated.
c) there is doubt in determining the risk magnitures
existing and acceptable risks (acceptable
risk).
d) there is worker dissatisfaction over the designation
work.
e) work-making is necessary to
the work of the work of the future head of the regional head or
the leader of the other state's top institutions.
f) there is a request from the staffing section or section
the safety and health of a company.
g) SDM and the means of infrastructure at the service facility
health is inadequate.
2) The Program Is Back To Work (return to work)
A planned effort to get workers to experience
The injury/illness can immediately return to work productively,
safe and sustainable. In this effort, including
medical recovery, work recovery, skills training,
job adjustment, new job provisioning,
insurance and compensation costs and
employers ' participation. Program referrals back to work
done if:
a) required a visit to a patient's workplace to
see another available job matching
with a patient's medical condition.
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b) a complex patient health status (involving more
of 1 (one) organ system or involves only 1
(one) organ system but vital organ systems).
c) exposure to existing risk factors at work
complex and interrelated.
d) there is doubt in determining the risk magnitudes
existing and acceptable risks (acceptable
risk).
e) there is worker discontent over the program back
works.
3) Disability Determination
The outcome of the disease as a result of work can provide a disability
due to an anatomical disability or function that needs to be assessed
The percentage is so that workers are entitled to be
compensation according to The invite-
invitation. A disability-determination reference is required if:
a) The type of disability is not yet in the determining guideline
the disability.
b) There is worker discontent over the designation
percentage of disability.
c) There is an objection from the assurances party
health care for the percentage designation
disability.
d) Required for legal purposes such as
compensation compensation outside of the executed
under the provisions of the laws.
b. Okupation Layout on the Workers ' Community
The work of the work on the working community consists of
the disease prevention services resulting from work and early discovery
the disease due to work.
1) The Prevention of Disease Prevention Work
In general work-related illnesses
irreversible so that the very
prevention measures are required, because if not done will result
the disease of the work on other workers with the risk
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The same job. Disease prevention efforts are due
work among others:
a) Conduct a potential identification of disease hazards due to
work.
b) Work health promotion according to the results
identification of potential hazards present in the workplace.
c) Conduct potential hazards control in place
work.
d) Giving information about self-protection tools
in accordance with the potential hazards present at work
and the way the use of the correct self-protection tools.
e) The granting of immunization for workers who are exposed
with certain biological agents.
2) The discovery of Dini Disease Due to Work
The early discovery of the disease as a result of work was done with:
a) pre-work health check
b) periodic checks
c) special checks
is performed according to indicate if there are any complaints
and/or potential hazards in the workplace. As
advanced checks of periodic checks and
towards the end of the work.
d) worker health and work environment
health checks are performed according to potential
the dangers encountered in the Work place. This is
part of the worker ' s health surveilans. Data surveilans
worker health is linked to surveillance data
working environment to find out the disease related
with potential hazards at work.
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B. The Diagnosis and Tata Laksana plot
Diagram of the patient reference plot is shown on the below chart:
The patient came to a health care facility and was conducted
anamnesis and physical examination to be clinical diagnosis. If
is required, there is a support check. If there is a doubt
in diagnosing a doctor may be able to consult or refer to
a related clinical specialist physician.
After a clinical diagnosis is upheld, the next step is
diagnosis Workable disease with seven
PATIENTS
Anamnesis and Examination
Clinical diagnosis
Diagnosis of kupation
Penatalakology
case
Medical
Medical
The future
Okupasi
Specialized Consul
related (Rujuk
BKM, RS)
Specialist Consul
Rujuk Related Clinic
to RS/BKKM/BTK
Consul Medical Specialists
Environmental Examination
Biomarker and others R
a g u
Ragu
Ragu
R a g u
Therapy given is medicamentose and/or non.
medikamentosa such as education, exercise, physiotherapy, counseling,
psychotherapy and nutrition. Clinical referrals are performed if the diagnosis
clinical may not be enforced because:
a. There was a doubt from the doctor who did the examination.
b. Human resources, means, and infrastructure that are not
are adequate.
2.
Layout
Tata treatments are provided after the PAK diagnosis
is enforced. The goals of the occ port
hosting of the disease service due to work is divided based on
strata of health care facilities:
1. The means and amenities of the first
level health care facility include:
a. Medical record document
b. Physical examination tools, among others:
1) Heavy weights
2) Microtoise (high measuring device)
3) Termometer
4) Tensimeter
5) Stetoscope
6) Penlight
7) Palu reflex
8) Thin Kapas
9) Garputala 512 Hz
10) Autoscope
11) Oftalmoskop
12) Snellen chart
13) Jaegger card
14) Books Ishihara 14 plates or 32 plates
c. Emergent handling tools, among others:
1) Kran/shower water with water facilities flowing with
special disposal channels
2) Basic life aid tools, among others:
a) Ambu bag
b) Face mask
c) Oxygen
d) Defibrilator/AED
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3) The wound and trauma handling tool, among others:
a) Kasa sterile
b) Perban & plaster
c) Bidai
d) minor surgical tool
2. The means and amenities of the referral health care facility
advanced level among others:
a. Medical records document, which includes a danger assessment form
potential at work.
b. Physical examination tools, among others:
1) Heavy weights
2) Microtoise (high measuring device)
3) Termometer
4) Tensimeter
5) Stetoscope
6) Penlight
7) Palu reflex
8) Thin Kapas
9) Garputala 512 Hz
10) Oftalmoskop
11) Snellen charts and rooms 6 meters (3 meters
with mirrors)
12) Jaegger cards
13) Ishihara Books 24 and 32 plates
14) A visual inspection tool 3 dimension
15) Work health check form, among others:
a) Form Rapid Upper Limb Assessment (RULA) and Rapid
Entire Body Assessment (REBA);
b) Any Form Examination;
c) Form SRQ 20;
d) The Stress Diagnosis Survey Form (SDS); and
e) Form Holmes Rahe.
16) worker fitness checking tools like treadmill test
set
17) Thoraks X-ray scanning device with capability
high-release resolution
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18) Scanning Tools spirometry
19) audiometry
20) Heart record checking device
21) A laboratory examination tool with the ability: blood
complete, blood chemistry, complete urinalysis and examination
biomonate.
22) The stress-rate gauge: can be Heart Rate
Variability (HRV)
23) The fatigue measuring device: Reaction Timer
c. means of the diagnosis of disease diagnosis, among others:
1) Gas chromatography for measuring chemical exposure levels
in biological material
2) Pb meters for measuring lead levels in blood
3) High Performance Liquid Chromatography (HPLC) for
measuring chemical exposure levels in biological material
d. Environmental inspection equipment and inspection tools
environment. If unable to be held alone by the facility
health care can work closely with the laboratory
area health (Labkesda), Health Engineering Hall
Environment (BTKL), Hiperkes Hall of the local Labor Service
or any other working environment laboratory that has been
accredited.
On the state of a referral health care facility
advanced rates cannot provide medical equipment accordingly
which is standardised may cooperate with the service facilities
other health that has operational clearance.
D. Financing
The financing of hosting the disease services as a result of work can
be done by workers, employers or through the social security system
nationwide in accordance with the provisions of the laws.
The principle of financing the hosting of disease services due to work
among others:
1. The financing of the implementation of the disease service due to work
is implemented in accordance with the provisions of the invite-
invitation.
2. Financing is held on the basis of diagnosis and layout
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There was a work-related illness.
E. The service referral
PAK service flows are paying attention to health care flows in
generally according to the health care strata as Following:
and/or in the service facility
advanced referral health. If there are good limitations
human resources, and not available equipment or facilities,
then it may refer to other supporting facilities with means and
better infrastructure as well as having human resources. which
is competent. Referral results returned to the health care facility
sender.
BAB III
LOGGING AND REPORTING
A. Note
Any service organizer health care facility
illness as a result of mandatory work logging of suspected cases of disease
due to work and disease cases due to work in medical records.
Logging of illness as part of
worker health surveillance.
FKTP
FKRTL
header
FACILITY
SUPPORTERS
OTHERS
Turn back
Rujuk Back
Clinical inaction, SDM, Facility
service and equipment
Clinical referral, SDM, service and equipment facilities
Clinical inferences, SDM, service facilities
and equipment
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B. Reporting
Hosting of disease services as a result of work is reported
as part of the worker's health surveilans. Reporting
is performed in a form ranging from health care to
county/city health services, continued to the health service
province, and the Ministry of Health via the General's Directorate
Health Society.
Reporting related to financing by the Organizing Agency
Social Security Guarantee and Social Security Organizing Agency
Employment is adjusted to the provisions of the perinvite regulations-
the invitation.
BAB IV
COACHING AND SUPERVISION
The coaching and supervision activities are conducted the stakeholders
interests related to the monitoring and improvement of service quality
for the disease due to work. Activities performed include:
1. Advocacy and Socialization
Committed to gain commitment an>1. Puskesmas
2. The preview clinic
3. Self-practice doctor
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Advanced-level referral health care facilities include:
1. Primary clinic
2. Hospital
3. Physician self-practice specialist medicine
Standards of health care facilities in accordance with the provisions
laws.
C. Means and Prasarana
Sarana and infrastructure necessary to sup
