DEONTOLOGICAL ASPECTS IN THE IMPLEMENTATION OF P-Care AT THE FIRST LEVEL OF HEALTH FACILITIES IN YOGYAKARTA CITY

Sari

Abstract: Deontological Aspects in The Implementation of P-Care at The
First Level of Health Facilities in Yogyakarta City. The 2015 Sustainable
Development Goals (SDGs) opened a new focus on Universal Health Coverage (UHC).
In Indonesia, the UHC concept has been proclaimed since 2000 which is then
organized by Badan Penyelenggara Jaminan Sosial (BPJS) following the Law of the
Republic of Indonesia number 24 of 2011 Article 9 concerning the National Security
Administering Body. In implementing Indonesia’s national health insurance (JKN),
BPJS kesehatan uses a cloud-based information system for Fasilitas Kesehatan
Tingkat Pertama (FKTP) / The first level health facility, namely Primary Care (P-Care)
which contains medical information for more than 222 million people. According to
the Health Insurance Portability and Accountability (HIPAA), data in P-Care includes
Protected Health Information (PHI) which can lead to potential ethical violations. This
study aims to determine ethical issues from the Deontology aspect related to the
application of P-Care in FKTPs in Yogyakarta City. The Method of research is the
sequential exploratory mix method. The deontology point of view was chosen because
the principle of Deontology, namely personal intrinsic value cannot be separated from
ethical issues. The results showed that there are ethical issues in the application of
P-Care in FKTPs in Yogyakarta City, namely privacy and confidentiality, security, and
informed consent with the important issue being the involvement of third parties in
P-Care data input, P-Care which can be accessed anywhere, lack of personal
validation, as well as a printed diagnosis that anyone can read. The most powerful
influencing factor is the intrinsic value of each agent in understanding these ethical
issues.