Tuntas, Dhanardhono and Wian, Pisia Anggreliana and Intarniati, Nur Rohmah and Sigid, Kirana Ethical And Professional Dilemmas Encountered By Doctors In The National Health Insurance System. ETHICAL AND PROFESSIONAL DILEMMAS ENCOUNTERED BY DOCTORS IN THE NATIONAL HEALTH INSURANCE SYSTEM. ISSN 2540-8844 (Submitted)

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Abstract

ABSTRACT
Background: The National Health Insurance System has had a major impact on health services in Indonesia. It gives
health coverage assurance but also raised numerous dilemmas for physician. Objective: This study aims to analyse various
ethical and professional dilemmas among physicians in the National Health Insurance System (NHIS). Methods: This
research is a cross-sectional descriptive study. Online questionnaire was distributed to physicians practicing in Indonesia.
Results: Of the 87 doctors who participated in this study, 60.92% were general practitioners and 39.08% were specialists.
The inability to maintain professional independence (63.41%) is the most common ethical dilemma faced by doctors with
65.38% of them experienced in advanced level health facilities. Meanwhile, the limitation of adequate medical care in an
emergency (25.45%) is the most dilemmatic situation experienced in terms of professionalism with 85.71% occurring in
advanced level health facilities. Conclusion: Physicians in Indonesia were deal with various dilemmas while practicing in
the NHIS. The high rate of dissatisfaction and the various ethical problems and professional disciplines require a review
of the health system to improve the quality of services and maintain the professionalism of doctors.
Keywords: dilemma, ethical, professional, National Health Insurance System, Indonesia

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