Doctor's Responsibility to the Implementation of 24 Hours Emergency Unit Service in Non Primary Health Care Center of Land Bumbu District

Abstract

Regent Decree of Tanah Bumbu Number 188.46/265/Dinkes/2006 about 24 hours emergency unit service at non primary health care center in Tanah Bumbu District, cause problems at impelementation. Limited number of doctors, and not yet fulfilled the standard of rooms, medical devices, and medicines in 24 hours emergency unit service at non primary health care center, made the author interesting to study about doctor’s responsibility of health service based on the Regent Decree. The research is sociological juridical and the data collection technique used was interviewing several informants at the public health office, primary health center, legal section of the regional government, Indonesian Medical Association, and experts of state administrative law, as well as library studies, and related documents. Based on the results of the study it can be concluded that the regent decree can be cancelled (voidable), cause legally formal the signing of head of the public health office exceed the authority limit, as well as substance not yet fulfilled the legal fundament. Then at implementation, the doctors responsibility not yet fulfilled, both ethically and legally, in the afternoon and evening, after government employee’s daily working hours, where there is forgiveness reason, at risk for fatigue and negligence, outcome the number of doctors is limited. On the other hand, the doctors responsibility not yet fulfilled the standard of proffesion, standard operating procedures, and service standart, because not yet fulfilled of rooms, medical devices, and drugs criterion in 24 hours emergency unit service at non primary health care center.