The Obligation of Medical Cost and Risk Information Transparency by Private Healthcare Providers in Indonesian Legal Construction

Main Article Content

Ronald Rachim
Rommy Hardyansah
Rafadi Khan Khayru

Abstract

This normative legal study examines the legal framework governing the obligation of private healthcare providers in Indonesia to transparently disclose medical costs and risks to patients. Employing a qualitative literature review and statutory analysis, the research investigates three main issues: the legal construction of this obligation, the convergence between the informed consent principle in health law and the information transparency principle in consumer protection law, and the effectiveness of existing law enforcement mechanisms. The findings indicate that the obligation is robustly constructed through Law Number 44 of 2009 concerning Hospitals and Law Number 17 of 2023 concerning Health, which integrate cost estimates into the informed consent requirement. This medical law framework is significantly strengthened by its convergence with Law Number 8 of 1999 concerning Consumer Protection, creating a hybrid legal duty. However, enforcement effectiveness is suboptimal due to reliance on patient complaints, high evidentiary burdens in certain legal pathways, and a lack of proactive supervision, despite the availability of administrative, civil, and criminal sanctions. The study concludes that while the normative foundation is solid, its practical realization requires regulatory refinement, enhanced institutional oversight, and widespread public legal awareness to ensure that transparency becomes a consistent practice rather than a mere legal formality in Indonesia's private healthcare sector.

Article Details

Section

Articles

How to Cite

Rachim, R., Hardyansah, R., & Khayru, R. K. (2024). The Obligation of Medical Cost and Risk Information Transparency by Private Healthcare Providers in Indonesian Legal Construction. Journal of Social Science Studies, 4(2), 207-222. https://jos3journals.id/index.php/jos3/article/view/369

References

Aziz, A., Darmawan, D., Khayru, R. K., & Wibowo, A. S. (2023). Effectiveness of Personal Data Protection Regulation in Indonesia's Fintech Sector. Journal of Social Science Studies, 3(1), 23-28.

Bachri, S., Nurnaeni, N., & Nabila, N. (2022). Aspek Hukum Kelengkapan Formulir Persetujuan Tindakan Kedokteran (Informed Consent). Jurnal Berita Kesehatan, 15(2), 77-89.

Beauchamp, T. L., & Childress, J. F. (2013). Principles of Biomedical Ethics (7th ed.). Oxford University Press, Oxford.

Darmawan, D., Issalillah, F., Khayru, R. K., Herdiyana, A. R. A., Putra, A. R., Mardikaningsih, R., & Sinambela, E. A. (2022). BPJS Patients Satisfaction Analysis Towards Service Quality of Public Health Center in Surabaya. Media Kesehatan Masyarakat Indonesia, 18(4), 124-131.

Essa, N. E., & Mardikaningsih, R. (2022). Service Quality Measurement and Improvement Strategy to In-crease Customer Satisfaction. Journal of Social Science Studies, 2(1), 235-240.

Fachrurazi, F., Purwanto, F., Dewianawati, D., Purwoko, B., & Darmawan, D. (2022). Medical products and environmentally friendly purchase intention: what is the role of green consumers behavior, environment concern, and recycle behavior?. Frontiers in Public Health, 10, 960654.

Hariani, M., Aliyah, N. D., & Issalillah, F. (2021). Legal Guarantee of Children's Rights in Education and Health. Journal of Social Science Studies, 1(2), 177-180.

Harianto, A. V., Vitrianingsih, Y., Issalillah, F., & Mardikaningsih, R. (2024). Challenges and Changes Concerning National Health Development in Indonesia: Legal Perspectives, Service Access, and Infectious Disease Management. International Journal of Service Science, Management, Engineering, and Technology, 5(2), 22-26.

Hartika, Y., Saputra, R., Pakpahan, N. H., Darmawan, D., & Putra, A. R. (2023). A Study on the Falsification of Health Certificates: Perspective of Criminal Law and Professional Ethics. Journal of Social Science Studies, 3(2), 175-180.

Himawan, H., Suryono, A., & Jaeni, A. (2024). Implikasi Hukum Perjanjian Tertulis Tindakan Medis antara Dokter Gigi dengan Pasien. Jurnal Cahaya Mandalika, 3(1), 681-705.

Issalillah, F. & N. Aisyah. (2022). The Elderly and the Determinants of Stress. Journal of Social Science Studies, 2(1), 9–12.

Issalillah, F. & R. K. Khayru. (2022). The Role of Social Support in Reducing Anxiety Among Pregnant Women Before Childbirth. Studi Ilmu Sosial Indonesia, 2(2), 19-28.

Katz, J. (2002). The Silent World of Doctor and Patient. Johns Hopkins University Press, Baltimore.

Kementerian Kesehatan Republik Indonesia. (2008). Peraturan Menteri Kesehatan Republik Indonesia Nomor 290 Tahun 2008 tentang Persetujuan Tindakan Kedokteran. Jakarta.

Kementerian Kesehatan Republik Indonesia. (2023). Peraturan Menteri Kesehatan Nomor 3 Tahun 2023 tentang Standar Tarif Pelayanan Kesehatan dalam Penyelenggaraan Program Jaminan Kesehatan. Jakarta.

Khayru, R. K. & F. Issalillah. (2022). Service Quality and Patient Satisfaction of Public Health Care. International Journal of Service Science, Management, Engineering, and Technology, 1(1), 20 – 23.

Khayru, R. K. & F. Issalillah. (2022). The Equal Distribution of Access to Health Services Through Telemedicine: Applications and Challenges. International Journal of Service Science, Management, Engineering, and Technology, 2(3), 24–27.

Khayru, R. K. (2022). Transforming Healthcare: The Power of Artificial Intelligence, Bulletin of Science, Technology and Society, 1(3), 15-19.

Kitab Undang-Undang Hukum Perdata. KUH Perdata tentang Perbuatan Melawan Hukum. Jakarta.

Kitab Undang-Undang Hukum Pidana. Tindak Pidana tentang Undang-Undang Kesehatan. Jakarta

Krippendorff, K. (2004). Content Analysis: An Introduction to its Methodology (2nd ed.). Sage Publications, Thousand Oaks.

Lethy, Y. N., Issalillah, F., Vitrianingsih, Y., Darmawan, D., & Khayru, R. K. (2023). Legal Protection for Patients Against Negligence of Medical Personnel. International Journal of Service Science, Management, Engineering, and Technology, 4(2), 39-43.

Lumbanraja, L. M., & Sjaaf, A. C. (2023). Efektivitas Penerapan Transparansi Harga Pelayanan Rumah Sakit dalam Memberikan Sinyal Informasi Kepada Pasien dan Rumah Sakit. Jurnal Cahaya Mandalika, 4(3), 222-232.

Lumbanraja, L. M., & Sjaaf, A. C. (2023). Efektivitas Penerapan Transparansi Harga Pelayanan Rumah Sakit dalam Memberikan Sinyal Informasi Kepada Pasien dan Rumah Sakit. Jurnal Cahaya Mandalika ISSN 2721-4796 (online), 4(3), 222-232.

Mardikaningsih, R. (2022). Patient Satisfaction Based on Quality of Service and Location. Journal of Islamic Economics Perspectives, 4(1), 31-37.

Mayring, P. (2010). Qualitative Inhaltsanalyse: Grundlagen und Techniken (11th ed.). Beltz Verlag, Weinheim.

Muhammad, A. I., Saputra, R., Pakpahan, N. H., Darmawan, D., & Khayru, R. K. (2023). Ethics and Legality in the Dissemination of Information on Traffic Accident Victims Through Digital Media. Journal of Social Science Studies, 3(2), 235-244.

Nadira, C. S., & Khairunnisa, C. (2023). Kedudukan Informed Consent dalam Pelayanan Kesehatan di Indonesia. Cendekia: Jurnal Hukum, Sosial Dan Humaniora, 1(1), 28-38.

Nalin, C., Saidi, S. A. B., Hariani, M., Mendrika, V., & Issalillah, F. (2022). The Impact of Social Disparities on Public Health: An Analysis of Service Access, Quality of Life, and Policy Solutions. Journal of Social Science Studies, 2(1), 39-46.

Neuman, W. L. (2005). Social Research Methods: Qualitative and Quantitative Approaches (6th ed.). Allyn & Bacon, Boston.

Noor, A., Herisasono, A., Hardyansah, R., Darmawan, D., & Saktiawan, P. (2023). Juridical Review of the Rights of Indigent Patients in Health Services in Indonesia. Journal of Social Science Studies, 3(2), 253-258.

Pasaribu, S. D. M. (2022). Implementasi Peraturan Menteri Kesehatan Nomor 290 Tahun 2008 tentang Persetujuan Tindakan Kedokteran dalam Pendokumentasian Informed Consent. Jurnal Keperawatan Suaka Insan, 7(1), 76-84.

Putra, A. R., & Wibowo, A. S. (2023). Royalty Fee Arrangement in Franchise Business and its Legal Implication in Indonesia. Journal of Social Science Studies, 3(1), 171-176.

Republik Indonesia. (1999). Undang-Undang Nomor 8 Tahun 1999 tentang Perlindungan Konsumen. Lembaran Negara Republik Indonesia Tahun 1999 Nomor 42, Tambahan Lembaran Negara Nomor 3839. Sekretariat Negara. Jakarta.

Republik Indonesia. (2023). Undang-Undang Nomor 17 Tahun 2023 tentang Kesehatan. Lembaran Negara Republik Indonesia Tahun 2023. Sekretariat Negara. Jakarta.

Sahidu, S., Putra, A. R., & Darmawan, D. (2023). Medical Advertising Regulations and Patient Protection as Consumers of Healthcare Services. Journal of Social Science Studies, 3(1), 331-342.

Saputra, D. E., Darmawan, D., & Negara, D. S. (2024). Directors’ and Commissioners’ Liability in Corporate Insolvency: A Comparative Jurisprudential Study. International Journal of Service Science, Management, Engineering, and Technology, 5(3), 29-38.

Saputra, R., Darmawan, D., Indayanti, L. W., Rini, I. W. D., & Ustiani, T. (2023). Dinamika Hukum dan Kontroversi Terkait Pengecualian Aborsi di Indonesia. Global Leadership Organizational Research in Management, 1(4), 361-370.

Sari, N. S. H. (2021). Perlindungan Konsumen Obat: Tinjuan Umum Peraturan Perundang-Undangan di Indonesia. UAD PRESS, Yogyakarta.

Setiawan, R. A., Khayru, R. K., Mardikaningsih, R., Issalillah, F., & Halizah, S. N. (2023). Implementation of Indonesian Positive Law in Combating Fraud and Forgery in Health Insurance and Protection against Industrial Losses. Journal of Social Science Studies, 3(1), 271-280.

Setiawan, S., Hardyansah, R., Khayru, R. K., & Putra, A. R. (2023). Consumer Protection in the Health Sector: The Legal Responsibilities of Pharmacists. Journal of Social Science Studies, 3(2), 131-138.

Setiyadi, G. B., Negara, D. S., Khayru, R. K., Darmawan, D., & Saputra, R. (2023). Misdiagnosis and Legal Liability of Doctors: A Normative Juridical Study in the Indonesian Health System. Journal of Social Science Studies, 3(2), 215-220.

Subiakso, A., Juliarto, T. S., Darmawan, D., Sisminarnohadi, S., & Romli, R. I. A. (2023). Legal Rights in Access to Health Services for Persons with Disabilities. Bulletin of Science, Technology and Society, 2(3), 15-20.

Taufik, E. R., Hasan, S., Titin, T., Singagerda, F. S., & Sinambela, E. A. (2022). Hospitals visit intention and visit decision: how the role of viral and word of mouth marketing?. Frontiers in Public Health, 10, 948554.

Ustani, T., Vitrianingsih, Y., & Mardikaningsih, R. (2024). Legal implication and challenge of using medical record as evidence in the Indonesia’s justice system. Bulletin of Science, Technology and Society, 3(1), 40-45.

Widjaya, C. E. (2022). Perkembangan Standar Pemberian Informasi pada Proses Informed Consent dalam Perjanjian Terapeutik. Perspektif: Kajian Masalah Hukum dan Pembangunan, 27(1), 12-19.

Yatno, Y., Darmawan, D., & Khayru, R. K. (2023). Hospitals' Legal Responsibility for Service Disruptions due to Information System Failures. Journal of Social Science Studies, 3(1), 319-330.