kliping berita

Icon

Just another WordPress.com site

Dukacita Hari Kesehatan Nasional 2015 : Profesi yang Dibully

Buruh tidak dibayar = Perbudakan
Dokter tidak dibayar= Pengabdian

Buruh/ anggota DPR menuntut kenaikan upah/gaji = wajar, menuntut hak dan kesejahteraan
Dokter menuntut kenaikan upah = materialistis.

Montir memperbaiki mesin hingga bagus = montir yg berjasa, karena usahanya
Dokter mengobati pasien hingga sembuh = itu karena kuasa Tuhan Yang Maha Kuasa, tak ada peran dokter disitu.

Anggota DPR dan para pejabat menerima suap = itu biasa, semua pejabat memang seperti itu.
Dokter menerima hadiah dari obat yang diresepnya = gratifikasi, usut tuntas, penjarakan.

Dukun/paranormal dalam prakteknya menyebabkan cacat/kematian= itu sudah ajalnya, terima dengan ikhlas
Dokter sudah berusaha menyelamatkan nyawa= itu kesalahannya, malpraktik, tuntut, minta ganti rugi

Pengobatan tradisional meresep obat2an yg tidak jelas isinya dan menyebabkan kerusakan tubuh-kematian= itu memang sakitnya sudah parah, sudah ajalnya
Dokter memberi obat kemudian timbul efek samping = malpraktek, pembunuh, pidanakan, tuntut, minta ganti rugi.

Ditanya-tanya orang =dijawab dengan baik, ramah
Ditanya-tanya dokter= dokternya bodoh, banyak nanya.

Banyak keanehan di NKRI kita ini, selamat hari kesehatan nasional. Jaya Terus Dokter Indonesia

 

Filed under: Dokter Indonesia, Kemanusiaan

Dukacita Hari Kesehatan Nasional 2015

Ditengah caci maki dan tuduhan ttg jeleknya perilaku dokter dengan gratifikasinya yg “menyebabkan” harga obat mahal, materialistisnya para dokter yg hanya memikirkan jasa medis yg “layak” dan banyaknya “tuduhan malpraktek” yg tidak jelas… teman kami, adik kami, saudara kami meregang nyawa melawan penyakit di medan pengabdian, menyusul sejawat2 lain yg lebih dulu pergi..  Read the rest of this entry »

Filed under: Dokter Indonesia, Kemanusiaan, Kesehatan, Politik

Surat Terbuka Rieke Diah Pitaloka

Senin, 23 Maret 2015 | 11:45 | http://www.kabarumat.com

Harusnya dengan latar belakang partai yang sama tak sulit bagi Rieke untuk berkomunikasi dengan presiden RI. Uniknya, ia harus menulis sebuah surat terbuka yang menceritakan kegundahannya. Dalam surat yang bisa diakses publik itu ia menilai Jokowi telah lalai terhadap persoalaan Jamkesmas. Banyak pasien peserta Jamkesmas yang meninggal dunia karena tak tertangani dengan baik oleh pihak rumah sakit. Seakan sia-sia rakyat menjadi peserta Jamkesmas karena ketika tiba di rumah sakit mereka harus merogoh uang yang tak sedikit. Read the rest of this entry »

Filed under: Kemanusiaan, Kesehatan, Politik,

Dokter Fanny Hondrö Menangis Saat Tuntut Gajinya Dibayarkan

26/03/2015 | http://www.nias-bangkit.com

TELUKDALAM, NBC — Dokter yang bekerja di lingkup Dinas Kesehatan Kabupaten Nias Selatan, dr. Fanny Hondrö, Sp.A, menangis saat menyampaikan tuntutannya soal gajinya yang belum dibayarkan Read the rest of this entry »

Filed under: Dokter Indonesia, Kemanusiaan, Kesehatan, Politik,

Curhat Dokter tentang BPJS #4: Menakar BPJS

‘Anggota DPR menolak menggunakan BPJS..dengan alasan ndak manusiawi’

Pertanyaanya;Kenapa dulu di acc BPJS dengan nilai kapitasi yg begitu merendahkan luhurnya Profesi Dokter, Perawat, Dokter Gigi, Bidan,dan tenaga kesehatan yg lain??

Kenapa di acc pengajuan Anggaran Kesehatan dari APBN yg cuma kebagian 1% dari total APBN Indonesia Raya ini???

Anggaran 1% ini sudah bertahan begitu lama dari Presiden ke Presiden

BPJS sistem asuransi yg mengcover semua Rakyat Indonesia..
Sesuai hukum asuransi..makin luas kepesertaan, makin mencukupi untuk mengcover claim
Dan semua rakyat tanpa terkecuali di Lindungi sistem ini

titik kekecewaan kami ada pada penghargaan yg begitu rendah pada besaran kapitasi terhadap pembayaran kami selaku tenaga kesehatan

Sistem rujukan berjenjang..amat baik
Agar jumlah pasien tak menumpuk pada RS/ faskes tingkat lanjut..
Untuk penyakit ringan cukup pada faskes tingkat 1
..maka sebaran pasien akan jadi seperti piramida..
Sebab faskes tingkat lanjut (RS&RS rujukan) amat terbatas jumlahnya
Begitu juga tenaga medisnya..amat sangat terbatas

Sebelum ada skema rujukan berjenjang BPJS..
Semua pasien terutama yg digratiskan..lari menuju RS2 rujukan..akibatnya RS kewalahan..dan klaim pembiayaan kesehatan membengkak.

Tapi ..kini masih menyisakan PR
Bahwa >50% sarana kesehatan di Indonesia (RS,Klinik,dll) adalah milik Swasta
Tanpa ada swasta pemerintah kewalahan menyediakan sarana kesehatan (RS,Klinik,dll)
Meski 70% dari 1% Anggaran APBN (Anggaran yg dialokasikan APBN bagi kesehatan) ditumpahkan untuk sarana&prasarana kesehatan
(1% ini angkanya setara 2X pajak yg dihasilkan dari cukai rokok)

Bagaimana melibatkan mereka (swasta) dalam pelaksanaan BPJS ini?
Jumlah RS terbatas, ruang operasi terbatas, icu/iccu,nicu,picu terbatas..mustahil tak melibatkan swasta

Namun melibatkan dengan merangkul mereka..bukan dengan memaksakan&mengancam2
RSUD Tasik misalnya..pada akhirnya bangkrut akibat sistem BPJS ini..
Klaim yg cair dalam waktu yg lama sedangkan gaji, obat, sarana kesehatan, dll tak dapat ditunda pembayaranya berlama2

Pun tak semua klaim yg diajukan RS bisa di acc untuk dicairkan.Pengajuan klaim yg dirasa tak menenuhi prosedur akan dikembalikan ke RS..dan ini butuh waktu yg amat lama.Jadilah pembayaran klaim ada yg molor sampai 11 bulan..bayangkan 11 bulan tanpa gaji !!!

Betapa pentingnya BPJS ini harus bisa dipahami masyarakat..bagaimana menyentuh hati&membangun kesadaran mereka.Penduduk Indonesia yg jumlah Sarjananya tak sampai 10%..
Dan 70% nya orang miskin..
Dari itu 20% nya sangat miskin
80% nya tinggal di pedesaan

Banyak cara yg berkeadilan sosial ..untuk mengatasi solusi ini..tak melulu tenaga kesehatan yg dikorbankan
Tenaga kesehatan yg jumlahnya sedikit (dibanding jumlah rakyat indonesia) ini harus disebar ke pelosok..tapi bukan dengan paksaan atau ancaman
Sadar atau tidak negara ini bergantung pada mereka..
Bahkan TNI/Polri tidak perang setiap waktu..
Tenaga kesehatan (dokter,dokter gigi,perawat, bidan,dll) tiap kali mereka praktik..
Saat itulah ketahanan&kesejahteraan rakyat Indonesia di ‘tangan’ mereka

Kita sudah bahas tentang sebaran pasien berbentuk Piramida tadi..
Maka kita harus pahami bahwa faskes tingkat 1 (puskesmas,klinik,dll) haruslah prima..faskes tingkat 1 bukan hanya sebagai sarana kuratif (pengobatan), namun juga promotif (promosi kesehatan), dan preventif (pencegahan penyakit)
Jadi dokter,perawat, bidan di faskes (fasilitas kesehatan) tingkat 1 haruslah sepenuhnya/total menjalani tugasnya
Namun bila pendapatan mereka pas2an..sementara pekerjaan mereka beresiko..
Banyak dari mereka hijrah untuk sekolah spesialis atau hijrah ke kota besar..untuk meraih penghidupan lebih layak
Jadilah faskes tingkat 1 hanya sebagai batu loncatan..atau sampingan.Karena memang tak menjanjikan jaminan hidup yg mumpuni bagi masa depan mereka

Sudah dicoba untuk meningkatkan jumlah tenaga kesehatan&menyebar mereka ke sejumlah daerah yg membutuhkan dengan cara menambah kursi di fak.kedokteran..termasuk membuka fak.kedokteran baru di daerah2.
Namun ini menyisakan banyak PR yg cukup pelik. Tidak mumpuninya berbagai fak.kedokteran baru baik proses pendidikan maupun perekrutan mahasiswa baru..menghasilkan dokter2 yg kemampuanya masih amat perlu ditingkatkan sebelum terjun ke masyarakat langsung.
Pun..terkait minimnya penghasilan dokter umum..apalagi yg mengabdi di daerah..banyak dari mereka justru hijrah ke kota besar&berangkat spesialis tak lama setelah lulus jadi dokter.

Di Perancis seorang dokter umum bisa sampai datang ke rumah pasien hanya demi memberi nasihat kesehatan
..namun dengan pendapatannya sebagai dokter umum ia dapat hidup layak..rumah, kendaraan, pendidikan anak, dampaknya mereka fokus pada pekerjaanya mengobati masyarakat..tanpa mengkhawatirkan hal lain2nya..Ya itulah manfaatnya asuransi.Bila pasien sehat kapitasi utuh.Jadi dokter berusaha agar pasien sehat.

Kontras dengan Indonesia..jumlah dokter sedikit.Pasien berusaha menemui dokter spesialis.Dokter umum sepi pasien&penghargaan terhadap jasa medisnya murah..akibatnya seperti tadi..
Lari ke kota besar, ambil spesialisasi, praktik loncat2..
Ya karena pengkondisianya demikian.

BPJS adalah langkah besar kemajuan pelayanan kesehatan di Indonesia.Secara garis besar sistemnya sudah baik..
Meski ada angka2 yg perlu diperbaiki dan prosedurnya dibakukan&disederhanakan.Arah&cita2 dari bpjs pun jelas.
Agar sarana kesehatan, tarif kesehatan, tidak dikapitalisasikan&dimonopoli swasta.Hingga dapat tercipta kesehatan yg adil&merata. Semoga.
Bissmillah
Faidza azzamta fatawwakal alallahu

– Radietya Alvarabie
Dokter biasa

 

Filed under: Dokter Indonesia, Kemanusiaan, Kesehatan

BPJS Pasti Bikin Rumah Sakit Bangkrut

 

Filed under: Dokter Indonesia, Kemanusiaan, Kesehatan, Medikolegal

An open letter for the people in Gaza

Lancet, Early Online Publication, 23 July 2014
doi:10.1016/S0140-6736(14)61044-8

Paola Manduca, Iain Chalmers, Derek Summerfield, Mads Gilbert, Swee Ang, on behalf of 24 signatories

We are doctors and scientists, who spend our lives developing means to care and protect health and lives. We are also informed people; we teach the ethics of our professions, together with the knowledge and practice of it. We all have worked in and known the situation of Gaza for years.On the basis of our ethics and practice, we are denouncing what we witness in the aggression of Gaza by Israel.We ask our colleagues, old and young professionals, to denounce this Israeli aggression. We challenge the perversity of a propaganda that justifies the creation of an emergency to masquerade a massacre, a so-called “defensive aggression”. In reality it is a ruthless assault of unlimited duration, extent, and intensity. We wish to report the facts as we see them and their implications on the lives of the people.We are appalled by the military onslaught on civilians in Gaza under the guise of punishing terrorists. This is the third large scale military assault on Gaza since 2008. Each time the death toll is borne mainly by innocent people in Gaza, especially women and children under the unacceptable pretext of Israel eradicating political parties and resistance to the occupation and siege they impose.This action also terrifies those who are not directly hit, and wounds the soul, mind, and resilience of the young generation. Our condemnation and disgust are further compounded by the denial and prohibition for Gaza to receive external help and supplies to alleviate the dire circumstances.The blockade on Gaza has tightened further since last year and this has worsened the toll on Gaza’s population. In Gaza, people suffer from hunger, thirst, pollution, shortage of medicines, electricity, and any means to get an income, not only by being bombed and shelled. Power crisis, gasoline shortage, water and food scarcity, sewage outflow and ever decreasing resources are disasters caused directly and indirectly by the siege.1People in Gaza are resisting this aggression because they want a better and normal life and, even while crying in sorrow, pain, and terror, they reject a temporary truce that does not provide a real chance for a better future. A voice under the attacks in Gaza is that of Um Al Ramlawi who speaks for all in Gaza: “They are killing us all anyway—either a slow death by the siege, or a fast one by military attacks. We have nothing left to lose—we must fight for our rights, or die trying.”2
Gaza has been blockaded by sea and land since 2006. Any individual of Gaza, including fishermen venturing beyond 3 nautical miles of the coast of Gaza, face being shot by the Israeli Navy. No one from Gaza can leave from the only two checkpoints, Erez or Rafah, without special permission from the Israelis and the Egyptians, which is hard to come by for many, if not impossible. People in Gaza are unable to go abroad to study, work, visit families, or do business. Wounded and sick people cannot leave easily to get specialised treatment outside Gaza. Entries of food and medicines into Gaza have been restricted and many essential items for survival are prohibited.3 Before the present assault, medical stock items in Gaza were already at an all time low because of the blockade.3 They have run out now. Likewise, Gaza is unable to export its produce. Agriculture has been severely impaired by the imposition of a buffer zone, and agricultural products cannot be exported due to the blockade. 80% of Gaza’s population is dependent on food rations from the UN.
Much of Gaza’s buildings and infrastructure had been destroyed during Operation Cast Lead, 2008—09, and building materials have been blockaded so that schools, homes, and institutions cannot be properly rebuilt. Factories destroyed by bombardment have rarely been rebuilt adding unemployment to destitution.
Despite the difficult conditions, the people of Gaza and their political leaders have recently moved to resolve their conflicts “without arms and harm” through the process of reconciliation between factions, their leadership renouncing titles and positions, so that a unity government can be formed abolishing the divisive factional politics operating since 2007. This reconciliation, although accepted by many in the international community, was rejected by Israel. The present Israeli attacks stop this chance of political unity between Gaza and the West Bank and single out a part of the Palestinian society by destroying the lives of people of Gaza. Under the pretext of eliminating terrorism, Israel is trying to destroy the growing Palestinian unity. Among other lies, it is stated that civilians in Gaza are hostages of Hamas whereas the truth is that the Gaza Strip is sealed by the Israelis and Egyptians.
Gaza has been bombed continuously for the past 14 days followed now by invasion on land by tanks and thousands of Israeli troops. More than 60 000 civilians from Northern Gaza were ordered to leave their homes. These internally displaced people have nowhere to go since Central and Southern Gaza are also subjected to heavy artillery bombardment. The whole of Gaza is under attack. The only shelters in Gaza are the schools of the UN Relief and Works Agency for Palestine Refugees in the Near East (UNRWA), uncertain shelters already targeted during Cast Lead, killing many.
According to Gaza Ministry of Health and UN Office for the Coordination of Humanitarian Affairs (OCHA),1 as of July 21, 149 of the 558 killed in Gaza and 1100 of the 3504 wounded are children. Those buried under the rubble are not counted yet. As we write, the BBC reports of the bombing of another hospital, hitting the intensive care unit and operating theatres, with deaths of patients and staff. There are now fears for the main hospital Al Shifa. Moreover, most people are psychologically traumatised in Gaza. Anyone older than 6 years has already lived through their third military assault by Israel.
The massacre in Gaza spares no one, and includes the disabled and sick in hospitals, children playing on the beach or on the roof top, with a large majority of non-combatants. Hospitals, clinics, ambulances, mosques, schools, and press buildings have all been attacked, with thousands of private homes bombed, clearly directing fire to target whole families killing them within their homes, depriving families of their homes by chasing them out a few minutes before destruction. An entire area was destroyed on July 20, leaving thousands of displaced people homeless, beside wounding hundreds and killing at least 70—this is way beyond the purpose of finding tunnels. None of these are military objectives. These attacks aim to terrorise, wound the soul and the body of the people, and make their life impossible in the future, as well as also demolishing their homes and prohibiting the means to rebuild.
Weaponry known to cause long-term damages on health of the whole population are used; particularly non fragmentation weaponry and hard-head bombs. We witnessed targeted weaponry used indiscriminately and on children and we constantly see that so-called intelligent weapons fail to be precise, unless they are deliberately used to destroy innocent lives.We denounce the myth propagated by Israel that the aggression is done caring about saving civilian lives and children’s wellbeing.
Israel’s behaviour has insulted our humanity, intelligence, and dignity as well as our professional ethics and efforts. Even those of us who want to go and help are unable to reach Gaza due to the blockade.This “defensive aggression” of unlimited duration, extent, and intensity must be stopped.Additionally, should the use of gas be further confirmed, this is unequivocally a war crime for which, before anything else, high sanctions will have to be taken immediately on Israel with cessation of any trade and collaborative agreements with Europe.
As we write, other massacres and threats to the medical personnel in emergency services and denial of entry for international humanitarian convoys are reported.6 We as scientists and doctors cannot keep silent while this crime against humanity continues. We urge readers not to be silent too. Gaza trapped under siege, is being killed by one of the world’s largest and most sophisticated modern military machines. The land is poisoned by weapon debris, with consequences for future generations. If those of us capable of speaking up fail to do so and take a stand against this war crime, we are also complicit in the destruction of the lives and homes of 1·8 million people in Gaza.We register with dismay that only 5% of our Israeli academic colleagues signed an appeal to their government to stop the military operation against Gaza. We are tempted to conclude that with the exception of this 5%, the rest of the Israeli academics are complicit in the massacre and destruction of Gaza. We also see the complicity of our countries in Europe and North America in this massacre and the impotence once again of the international institutions and organisations to stop this massacre.

For the Open Letter to Israel Academics see http://haimbresheeth.com/gaza/an-open-letter-to-israel-academics-july-13th-2014

We declare no competing interests.

Filed under: Kemanusiaan, ,

Mr. Obama – do you have a heart?

GAZA — Seorang dokter yang bekerja di Rumah Sakit Al-Shifa mengirimkan surat terbuka untuk Presiden Amerika Serikat Barack Obama dan para pemimpin dunia yang lainnya. Dengan menuliskan  “Tuan Obama – Apakah anda memiliki hati ? ,” 

Dokter itu adalah Mads Gilbert MD PhD, seorang Prof Klinis dan Kepala Klinik of Emergency, University Hospital of Noertg Norway. Yang mana kini ia berkerja di rumah sakit Al-Shifa, Jalur Gaza. 

Surat tersebut diterbitkan di Middle East Monitor (MEMO) Ahad, (20/7), yang berisikan sebagai berikut ; 

I invite you – spend one night – just one night – with us in Shifa. Disguised as a cleaner, maybe.
I am convinced, 100%, it would change history.
Nobody with a heart AND power could ever walk away from a night in Shifa without being determined to end the slaughter of the Palestinian people.
But the heartless and merciless have done their calculations and planned another “dahyia” onslaught on Gaza.
The rivers of blood will keep running the coming night. I can hear they have tuned their instruments of death.
Please. Do what you can. This, THIS cannot continue. 

Sumber: Republika Online

 

Filed under: Kemanusiaan

Curhat Dokter tentang BPJS #3

Lucu atau Menyedihkan?

Obrolan Residen Sehabis Jaga

Petugas : “Dok plafon pasien ini sudah habis untuk di UGD. Dokter harus pilih antara pesan EKG atau foto Thorax.”
Dokter : “Apa ga bisa dua duanya diperiksa?”
Petugas : “Bisa dok, asal dokter buat protokol terapinya dulu.”
(Saat pasien dah numpuk, laporan blum beres).
Dokter : EKG saja kalo begitu
Kesimpulannya : Infark Miokard (Serangan Jantung) dengan ST Elevasi (STEMI, onset 3 jam).
Dokter : (setelah menyingkirkan kontraindikasinya) – Kasih Streptase
Petugas : Dok obatnya tidak ada.
Konsulen Jaga : Masa iya obatnya tidak ada di RSHS!! Cari!
Ternyata setelah konfirmasi ulang ya, memang obatnya tidak ada sejak awal tahun.
GILA, Read the rest of this entry »

Filed under: Kemanusiaan, Kesehatan, Politik

Apa Arti Keputusan Artidjo untuk Rakyat

Erta Priadi | kesehatan.kompasiana.com | 29 November 2013 | 10:42

Yth pak Artidjo  Sadarkah anda.. bahwa yang anda putuskan itu bukan hanya sekadar memutuskan BERSALAH atau TIDAK BERSALAH… tapi efeknya global..bukan hanya buat dokter..tapi anda secara tidak langsung mencederai masyarakat…

Karena keputusan Artidjo seorang hakim Mahkamah Agung yang menghukum 3 orang dokter karena komplikasi tindakan medis yang dianggapnya ilegal karena tidak memiliki SIP, kini Universitas Indonesia telah menarik semua residen stase luar karena mereka semua tidak memiliki SIP. Artinya rumah sakit yang terpencil, mungkin pada beberapa kasus puskesmas yang didaerah akan kehilangan dokter. Langkah ini sepertinya akan diikuti oleh senter-senter pendidikan lainnya di Indonesia dan juga program magang atau Internship karena mereka semua tidak memiliki SIP.

Apa artinya hal tersebut? Saya coba ambil tulisan sejawat saya dr. Eka Esti Pramastuti

[http://kesehatan.kompasiana.com/medis/2013/11/29/apa-arti-keputusan-artidjo-untuk-rakyat-615060.html]

Filed under: Kemanusiaan, Medikolegal