Legal Issues of Health Frontier in Two Countries: Challenges from Indonesia and Singapore
DOI:
https://doi.org/10.53955/jsderi.v2i3.51Keywords:
Foreign Medical Personnel; Health; Policy; Services;Abstract
Foreign medical personnel are needed to overcome the challenges of a shortage of medical personnel. However, the current issue lies in the ineffective regulations governing foreign medical personnel in Indonesia, which hinder the country's ability to enhance its health services. This research aims to conduct a comparative study with Singapore, which has superior health services, to examine the use of foreign medical personnel in improving the quality of health services in Indonesia. This research uses normative juridical research, employing a conceptual, statutory, and comparative approach. The research results show that, first, the utilization of foreign medical personnel in Indonesia has not been able to improve the quality of health services in Indonesia due to weaknesses in legal structure in the supervision and licensing process, the substance of regulations that do not yet provide legal protection and the condition of the Indonesian people who are not yet able to use such personnel foreign medical. Second, the Singapore government's mechanism for utilizing foreign medical personnel is easy and successful. Singapore strategically utilization foreign medical personnel to meet its healthcare needs. In addition, foreign medical personnel have several rights, including a basic salary and monthly allowances, health insurance, and income tax, which are not deducted from their pay. Therefore, Indonesia needs to adopt a policy system that is not limited to lex generalis but also becomes a guide that provides certainty in law enforcement and is not just a reference or boundary line for derivative regulations.
References
Agbornu, Foster Mensah Kofi, Isaac Mensah Boafo, and Adelaide Maria Ansah Ofei, ‘Effects of Workplace Violence on the Quality of Care by Nurses: A Study of the Volta Region of Ghana’, International Journal of Africa Nursing Sciences, 16 (2022), 100421 https://doi.org/10.1016/j.ijans.2022.100421
Annisa Purwatiningsih, Asih Widi Lestari, and Lisa Dhuhaniyati, ‘Implications Of Healthcare System In Singapore And Malaysia As Interesting Lessons Towards Primary Service Innovation For Indonesia’, ASKETIK, 6.1 (2022), 16–28 https://doi.org/10.30762/asketik.v6i1.185
Artamonova, G. V., A. N. Popsuiko, Yu. V. Danilchenko, and E. A. Batsina, ‘The Personnel Policy in Health Care Institutions in the Light of Tasks of Provision of Medical Care Quality and Medical Activity Safety’, Problems of Social Hygiene Public Health and History of Medicine, 31.2 (2023) https://doi.org/10.32687/0869-866X-2023-31-2-270-277
Bochkovskyi, A.P., and N.Yu. Sapozhnikova, ‘Development of System of Automated Protection of Employees from COVID-19 and Other Infections at the Enterprise’, Journal of Achievements in Materials and Manufacturing Engineering, 112.2 (2022), 70–85 https://doi.org/10.5604/01.3001.0016.0705
Budiono, Sidik, and John Tampil Purba, ‘Factors of Foreign Direct Investment Flows to Indonesia in the Era of COVID-19 Pandemic’, Heliyon, 9.4 (2023), e15429 https://doi.org/10.1016/j.heliyon.2023.e15429
Burdick, William, and Ibadat Dhillon, ‘Ensuring Quality of Health Workforce Education and Practice: Strengthening Roles of Accreditation and Regulatory Systems’, Human Resources for Health, 18.1 (2020), 71 https://doi.org/10.1186/s12960-020-00517-4
Chan, Joanna SE, Dennis WJ Chia, Ying Hao, Sherman WQ Lian, Mui Teng Chua, and Marcus EH Ong, ‘Health-Seeking Behaviour of Foreign Workers in Singapore: Insights from Emergency Department Visits’, Annals of the Academy of Medicine, Singapore, 50.4 (2021), 315–24 https://doi.org/10.47102/annals-acadmedsg.2020484
Eaton, J., F. Baingana, M. Abdulaziz, T. Obindo, D. Skuse, and R. Jenkins, ‘The Negative Impact of Global Health Worker Migration, and How It Can Be Addressed’, Public Health, 225 (2023), 254–57 https://doi.org/10.1016/j.puhe.2023.09.014
Efendi, Ferry, Gading Ekapuja Aurizki, Ilmiawan Auwalin, Anna Kurniati, Lita Dwi Astari, Ias Tarina Puspitasari, and others, ‘The Paradox of Surplus and Shortage: A Policy Analysis of Nursing Labor Markets in Indonesia’, Journal of Multidisciplinary Healthcare, Volume 15 (2022), 627–39 https://doi.org/10.2147/JMDH.S354400
Efendi, Ferry, Lisa McKenna, Sonia Reisenhofer, Anna Kurniati, and Eka Mishbhahatul Marah Has, ‘Experiences of Healthcare Worker Returnees in Their Home Countries: A Scoping Review’, Journal of Multidisciplinary Healthcare, Volume 14 (2021), 2217–27 https://doi.org/10.2147/JMDH.S321963
Garcia-Dia, Mary Joy, ‘The Ethical Recruitment of Internationally Educated Nurses’, Nurse Leader, 20.1 (2022), 43–47 https://doi.org/10.1016/j.mnl.2021.10.002
Gulden, Christian, Philipp Macho, Ines Reinecke, Cosima Strantz, Hans-Ulrich Prokosch, and Romina Blasini, ‘RecruIT: A Cloud-Native Clinical Trial Recruitment Support System Based on Health Level 7 Fast Healthcare Interoperability Resources (HL7 FHIR) and the Observational Medical Outcomes Partnership Common Data Model (OMOP CDM)’, Computers in Biology and Medicine, 174 (2024), 108411 https://doi.org/10.1016/j.compbiomed.2024.108411
He, Alex Jingwei, and Vivien F.Y. Tang, ‘Integration of Health Services for the Elderly in Asia: A Scoping Review of Hong Kong, Singapore, Malaysia, Indonesia’, Health Policy, 125.3 (2021), 351–62 https://doi.org/10.1016/j.healthpol.2020.12.020
Jaelani, Abdul Kadir, Resti Dian Luthviati, Muhammad Jihadul Hayat, Reza Octavia Kusumaningtyas, and Fitri Nur Aini, ‘Indonesia Carbon Tax Policy: A Key Role in Sustainable Development Goals’, 2024, p. 020040 https://doi.org/10.1063/5.0202042
Kadir Jaelani, Abdul, Reza Octavia Kusumaningtyas, and Asron Orsantinutsakul, ‘The Model of Mining Environment Restoration Regulation Based on Sustainable Development Goals’, Legality : Jurnal Ilmiah Hukum, 30.1 (2022), 131–46 https://doi.org/10.22219/ljih.v30i1.20764
Kirichenko, Evgeniy V., Elman Said-Mokhmadovich Akhyadov, and Oksana Sertakova, ‘The Impact of Health Care Reforms on Improving the Quality of Medical Services: International Experience’, Revista Gestão Inovação e Tecnologias, 11.4 (2021), 2915–25 https://doi.org/10.47059/revistageintec.v11i4.2328
Kluge, Hans, Jose Maria Martín-Moreno, Nedret Emiroglu, Guenael Rodier, Edward Kelley, Melitta Vujnovic, and others, ‘Strengthening Global Health Security by Embedding the International Health Regulations Requirements into National Health Systems’, BMJ Global Health, 3.Suppl 1 (2018), e000656 https://doi.org/10.1136/bmjgh-2017-000656
Kumar, Pardeep, Uzma Rahim Khan, Salman Muhammad Soomar, Zohra Jetha, and Tazeen Saeed Ali, ‘Workplace Violence and Bullying Faced by Health Care Personnel at the Emergency Department of a Tertiary Care Hospital of Karachi, Pakistan: A Cross-Sectional Study’, Journal of Emergency Nursing, 49.5 (2023), 785–95 https://doi.org/10.1016/j.jen.2023.02.005
Kusumo, Bambang Ali, Muhamad Mahrus Setia Wijaksana, Fatma Ulfatun Najicha, Ariesty Fujiastuti, and Abdul Kadir Jaelani, ‘COVID-19 Vaccination Service: Legal Issues and Health Workers Protection in Indonesia’, International Journal of Health Sciences, 6.1 (2022), 50–60 https://doi.org/10.53730/ijhs.v6n1.2954
Lal, Arush, Ngozi A Erondu, David L Heymann, Githinji Gitahi, and Robert Yates, ‘Fragmented Health Systems in COVID-19: Rectifying the Misalignment between Global Health Security and Universal Health Coverage’, The Lancet, 397.10268 (2021), 61–67 https://doi.org/10.1016/S0140-6736(20)32228-5
Legido-Quigley, Helena, Nima Asgari, Yik Ying Teo, Gabriel M Leung, Hitoshi Oshitani, Keiji Fukuda, and others, ‘Are High-Performing Health Systems Resilient against the COVID-19 Epidemic?’, The Lancet, 395.10227 (2020), 848–50 https://doi.org/10.1016/S0140-6736(20)30551-1
Lego Karjoko, I Gusti Ayu Ketut Rachmi Handayani, Abdul Kadir Jaelani, Jaco Barkhuizen, and Muhammad Jihadul Hayat, ‘The Urgency of Restorative Justice on Medical Dispute Resolution in Indonesia’, AL-IHKAM: Jurnal Hukum & Pranata Sosial, 16.2 (2021), 362–92 https://doi.org/10.19105/al-lhkam.v16i2.5314
Lim, Vanessa W, Hwee Lin Wee, Phoebe Lee, Yijun Lin, Yi Roe Tan, Mei Xuan Tan, and others, ‘Cross-Sectional Study of Prevalence and Risk Factors, and a Cost-Effectiveness Evaluation of Screening and Preventive Treatment Strategies for Latent Tuberculosis among Migrants in Singapore’, BMJ Open, 11.7 (2021), e050629 https://doi.org/10.1136/bmjopen-2021-050629
Marten, Robert, Johanna Hanefeld, and Richard D. Smith, ‘How States Engage in and Exercise Power in Global Health: Indonesian and Japanese Engagement in the Conceptualization of Sustainable Development Goal 3’, Social Science & Medicine, 321 (2023), 115455 https://doi.org/10.1016/j.socscimed.2022.115455
McBride, Bronwyn, Sarah Hawkes, and Kent Buse, ‘Soft Power and Global Health: The Sustainable Development Goals (SDGs) Era Health Agendas of the G7, G20 and BRICS’, BMC Public Health, 19.1 (2019), 815 https://doi.org/10.1186/s12889-019-7114-5
Mills, E. J., S. Kanters, A. Hagopian, N. Bansback, J. Nachega, M. Alberton, and others, ‘The Financial Cost of Doctors Emigrating from Sub-Saharan Africa: Human Capital Analysis’, BMJ, 343.nov23 3 (2011), d7031–d7031 https://doi.org/10.1136/bmj.d7031
Mulyawarman, I Gede Adhi, Putu Gede Arya Sumerta Yasa, and Lamberton Cait, ‘Blocking Dangerous Content in Electronic Communications Networks: Evidence from Netherlands, United States and Singapore’, Journal of Human Rights, Culture and Legal System, 4.1 (2024), 237–62 https://doi.org/10.53955/jhcls.v4i1.216
Munywoki, Joshua, Nancy Kagwanja, Jane Chuma, Jacinta Nzinga, Edwine Barasa, and Benjamin Tsofa, ‘Tracking Health Sector Priority Setting Processes and Outcomes for Human Resources for Health, Five-Years after Political Devolution: A County-Level Case Study in Kenya’, International Journal for Equity in Health, 19.1 (2020), 165 https://doi.org/10.1186/s12939-020-01284-3
Ng, Wee Tong, ‘COVID-19: Protection of Workers at the Workplace in Singapore’, Safety and Health at Work, 12.1 (2021), 133–35 https://doi.org/10.1016/j.shaw.2020.09.013
Nugroho, Asianto, Reza Octavia Kusumaningtyas, Ravi Danendra, Gusti Faza Aliya, and Fatma Ulfatun Najicha, ‘Implementation of Worker Rights Protection for Government Employees with Employment Agreements’, 2021 https://doi.org/10.2991/assehr.k.211014.023
Packer, Corinne, Vivien Runnels, and Ronald Labonté, ‘Does the Migration of Health Workers Bring Benefits to the Countries They Leave Behind?’, in The International Migration of Health Workers (London: Palgrave Macmillan UK, 2010), pp. 44–61 https://doi.org/10.1057/9780230307292_4
Perdana, Dyas Bintang, and S. Sultoni, ‘Budaya Terlambat Guru Dan Tenaga Kependidikan Sebagai Faktor Penghambat Pemberian Kompensasi Jabatan Di Sekolah’, Jurnal Administrasi Pendidikan, 18.1 (2021), 11–16 https://doi.org/10.17509/jap.v28i1.31937
Ratnawati, Elfrida, Laurensius Arliman S, Meta Indah Budhianti, Vience Ratna Multi Wijaya, and Aida Abdul Razak, ‘The Cabotage Principle on Law Enforcement for Licensing Ship Operations in Indonesian Waters’, Journal of Human Rights, Culture and Legal System, 3.3 (2023), 678–705 https://doi.org/10.53955/jhcls.v3i3.182
Rismawati, Eka, Abdul Kadir Jaelani, and Karakitapoglu Aygün, ‘The Regulation of Foreign Workers as Technology and Knowledge Transfer’, Journal of Sustainable Development and Regulatory Issues (JSDERI), 1.2 (2023), 64–74 https://doi.org/10.53955/jsderi.v1i2.8
Sakamoto, Arthur, and Anita Koo, ‘American versus East Asian Norms and Labor Market Institutions Affecting Socioeconomic Inequality’, Research in Social Stratification and Mobility, 90 (2024), 100914 https://doi.org/10.1016/j.rssm.2024.100914
Saluja, Saurabh, Niclas Rudolfson, Benjamin Ballard Massenburg, John G Meara, and Mark G Shrime, ‘The Impact of Physician Migration on Mortality in Low and Middle-Income Countries: An Economic Modelling Study’, BMJ Global Health, 5.1 (2020), e001535 https://doi.org/10.1136/bmjgh-2019-001535
Sani, Wildan, ‘The Utilization of Foreign Workers in Hospital in Terms of Law Number 11 Of 2020 Concerning Job Creation Law (Omnibus Law)’, in Proceedings of the 1st International Conference on Law, Social Science, Economics, and Education, ICLSSEE 2021, March 6th 2021, Jakarta, Indonesia (EAI, 2021) https://doi.org/10.4108/eai.6-3-2021.2306850
Sax dos Santos Gomes, Lila, Ferry Efendi, Nuzulul Kusuma Putri, Mery Bolivar‐Vargas, Rami Saadeh, Pedro A. Villarreal, and others, ‘The Impact of International Health Worker Migration and Recruitment on Health Systems in Source Countries: Stakeholder Perspectives from Colombia, Indonesia, and Jordan’, The International Journal of Health Planning and Management, 39.3 (2024), 653–70 https://doi.org/10.1002/hpm.3776
Schäfer, Susann, and Sebastian Henn, ‘Recruiting and Integrating International High-Skilled Migrants – Towards a Typology of Firms in Rural Regions in Germany’, Journal of Rural Studies, 103 (2023), 103094 https://doi.org/10.1016/j.jrurstud.2023.103094
Sein, Than, ‘Health Systems of East Asia and Pacific States’, in Reference Module in Biomedical Sciences (Elsevier, 2023) https://doi.org/10.1016/B978-0-323-99967-0.00044-2
Shaffer, Franklin A., Mukul Bakhshi, Kaley Cook, and Thomas D. Álvarez, ‘International Nurse Recruitment Beyond the COVID-19 Pandemic’, Nurse Leader, 20.2 (2022), 161–67 https://doi.org/10.1016/j.mnl.2021.12.001
Stoeklé, H.-C., J.-F. Deleuze, and G. Vogt, ‘Society, Law, Morality and Bioethics: A Systemic Point of View’, Ethics, Medicine and Public Health, 10 (2019), 22–26 https://doi.org/10.1016/j.jemep.2019.06.005
Suhartini, Endeh, Mimi Fitriana Zaini, Bambang Widjojanto, and Ani Yumarni, ‘Indonesian Migrant Workers After Job Creation Law: A Challenging Problem for Protection Welfare’, BESTUUR, 11.2 (2023), 271 https://doi.org/10.20961/bestuur.v11i2.78442
Suparto, Suparto, Fadhel Arjuna Adinda, Azamat Esirgapovich Esanov, and Zamira Esanova Normurotovna, ‘Administrative Discretion in Indonesia & Netherland Administrative Court: Authorities and Regulations’, Journal of Human Rights, Culture and Legal System, 4.1 (2024), 75–100 https://doi.org/10.53955/jhcls.v4i1.189
Tancred, Tara, Michelle Falkenbach, Joanna Raven, and Margaret Caffrey, ‘How Can Intersectoral Collaboration and Action Help Improve the Education, Recruitment, and Retention of the Health and Care Workforce? A Scoping Review’, The International Journal of Health Planning and Management, 39.3 (2024), 757–80 https://doi.org/10.1002/hpm.3773
The Lancet, ‘Health as a Foundation for Society’, The Lancet, 397.10268 (2021), 1 https://doi.org/10.1016/S0140-6736(20)32751-3
Thompson, Maddy, and Margaret Walton-Roberts, ‘International Nurse Migration from India and the Philippines: The Challenge of Meeting the Sustainable Development Goals in Training, Orderly Migration and Healthcare Worker Retention’, Journal of Ethnic and Migration Studies, 45.14 (2019), 2583–99 https://doi.org/10.1080/1369183X.2018.1456748
Wardani Amnesti, Sheila Kusuma, Jundiani Jundiani, Siti Zulaichah, Mohd Shahid Mohd Noh, and Lailatul Fitriyah, ‘Higher Education with Disabilities Policy: Ensuring Equality Inclusive Education in Indonesia, Singapore and United States’, Journal of Human Rights, Culture and Legal System, 3.3 (2023), 412–40 https://doi.org/10.53955/jhcls.v3i3.135
Wise, Marilyn, Patrick Harris, Ben Harris-Roxas, and Elizabeth Harris, ‘The Role of Health Impact Assessment in Promoting Population Health and Health Equity’, Health Promotion Journal of Australia, 20.3 (2009), 172–79 https://doi.org/10.1071/HE09172
Yea, Sallie, ‘The Art of Not Being Caught: Temporal Strategies for Disciplining Unfree Labour in Singapore’s Contract Migration’, Geoforum, 78 (2017), 179–88 https://doi.org/10.1016/j.geoforum.2016.05.003
Zhan, Hanzhang, Bon-Gang Hwang, Hanjing Zhu, and Si Hui Pearlyn Ang, ‘Towards a Sustainable Built Environment Industry in Singapore: Drivers, Barriers, and Strategies in the Adoption of Smart Facilities Management’, Journal of Cleaner Production, 425 (2023), 138726 https://doi.org/10.1016/j.jclepro.2023.138726
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