medical studies
CHAPTER I
INTRODUCTION
1.1 Background The development of medical services in many regions in Indonesia has not been developing evenly. In the city region, medical facilities such as hospitals, pharmacies, and clinics can be found easily. It is different compared to rural areas where medical facilities are limited and cannot be reached in villages. Few villages only have limited medical facilities such as Puskesmas and small pharmacy. There are villages that only have few doctors who open private medical practice. The diversity of medical services in many regions in Indonesia is caused by many factors, such as distribution of medical workers, geographical location, and many others. Limited facilities in villages cause some adjustment in medical practices. An example of the adjustment is a doctor can open a private medical practice in a village, which is far from city. The doctor provides and gives medicines for his/her patients. Providing and giving medicines to patients are known as dispensing medicines. Doctors who dispense medicine are directly giving medicine to a patient without writing a doctor’s receipt. The activity of doctor who dispense medicine in remote areas has been regulated in Regulation about Medical Practices No. 29 Year 2004 Article 35 section 1 (i) & (j). This regulation allows doctors to store medicines in limited amount and type and also give medicine to the patient in remote area where there is no pharmacy nearby. Although dispensing medicines are already regulated, the activity of dispensing medicine is against another law. The practice of dispensing medicines has several negative impacts which affect medical services to patients in ethics and moral values. Dispensing medicine that is done by doctors, have negative impacts towards pharmacies work. Dispensing medicine also will have negative impacts when the doctors dispense medicine when pharmacy is available nearby. This issue will be discussed in this paper, mainly concerning on
INTRODUCTION
1.1 Background The development of medical services in many regions in Indonesia has not been developing evenly. In the city region, medical facilities such as hospitals, pharmacies, and clinics can be found easily. It is different compared to rural areas where medical facilities are limited and cannot be reached in villages. Few villages only have limited medical facilities such as Puskesmas and small pharmacy. There are villages that only have few doctors who open private medical practice. The diversity of medical services in many regions in Indonesia is caused by many factors, such as distribution of medical workers, geographical location, and many others. Limited facilities in villages cause some adjustment in medical practices. An example of the adjustment is a doctor can open a private medical practice in a village, which is far from city. The doctor provides and gives medicines for his/her patients. Providing and giving medicines to patients are known as dispensing medicines. Doctors who dispense medicine are directly giving medicine to a patient without writing a doctor’s receipt. The activity of doctor who dispense medicine in remote areas has been regulated in Regulation about Medical Practices No. 29 Year 2004 Article 35 section 1 (i) & (j). This regulation allows doctors to store medicines in limited amount and type and also give medicine to the patient in remote area where there is no pharmacy nearby. Although dispensing medicines are already regulated, the activity of dispensing medicine is against another law. The practice of dispensing medicines has several negative impacts which affect medical services to patients in ethics and moral values. Dispensing medicine that is done by doctors, have negative impacts towards pharmacies work. Dispensing medicine also will have negative impacts when the doctors dispense medicine when pharmacy is available nearby. This issue will be discussed in this paper, mainly concerning on