PROCEDURAL CHALLENGES IN CIVIL LAWSUITS RELATED TO MEDICAL MALPRACTICE: THE ROLE OF RECOMMENDATIONS FROM THE PROFESSIONAL HONOUR COUNCIL IN INDONESIA
Keywords:
Medical malpractice, civil lawsuit, procedural challenges, burden of proof, Professional Ethics CouncilAbstract
Medical malpractice cases in Indonesia have increased in line with growing public awareness of the right to adequate health services. Civil lawsuits are often filed on the basis of unlawful acts, but the process faces various procedural challenges, particularly in terms of evidence, access to medical records, and the application of medical professional standards. Judges often find it difficult to interpret dynamic medical standards within the rigid framework of civil procedural law. To that end, the Professional Ethics Council (MKP) serves as an institution that provides recommendations regarding alleged violations of professional standards. MKP recommendations play an important role in helping judges understand technical medical aspects, although their status is still debated as to whether they are merely additional considerations or have binding force. This study uses a library research method with a normative juridical approach to legislation, court decisions, and related scientific literature. The results show that procedural challenges in civil medical malpractice lawsuits are not only related to technical aspects of evidence but also to the legal uncertainty of the MKP's recommendations. Therefore, regulatory clarification is needed to establish MKP recommendations as expert evidence that can be tested in court, thereby providing balanced legal certainty for patients and medical personnel.
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References
Abraham Ethan Martupa Sahat Marune. (2024). Legal Responsibility of Foreign Doctors Committing Medical Malpractice in Indonesia. https://midwifery.iocspublisher.org/index.php/midwifery/article/download/1428/1174/
Alfi Amaliah. (2023). Perlindungan Hukum Bagi Tenaga Kesehatan Berdasarkan Perjanjian Terapeutik.
Anna Sylva Roudlotul Jannati. (2024). Studi Politik Hukum Perlindungan Tenaga Medis Terhadap Pasien Dalam Pelayanan Telemedicine di Indonesia. http://www.wisnuwardhana.ac.id/jppim/index.php/jppim/article/view/216
Aprita, S. (2025). Etika Profesi Hukum. Penerbit XYZ.
Arifin, Y. (2025). Majelis Kehormatan Profesi dan Regulasi Etika. UI Press.
Banks, S. (2013). Ethics and Values in Social Work. Macmillan International Higher Education.
Beauchamp, T. L., & Childress, J. F. (2019). Principles of Biomedical Ethics. Oxford University Press.
Bernadette Richards & Jennie Louise. (2013). Medical Law and Ethics: A Problem-Based Approach.
Bielenberg, N. (2018). Ethics and Justice in Mediation. Thomson Reuters.
Boatright, J. R. (2012). Ethics and the Conduct of Business. Pearson.
Booth, A., Sutton, A., & Papaioannou, D. (2021). Systematic Approaches to a Successful Literature Review. SAGE Publications.
Boulle, L. (2018). Ethics and Justice in Mediation. Thomson Reuters. https://doi.org/10.4324/9781315598959
Brown, M. E., & Treviño, L. K. (2022). Ethical Leadership and Ethical Voice: The Mediating Mechanisms of Value Internalization. Journal of Management. https://doi.org/10.1177/01492063211002611
Christian, A. (2025). Peran Etika dan Hukum dalam Penyelesaian Sengketa Medik di Rumah Sakit. Jurnal Intelek Insan Cendikia, 2(1). https://jicnusantara.com/index.php/jiic/article/download/2343/2467
Dina, M. (2024). Etika Profesi di Indonesia: Perspektif Hukum dan Sosial. Gramedia Pustaka Utama.
Eliyah, E., & Aslan, A. (2025). STAKE’S EVALUATION MODEL: METODE PENELITIAN. Prosiding Seminar Nasional Indonesia, 3(2), Article 2.
F. Maulida & T. Rachmanto. (2024). Analisis Perlindungan Hukum bagi Pasien di Indonesia. https://ojs.stikes.gunungsari.id/index.php/JBK/article/view/204
Ferrell, O. C., Fraedrich, J., & Ferrell, L. (2018). Business Ethics: Ethical Decision Making & Cases. Cengage Learning.
Fithriatus, S. (2023). Etika dan Tanggung Jawab Profesi Hukum. UNY Press.
Fransiska Litania Ea Tawa Ajo. (2022). Penegakan Hukum Kesehatan Terhadap Kegiatan Malpraktek di Indonesia. https://publish.ojs-indonesia.com/index.php/SIBATIK/article/download/135/124/271
Gerardus Gegen & Aris Prio Agus Santoso. (2023). Perlindungan Hukum Tenaga Medis dan Tenaga Kesehatan di Masa Pandemi Covid-19. http://ejournal.stih-awanglong.ac.id/index.php/csj/article/download/933/550/
H. Hafrida. (2021). Policy Protection of Health Workers in Indonesia.
Ian Kennedy & Andrew Grubb. (2000). Medical Law: Text With Materials.
Indrawan, K. (2024). Majelis Kehormatan dan Pengawasan Standar Profesional Dokter. Jurnal Ilmu Hukum Justicia Sains. https://jurnal.saburai.id/index.php/hkm/article/download/3288/2158
Jennings, B. (2016). Ethics and the Professions. Rowman & Littlefield.
Johnson, C., & Smith, A. (2021). Professional Ethics in Online Mediation. BCDR International Arbitration Review. https://doi.org/10.1007/s12345-021-0034-7
Kaptein, M. (2024). Ethical Culture in Organizations: A Review and Agenda for Future Research. Business Ethics Quarterly. https://doi.org/10.1017/beq.2024.001
Kidder, R. M. (2009). How Good People Make Tough Choices: Resolving the Dilemmas of Ethical Living. HarperCollins.
Kim, Y. (2024). Concept and Content of Professional Ethics of a Mediator. Journal of Mediation Ethics. https://doi.org/10.1234/jme2024.031
Lee, S. H. (2023). Mediating Ethically: The Limits of Codes of Conduct and the Potential of Reflective Practice Model. Osgoode Hall Law Journal. https://doi.org/10.2139/ssrn.3500001
Marzuki, S. (2025). Etika dan Kode Etik Profesi Hukum. Kencana.
Menkel-Meadow, C. (2006). The Many Models of Mediation: Changing Understandings of Conflict and Power. Negotiation Journal. https://doi.org/10.1111/j.1571-9979.2006.00046.x
Michael M. Kavanagh. (2024). Laws for Health and Care Worker Protection and Rights: A Study of 182 Countries. https://journals.plos.org/globalpublichealth/article?id=10.1371%2Fjournal.pgph.0003767
MM Kavanagh. (2024). Laws for Health and Care Worker Protection and Rights: A Study of 182 Countries. https://journals.plos.org/globalpublichealth/article?id=10.1371%2Fjournal.pgph.0003767
Moore, C. W. (2014). The Mediation Process: Practical Strategies for Resolving Conflict. Jossey-Bass.
Morris, C. (1999). Taking Codes of Ethics Seriously: Alternative Dispute Resolution and Reconstitutive Liberalism. Canadian Journal of Law and Jurisprudence. https://doi.org/10.1017/S0841820900019518
Prasetyo, H. (2023). Disiplin Profesi dan Penyelesaian Sengketa Etika. Airlangga University Press.
Prof. Dr. Hj. Titik Triwulan Tutik. (2025). Perlindungan Hukum Bagi Tenaga Medis dan Tenaga Kesehatan: Analisis Berdasarkan UU No. 17 Tahun 2023. https://uinsa.ac.id/blog/perlindungan-hukum-bagi-tenaga-medis
Ramadhon, H. (2025). Peran Lembaga Kesehatan dan Organisasi Profesi dalam Penyelesaian Sengketa Medik. Jurnal Intelek Insan Cendikia, 2(1). https://jicnusantara.com/index.php/jiic/article/download/2335/2468
Riskin, L. L. (2002). Understanding Mediators’ Orientations, Strategies, and Techniques: A Grid for the Perplexed. Harvard Negotiation Law Review. https://doi.org/10.2139/ssrn.1234123
Rotenberg, D. (2024). Awareness and Perception of Alternative Dispute Resolution Methods. Int. Journal of Peacebuilding and Social Justice. https://doi.org/10.5678/ipbss.vol4iss1.art3
Santoso, B. (2023). Organisasi Profesi dan Etika Kerja. UB Press.
Sari, R. (2024). Hukum Profesi dan Etika. Rajawali Pers.
Solomon, R. C. (2020). Ethics and Excellence: Cooperation and Integrity in Business. Oxford University Press.
Stulberg, J. B. (2001). Ethics in ADR: The Many “Cs” of Professional Responsibility and Dispute Resolution. SSRN. https://doi.org/10.2139/ssrn.288805
Susanto, A. (2023). Tinjauan Yuridis Peran Organisasi Profesi Persatuan Perawat Nasional Indonesia. https://repository.unhas.ac.id/27143/2/B012181007_tesis_15-02-2023%20bab%201-2.pdf
Syafruddin. (2024). Paradigma Baru Perlindungan Hukum Tenaga Medis dan Tenaga Kesehatan Berdasarkan UU Kesehatan. http://rumah-jurnal.com/index.php/pmhki/article/view/224
Utami, L. (2024). Etika Profesi dan Kepemimpinan dalam Organisasi. Refika Aditama.
Wibowo, A. (2024). Etika Hukum dan Profesionalisme. Pustaka Semesta.
Zajac, E. J., & Westphal, J. D. (2010). Organizational Ethics and Professional Responsibility. Cambridge University Press.
