PASIEN ATAU KONSUMEN KESEHATAN: Pergeseran Relasi dalam Pelayanan Kesehatan di Indonesia

Authors

Arief Priyo Nugroho

Keywords:

PASIEN ATAU KONSUMEN KESEHATAN

Synopsis

Pasien Atau Konsumen Kesehatan? Pergeseran Relasi Dalam Pelayanan Kesehatan di Indonesia merupakan sebuah buku yang membahas bagaimana interaksi antara tenaga kesehatan dan masyarakat di Indonesia mengalami pergeseran dari relasi paternalistik “penyedia–pasien” menuju pola baru “penyedia–konsumen kesehatan” yang relatif lebih partisipatif. Dengan menelusuri kasus-kasus malapraktik, dinamika historis sejak masa kolonial hingga reformasi, serta dampak kebijakan Jaminan Kesehatan Nasional, penulis menunjukkan bahwa masyarakat kini tidak sepenuhnya pasif dalam mengakses pelayanan kesehatan. Terdapat pergeseran pola yang ditandai karena masyarakat mulai memiliki kapasitas agensi yang menjadi penanda pergeseran relasi dalam penyelenggaraan pelayanan kesehatan. Akan tetapi, pergeseran tersebut tidak selalu linear, melainkan dipengaruhi konteks sosial, politik, ekonomi, dan teknologi. Kondisi pergeseran relasi tersebut menghadirkan perlu menjadi perhatian karena berdampak munculnya tantangan baru bagi peningkatan kualitas pelayanan kesehatan di Indonesia.

Chapters

  • PRAKATA
  • DAFTAR ISI
  • 1. YANG TERSIRAT DALAM RELASI PELAYANAN KESEHATAN DI INDONESIA
  • 2. MENELUSUR JEJAK KUASA DALAM PELAYANAN KESEHATAN DI INDONESIA
  • 3. TONGGAK BARU DALAM RELASI PENYEDIA DAN PENERIMA LAYANAN KESEHATAN
  • 4. SAAT MASYARAKAT TAK SEKEDAR MENJADI PASIEN
  • 5. TANTANGAN RELASI PENERIMA–PEMBERI DALAM PELAYANAN KESEHATAN DI INDONESIA
  • DAFTAR PUSTAKA
  • INDEKS
  • BIOGRAFI PENULIS

Downloads

Download data is not yet available.

Author Biography

Arief Priyo Nugroho

Arief Priyo Nugroho, seorang peneliti dibidang sosiologi kesehatan. Memulai karier sebagai peneliti di Badan Penelitian dan Pengembangan Kesehatan, Kementerian Kesehatan pada tahun 2010. Dalam penelitian dan tulisannya lebih banyak fokus pada studi terkait aspek-aspek sosial, humaniora, dan politik, terutama terkait permasalahan ketidakdilan dan ketidaksetaraan dalam penyelenggaraan pelayanan kesehatan. Pada tahun 2022, melanjutkan karier peneliti di Badan Riset dan Inovasi Nasional.

References

Andarwati, P., Ardani, I., Nugroho, A. P., Kurniawan, F., & Sujayadi. (2012). Perlindungan Hukum Atas Hak Pasien di Rumah Sakit: Suatu Pendekatan Sosio-Legal. Pusat Humaniora, Kebijakan Kesehatan dan Pemberdayaan Masyarakat.

Andarwati, P., Nuraini, S., & Nugroho, A. P. (2016). Motivation in Choosing Career Preference: Study in Final-Year Students of Medical Faculty, University of Airlangga, Surabaya. Buletin Penelitian Sistem Kesehatan, 19(2), 165–171.

Applbaum, K. (2006). Pharmaceutical Marketing and the Invention of the Medical Consumer. PLOS Medicine, 3(4), e189. https://doi.org/10.1371/journal.pmed.0030189

Aspinall, E. (2014). Health care and democratization in Indonesia. Democratization, 0347(April 2015), 1–21. https://doi.org/10.1080/13510347.2013.873791

Baha’uddin. (2004). Pelayanan Kesehatan Rumah Sakit di Jawa pada Abad ke-19 dan Awal Abad Ke-20. Lembaran Sejarah, 7(1), 101–124.

Baha’Uddin. (2006). Dari mantri hingga dokter jawa Studi Kebijakan Pemerintah Kolonial Dalam Penanganan Penyakit Cacar di Jawa abad XIX-XX. Jurnal Humaniora, 18(3), 286–296. https://doi.org/10.22146/jh.v18i3.884

Berenschot, W., & van Klinken, G. (2018). Informality and citizenship: The everyday state in Indonesia. Citizenship Studies, 22(2), 95–111. https://doi.org/10.1080/13621025.2018.1445494

Binney, E. A., Estes, C. L., & Ingman, S. R. (1990). Medicalization, public policy and the elderly: Social services in jeopardy? Social Science and Medicine, 30(7), 761–771. https://doi.org/10.1016/0277-9536(90)90199-3

Budijanto, D., & Astuti, W. D. (2015). Tingkat kecukupan tenaga kesehatan strategis puskesmas di Indonesia: Analisis Implementasi Permenkes No. 75 tahun 2014. Buletin Penelitian Sistem Kesehatan, 18(2), 179–186.

Casper, M. J., & Morrison, D. R. (2010). Medical Sociology and Technology: Critical Engagements. Journal of Health and Social Behavior, 51(1_suppl), S120–S132. https://doi.org/10.1177/0022146510383493

Claramita, M., Dalen, J. V., & Van Der Vleuten, C. P. (2011). Doctors in a Southeast Asian country communicate sub-optimally regardless of patients’ educational background. Patient Education and Counseling, 85(3), e169–e174. https://doi.org/10.1016/j.pec.2011.02.002

Claramita, M., Nugraheni, M. D. F., van Dalen, J., & van der Vleuten, C. (2013). Doctor-patient communication in Southeast Asia: A different culture? Advances in Health Sciences Education, 18(1), 15–31. https://doi.org/10.1007/s10459-012-9352-5

Claramita, M., Utarini, A., Soebono, H., Van Dalen, J., & Van Der Vleuten, C. (2011). Doctor–patient communication in a Southeast Asian setting: The conflict between ideal and reality. Advances in Health Sciences Education, 16(1), 69–80. https://doi.org/10.1007/s10459-010-9242-7

Conrad, P. (2010). Peter Conrad. The medicalization of society. On the transformation of human conditions into treatable disorders. Conrad, P. (2007). The Medicalization of Society On The Transformation of Human Condition into Treatable Disorders.

Conrad, P., Bandini, J., & Vasquez, A. (2016). Illness and the Internet: From Private to Public Experience. Health, 20(1), 22–32. https://doi.org/10.1177/1363459315611941

Conrad, P., & Leiter, V. (2004). Medicalization , Markets and Consumers. Journal of Health and Social Behavior, 45, 158–176.

Dorr Goold, S., Lipkin, M., & Jr. (1999). The doctor-patient relationship: Challenges, opportunities, and strategies. Journal of General Internal Medicine, 14 Suppl 1(Suppl 1), S26-33. https://doi.org/10.1046/J.1525-1497.1999.00267.X

Fikri, A. M., & Patih, R. I. D. (2024). Aspek Hukum Pembullyan / Perundungan dalam Kedokteran Legal Aspects of Bullying in Medicine. 4(2), 2879–2880. https://doi.org/10.31004/innovative.v4i2.9783

Fochsen, G., Deshpande, K., & Thorson, A. (2006). Power Imbalance and Consumerism in the Doctor-Patient Relationship: Health Care Providers’ Experiences of Patient Encounters in a Rural District in India. Qualitative Health Research, 16(9), 1236–1251. https://doi.org/10.1177/1049732306293776

Fossati, D. (2016). Beyond ‘‘ Good Governance ”: The Multi-level Politics of Health Insurance for the Poor in Indonesia. World Development, 87, 291–306. https://doi.org/10.1016/j.worlddev.2016.06.020

Fossati, D. (2017). From Periphery to Centre: Local Government and the Emergence of Universal Healthcare in Indonesia. Contemporary Southeast Asia: A Journal of International and Strategic AffairsArticle) Contemporary Southeast Asia, 39(1), 178–203. https://doi.org/10.1355/cs39-1f

Fox, N. J., Ward, K. J., & O’Rourke, A. J. (2005). The “expert patient”: Empowerment or medical dominance? The case of weight loss, pharmaceutical drugs and the Internet. Social Science and Medicine, 60(6), 1299–1309. https://doi.org/10.1016/j.socscimed.2004.07.005

Geertz, C. (1983). Agama Jawa Abangan Santri Priayayi dalam Kebudayaan Jawa. Yayasan Ilmu-Ilmu Sosial.

Giddens, A. (1984). The Constitution of Society. Polity Press. http://www.jstor.org/stable/2802469?origin=crossref

Hall, J. A., & Dornan, M. C. (1988). What patients like about their medical care and how often they are asked: A meta-analysis of the satisfaction literature. Social Science and Medicine, 27(9), 935–939. https://doi.org/10.1016/0277-9536(88)90284-5

Hesselink, L. (2011). Healers on the Colonial Market. KITLV Press. https://doi.org/10.1163/9789004253575

Idaiani, S., Hendarwan, H., & Herawati, M. H. (2023). Disparities of Health Program Information Systems in Indonesia: A Cross-Sectional Indonesian Health Facility Research 2019. International Journal of Environmental Research and Public Health, 20(5). Scopus. https://doi.org/10.3390/ijerph20054384

Illich, I. (1975). The medicalization of life. Journal of Medical Ethics, 1, 73–77. https://doi.org/10.1136/jme.1.2.73

Jung, E. (2016). Campaigning for All Indonesians: The Politics of Healthcare in Indonesia. Contemporary Southeast Asia: A Journal of International & Strategic Affairs, 38(3), 476–494. https://doi.org/10.1355/cs38-3e

Kristiansen, S., & Santoso, P. (2006). Survivinig Desentralisation? Impacts of Regional Autonomy on Heath Services Provision in Indonesia. Health Policy, 77(3), 247–259. https://doi.org/10.1016/j.healthpol.2005.07.013

Kusin, J. A., Kardjati, S., & van Steenbergen, W. (1985). Traditional infant feeding practices: Right or wrong? Social Science & Medicine (1982), 21(3), 283–286.

Lacy, C. (2008). Education, mutualism, and medical consumers in Third Republic France, 1882-1914. Social History of Medicine, 21(2), 253–268. https://doi.org/10.1093/shm/hkn032

Laksono, A. D., Wulandari, R. D., & Soedirham, O. (2019). Regional disparities of health center utilization in rural Indonesia. Malaysian Journal of Public Health Medicine, 19(1), 158–166. https://www.scopus.com/inward/record.uri?eid=2-s2.0-85069040167&partnerID=40&md5=c59f4d22e48671844f4f22c87078f7eb

Loedin, A. A. (2005). Sejarah Kedokteran di Bumi Indonesia. Grafiti Press.

Lupton, D. (1994). Consumerism, commodity culture and health promotion. Health Promotion International, 9(2), 111–118. https://doi.org/10.1093/heapro/9.2.111

Mboi, N. (2015). Indonesia: On the Way to Universal Health Care. Health Systems & Reform, 1(2), 91–97. https://doi.org/10.1080/23288604.2015.1020642

Mboi, N., Murty Surbakti, I., Trihandini, I., Elyazar, I., Houston Smith, K., Bahjuri Ali, P., Kosen, S., Flemons, K., Ray, S. E., Cao, J., Glenn, S. D., Miller-Petrie, M. K., Mooney, M. D., Ried, J. L., Nur Anggraini Ningrum, D., Idris, F., Siregar, K. N., Harimurti, P., Bernstein, R. S., … Hay, S. I. (2018). On the road to universal health care in Indonesia, 1990–2016: A systematic analysis for the Global Burden of Disease Study 2016. The Lancet, 392(10147), 581–591. https://doi.org/10.1016/S0140-6736(18)30595-6

Mccauley, A. N. N. P., Berkeley, C., & Ca, U. S. A. (1984). Healing of Power and Status. Social Science & Medicine, 18, 167–172.

Meliala, A., Hort, K., & Trisnantoro, L. (2013). Addressing the unequal geographic distribution of specialist doctors in Indonesia: The role of the private sector and effectiveness of current regulations. Social Science & Medicine, 82, 30–34. https://doi.org/10.1016/j.socscimed.2013.01.029

Muharram, F. R., Sulistya, H. A., Swannjo, J. B., Firmansyah, F. F., Rizal, M. M., Izza, A., Isfandiari, M. A., Ariningtyas, N. D., & Romdhoni, A. C. (2024). Adequacy and Distribution of the Health Workforce in Indonesia. WHO South-East Asia Journal of Public Health, 13(2), 45–55. https://doi.org/10.4103/WHO-SEAJPH.WHO-SEAJPH_28_24

Murti, B. (2003). Intervensi Pemerintah Dalam Ekonomi Campuran: Penyediaan Public Goods dan Pengaturan Private Goods di Sektor Kesehatan. Jurnal Manajemen Pelayanan Kesehatan, 06(04), 173–181.

Nugroho, A. P. (2016). Dokter Google: Interaksi Dokter-Pasien Di Era Teknologi Informasi. Jurnal Pemikiran Sosiologi, 3(1), 16–24.

Parsons, T. (1991). The Social System. Routledge.

Primasari, K. L. (2015). Analisis Sistem Rujukan Jaminan Kesehatan Nasional RSUD Dr Adjidarmo Kabupaten Lebak. Jurnal Administrasi Kebijakan Kesehatan, 1(2), 78–86. http://journal.ui.ac.id/index.php/arsi/article/viewFile/5215/3500

Purnomo, H. (2015). Pemanfaatan Jaminan Kesehatan Daerah di Kabupaten Kulon Progo (Pendekatan Teori Exit, Voice dan Loyalty). Universitas Gadjah Mada.

Purwaningsih, E. H. (2013). Jamu , Obat Tradisional Asli Indonesia: Pasang Surut Pemanfaatannya di Indonesia (Jamu, Indonesian Traditional Medicine: The Ups and Downs). Journal Kedokteran Indonesia, 1(2), 85–89.

Ratnasari, Y. (2017). Mahasiswa Tak Mampu Dipastikan Bisa Kuliah Kedokteran. https://tirto.id/mahasiswa-tak-mampu-dipastikan-bisa-kuliah-kedokteran-clqM

Ricklefs, M. C. (2007). Sejarah Indonesia Modern 1200-2004. Serambi Ilmu Semesta.

Samadhi, W. P. (2015). Blok Politik Kesejahteraan Sebagai Alternatif Demokratisasi. In C. Paskarina, M. Asih, & O. G. Madung (Eds.), Berebut Kontrol atas Kesejahteraan: Kasus-kasus Politisasi Demokrasi di Tingkat Lokal (pp. 332–360). Penerbit PolGov. https://polgov.fisipol.ugm.ac.id/buku/berebut-kontrol-atas-kesejahteraan-politisasi-kasus-kasus-politisasi-demokrasi-di-tingkat-lokal

Sari, D. W. (2013). Peran Dokter-Dokter Bumiputera Alumni Stovia di Bidang Politik. Jurnal Pendidikan Sejarah, 1(2), 167–177.

Sciortino, R. (1995). Perawat Puskesmas: Diantara Pengobatan dan Perawatan. Gajah Mada University Press.

Sparrow, R., Budiyati, S., Yumna, A., Warda, N., Suryahadi, A., & Bedi, A. S. (2017). Sub-national health care financing reforms in Indonesia. Health Policy and Planning, 32(1), 91–101. https://doi.org/10.1093/heapol/czw101

Speed, E. (2006). Patients, consumers and survivors: A case study of mental health service user discourses. Social Science and Medicine, 62(1), 28–38. https://doi.org/10.1016/j.socscimed.2005.05.025

Stones, R. (2005). Structuration Theory. Palgrave Mcmilan.

Sujatmiko, I. G. (2010). Privatisasi, Kapitalisme Dan Negara Dalam Pelayanan Kesehatan (Suatu Studi Perubahan Sosial Dalam Industri Kesehatan). Jurnal Masyarakat & Budaya Edisi Khusus, 12(3), 57–76.

Sulik, G. A., & Eich-Krohm, A. (2008). No longer a patient: The social construction of the medical consumer. In Advances in Medical Sociology (Vol. 10, pp. 3–28). Emerald (MCB UP ). https://doi.org/10.1016/S1057-6290(08)10002-X

Sumandoyo, A. (2016). Biaya Kuliah Kedokteran yang Makin Tak Terjangkau. tirto.id/biaya-kuliah-kedokteran-yang-makin-tak-terjangkau-bTkC

Sunyoto, T. N. (2015). Perilaku Keluhan Masyarakat Pengguna Jaminan Kesehatan Daerah Kulon Progo. Universitas Gadjah Mada.

Vanderminden, J., & Potter, S. J. (2009). Challenges to the Doctor-Patient Relationship in the Twenty-First Century. In The New Blackwell Companion to Medical Sociology (pp. 355–372). Wiley-Blackwell. https://doi.org/10.1002/9781444314786.ch16

Wahyuni, K. S. N. (2010). Penerapan Komunikasi Kesehatan Dokter-Pasien di RSUD Wirosaban. Universitas Gadjah Mada.

Welander, A., Lyttkens, C. H., & Nilsson, T. (2015). Globalization, democracy, and child health in developing countries. Social Science & Medicine, 136–137, 52–63. http://dx.doi.org/10.1016/j.socscimed.2015.05.006

Wisnu, Dinna. (2012). Politik sistem jaminan sosial: Menciptakan rasa aman dalam ekonomi pasar. Gramedia Pustaka Utama.

PASIEN ATAU KONSUMEN KESEHATAN: Pergeseran Relasi dalam Pelayanan Kesehatan di Indonesia

Published

October 11, 2025

Details about the available publication format: preview

preview

ISBN-13 (15)

978-634-202-806-3

Physical Dimensions

How to Cite

PASIEN ATAU KONSUMEN KESEHATAN: Pergeseran Relasi dalam Pelayanan Kesehatan di Indonesia. (2025). Library Buku Penerbit KBM. https://librarypenerbitkbm.science/index.php/buku/catalog/book/666