Opini Publik tentang Malpraktek Kedokteran


Hardisman Hardisman(1*)

(1) Fakultas Kedokteran Universitas Andalas, Padang
(*) Corresponding Author


Background: In providing services, medical professionals have to be aware of social norms, ethics and laws. Behaviors violate those regulations attract public attention and can lead to medical malpractice allegations. This study aimed to explore public opinion on medical malpractice, which was analyzed base on medical ethic principles.

Method: To answer the research question, descriptive and qualitative online survey had been conducted from November 2009 to October 2010, which used structured and open-ended questionnaire. The participants were obtained by employing non-probability convenience sampling. Later, the quantitative data was analyzed descriptively, and the qualitative data was analyzed thematically and presented narratively.

Results: In general, public opinion on malpractice is similar to the principles of medical ethics. They believe that wrong procedures, diagnosis and treatments are factors of the malpractice. However, the participants adopt more consequentialism philosophy, which emphasize on outcome of patients and lack of consideration what the doctors has done base on medical standards. More over, participants’ explanations on medical malpractice reflect dissatisfaction of medical services which may due to low quality of information and attitude of doctors and other staffs in providing services.

Conclusion: To improve public opinion on medical service and prevent medical malpractice allegation, doctors and other staffs have to obey professional standards and ethics, providing adequate information and good communication.


Medical malpractice, ethics, public opinion.

Full Text:



  1. Rogers WA, Braunack-Mayer AJ. Practical ethics for general practice. 2nd edition. Oxford: Oxford University Press; 2009.
  2. Häyry M. Utilitarianism and bioethics. In: Ashcroft RE, Dawson A, Draper H, McMilllan JR, editors. Principles of health care ethics. Sussex: Johnson Willey and Son; 2007.
  3. Mcnaughton DA, Rawling JP. Deontology. In: Ashcroft RE, Dawson A, Draper H, McMilllan JR, editors. Principles of health care ethics. Sussex: Johnson Willey and Son; 2007.
  4. Oakley J. Virtue theory. In: Ashcroft RE, Dawson A, Draper H, McMilllan JR. Principles of health care ethics. Sussex: Johnson Willey and Son; 2007.
  5. Jonsen AR. Casuistical reasoning in medical ethics. In: Ashcroft RE, Dawson A, Draper H, McMilllan JR, editors. Principles of health care ethics. Sussex: Johnson Willey and Son; 2007.
  6. Sheehan M. Moral relativism. In: Ashcroft RE, Dawson A, Draper H, McMilllan JR, editors. Principles of Health Care Ethics. Sussex: Johnson Willey and Son; 2007.
  7. Cullity G. Beneficence. In: Ashcroft RE, Dawson A, Draper H,McMilllan JR, editors. Principles of health care ethics. Sussex: Johnson Willey and Son; 2007.
  8. Pemerintah Republik Indonesia. Undang-Undang Republik Indonesia nomor 29 tahun 2004 tentang praktik kedokteran. Jakarta: Pemerintah Republik Indonesia; 2004.
  9. Murphy AM. The role of professional organizations in Indonesia’s socio-political transformation. NBR Analysis. New York: Columbia University; 2008.
  10. Gidwani S, Zaidi, SMR. Birchen MD. Medical negligence in orthopedic surgery: are view of 130 consecutive medical negligence report. Journal of Bone and Joint Surgery. 2009; 91B:151-6.
  11. Madea B, Mushoff F, Presuss. J Medical negligegence in drug associated death. Forensic International. 2009;190:67-73.
  12. Varetto L, Cargallo C. Intraabdominal needle: medical malpractice? Forensic International. 2009;191:e11-e13.
  13. Kraushar MF. Toward more effective risk prevention. Survey Ophthalmology. 2009; 54(1):150-7.
  14. Martinez JA, Lyons JM, O’Leary JP. Medical malpractice matters: informed consent. Journal of Surgical Education. 2009; 66(3): 174-5.
  15. Mellgren A, Pollack J, Schultz I. Rectal prolapse, rectal intussusception, and solitary rectal ulcer syndrome. In: Bayless TM,DiehlAM, editors. Advanced Therapy in Gastroenterology and Liver Disease. 5th Edition. Hamilton Canada: B.C. Decker Inc; 2005.
  16. Altomare DF, Pucciani F. Rectal prolapse: diagnosis and clinical management. 1st Edition. New York: Springer; 2007.
  17. Soedarmo SP. Infeksi virus dengue. Dalam Soedarmo SP, Garna H, Hadinegoro SRS, editor. Buku ajar ilmu kesehatan anak: infeksi dan penyakit tropis. Edisi Pertama. Jakarta: Bagian IKA FK-UI dan IDAI; 2002.
  18. Reynard J, Marsh H. Unusual and so unusual ways of ending up in court: how to avoid litigation. British Journal of Urology. 2009;104:586-9.
  19. Kane SM, White RA. Medical malpractice and sport medicine clinician. Clinical Orthopedic and related Research. 2009; 467(2):412-9.
  20. Fishbain PA, Lewis, JE, Gao J, Cole B, Rosemoff RS. Alleged medical abandonment in chronic opioid analgesics therapy. Pain Medicine. 2009; 10(4):272-9.
  21. Wu CY, Lai HJ, Chen RC. Patient characteristic predict occurrence and outcome of complaints against physician: a study from a medical center Taiwan. Journal Form. Med Assc. 2009; 108(2):126-34.
  22. Robbenfolt JK. Apologies and medical error. Clinical Orthopaedic and related Research. 2009;467:376-82.
  23. Lin PJ. Criminal judgments to medical malpractice in Taiwan. Legal Medicine. 2009;11:S376-8.
  24. Rahman MM, Rahman S, Begum N, Asaduzzaman AKM, Shahjahan M, Firoz A, Metul MS. Client expectation from doctors: expectation–reality gap. Kathmandu University Medical Journal. 2007;5(4):566-73.
  25. Engel E, Livingston EH. Solving the medical malpractice crisis: use a clear and convincing evidence standard. Archive Surgical. 2009;145(3):296-300.
  26. Sacapulos M, Segal JJ. Limiting exposure to medical malpractice claims and defamatory cyber postings via patient contracts. Clinical Orthopaedic and Related Research. 2009;467(2):427-33.
  27. Sloan F, Shade J. Is there empirical evidence for defensive medicine? A reassessment. Journal of Health Economic. 2009;28:481-91.
  28. Taborda JGU, Abdalla FE, Dohler C, Bins HDC. Legal control of the medical profession. Current Opinion Psychiatry. 2009; 22:492-6.

DOI: https://doi.org/10.22146/jpki.25136

Article Metrics

Abstract views : 1446 | views : 2771


  • There are currently no refbacks.

Copyright (c) 2017 Hardisman Hardisman

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Jurnal Pendidikan Kedokteran Indonesia (The Indonesian Journal of Medical Education) indexed by: