TY - JOUR
T1 - Ethicomedicolegal aspects of the COVID-19 health services in preparing regulations and intermediaries for clinical dispute resolution
T2 - a systematic review
AU - Purwadianto, Agus
AU - Sugiharto, Ade Firmansyah
AU - Sari, Fitri Ambar
AU - Roberia,
AU - Cahyono, Uud
AU - Budiningsih, Yuli
AU - Alim, Denys Putra
AU - Faddila, Nadia Ulfah
N1 - Funding Information:
This study was funded by the COVID-19 Research and Innovation Consortium established by the Ministry of Research and Technology/ National Research and Innovation Agency in accordance with the Indonesian Endowment Funds for Education by the Ministry of
Funding Information:
This study was funded by the COVID-19 Research and Innovation Consortium established by the Ministry of Research and Technology/ National Research and Innovation Agency in accordance with the Indonesian Endowment Funds for Education by the Ministry of Finance in 2020.
Publisher Copyright:
© 2022 Authors.
PY - 2022/3
Y1 - 2022/3
N2 - BACKGROUND The COVID-19 pandemic has caused many medical, ethical, and medicolegal changes, including constant adjustments in service guidelines. Continuing to revise healthcare regulations and guidelines can potentially cause clinical disputes or medical negligence that require ethical and legal solutions. This study aimed to determine the ethical and medicolegal aspects of the potential factors that cause clinical disputes during the pandemic and provide anticipative solutions to national ethicomedicolegal policies. METHODS A systematic literature search in PubMed, ScienceDirect, ClinicalKey, and Google Scholar was performed using keywords “clinical dispute,” “ethics,” “medicolegal,” “ethicolegal,” and “COVID-19”. The inclusion criteria were articles that contained information on shortage, justice, ethical distribution in intensive care, the possibility of lawsuits and disputes among stakeholders during the pandemic, and stakeholders’ roles in managing the pandemic. Key evidence was analyzed and synthesized following national ethicomedicolegal policies. RESULTS We identified 19 articles from the 4 databases. Based on the literature, the main ethicomedicolegal impact of the COVID-19 pandemic appears in 3 aspects: (1) a shortage of fair and ethical intensive care services with fair and ethical distribution efforts, (2) legal protection for medical personnel from legal charges while providing health services during the pandemic, and (3) the government’s role in managing the pandemic together with the stakeholders involved. CONCLUSIONS Ethicomedicolegal clinical dispute management and its norms require an update, especially when deciding the complexity of COVID-19 service standards. Ethicomedicolegal professionals are needed as intermediaries to manage cases of clinical disputes and to implement fair malpractice criteria in Indonesia.
AB - BACKGROUND The COVID-19 pandemic has caused many medical, ethical, and medicolegal changes, including constant adjustments in service guidelines. Continuing to revise healthcare regulations and guidelines can potentially cause clinical disputes or medical negligence that require ethical and legal solutions. This study aimed to determine the ethical and medicolegal aspects of the potential factors that cause clinical disputes during the pandemic and provide anticipative solutions to national ethicomedicolegal policies. METHODS A systematic literature search in PubMed, ScienceDirect, ClinicalKey, and Google Scholar was performed using keywords “clinical dispute,” “ethics,” “medicolegal,” “ethicolegal,” and “COVID-19”. The inclusion criteria were articles that contained information on shortage, justice, ethical distribution in intensive care, the possibility of lawsuits and disputes among stakeholders during the pandemic, and stakeholders’ roles in managing the pandemic. Key evidence was analyzed and synthesized following national ethicomedicolegal policies. RESULTS We identified 19 articles from the 4 databases. Based on the literature, the main ethicomedicolegal impact of the COVID-19 pandemic appears in 3 aspects: (1) a shortage of fair and ethical intensive care services with fair and ethical distribution efforts, (2) legal protection for medical personnel from legal charges while providing health services during the pandemic, and (3) the government’s role in managing the pandemic together with the stakeholders involved. CONCLUSIONS Ethicomedicolegal clinical dispute management and its norms require an update, especially when deciding the complexity of COVID-19 service standards. Ethicomedicolegal professionals are needed as intermediaries to manage cases of clinical disputes and to implement fair malpractice criteria in Indonesia.
KW - COVID-19
KW - dispute
KW - ethic and medicolegal regulation
KW - Indonesia
KW - mediator
UR - http://www.scopus.com/inward/record.url?scp=85131149743&partnerID=8YFLogxK
U2 - 10.13181/mji.oa.225718
DO - 10.13181/mji.oa.225718
M3 - Article
AN - SCOPUS:85131149743
SN - 0853-1773
VL - 31
SP - 38
EP - 49
JO - Medical Journal of Indonesia
JF - Medical Journal of Indonesia
IS - 1
ER -