Considering the Artifact Ecology when Supporting the Evolution of Practices - Analyzing the Parallel Journeys of Two Teleconsultation Software in a General Hospital

The growing use of teleconsultation, especially since the start of the Covid-19 pandemic, changes physicians' work at the hospital. In this paper, we set out to study how physicians have integrated teleconsultation into their healthcare practices. Moreover, we are interested in how teleconsultation software contributes to developing new medical practices and how the design of teleconsultation software can better support them. Based on 16 months of fieldwork in a general hospital that offers two different teleconsultation software, we have investigated teleconsultation practices through interviews and observations involving ten physicians doing teleconsultation and a telemedicine secretary. Unlike the existing informal remote care by phone, we observe that teleconsultation supports new formal healthcare practices, particularly for patient care management and inter-organizational cooperation. While analyzing the integration of teleconsultation in physicians' practices, we highlight that both pieces of software do not support those practices on equal terms according to their design. We argue that teleconsultation software design can limit the spread of these new healthcare practices and that the artifact ecology of physicians should be considered during the design process.

A Light Into the Current COVID-19 Pandemic in the Context of the Ancient Indian Science

Ancient science relating to plants has always been a source of drug discovery, and in ancient times, people used medicinal plants to fight against pandemics. Researchers suggest ancient medical practices like Ayurveda, Unani, and traditional herbal medicine as a potential source to cure or prevent diseases like COVID-19. The internet of things (IoT) aims to help solve real-world problems by connecting all modern-day devices. An internet of healthcare things (IoHT), a branch of IoT, is creating a revolution in medicine. We can incorporate ancient knowledge into the IoT system and help people worldwide fight this pandemic by spreading the knowledge of Ancient Indian medicinal practice.

Legal Urgency on Designing The Legislation for The Use of Artificial Intelligence in Indonesian Medical Practice

Artificial intelligence (AI) offers the potential for a great improvement in patient care, both in diagnose and disease treatment, and a consequential reduction in healthcare costs, a part of opportunities and challenge are ahead. The use of AI in medicine was significantly developed in some countries. Indonesia as a modern country also has a great change in promoting the use of AI. The study aims to propose on designing the legislation for the use of AI in Indonesian medical practices. The method used in this research is normative juridical approaches with descriptive analysis. The data used are primary legal material namely the Indonesian Penal Code and Law No. 36 of 2009 on Health Law. Meanwhile, the secondary legal material used are books, journals, and other legal documents. The results show that designing the new legislation as the guidance and basis for the use of AI shall give a good impact on the development of health services as practices among other countries. Moreover, Health Act 2009 clearly supported the use of advance technology’s product in medicine. Yet, the application of AI facilitates interpretation follows with high accuracy and speed for medical diagnoses.

A Hyperledger Fabric-Based System Framework for Healthcare Data Management

This study examined the requirements for privacy-preserving and interoperability in healthcare data sharing and proposed a blockchain-based solution. The Hyperledger Fabric framework was adopted due to its enterprise-grade data processing capabilities and enhanced privacy protection functions. In addition to the Fabric’s built-in privacy-preserving functions, healthcare data-specific smart contracts with hierarchical access control were developed to strengthen privacy protection in data sharing. The proposed healthcare data-sharing framework is based on Australian medical practices with the aim to upgrade, rather than to replace, the existing data management models. The outcome of this study demonstrates the feasibility of applying blockchain technology to improve privacy-preservation while enhancing interoperability in healthcare data management.

The Importance of Medical Records in Law of the Republic of Indonesia Number 29 of 2004 Concerning Medical Practices in the Era of the COVID-19 Pandemic

The purpose of the study is made where the importance of the data of a medical record in a hospital either before or afterwards must be input and the document is controlled for the history of a person who enters or leaves so that the importance of not being misdiagnosed or confused in a diagnosis. Every citizen has the right to adequate health and also an important medical record in order to know the disease suffered, because a medical record is very important for every patient to know various health efforts for the entire community through the implementation of quality and affordable health development for the community. Health development is aimed at increasing awareness, willingness and ability to live a healthy life for everyone in the context of realizing an optimal degree of health as an element of general welfare as referred to in the Preamble to the 1945 Constitution of the Republic of Indonesia. Keywords: medical record, health, constitution, welfare.

COVID Challenges and Adaptations Among Home-Based Medical Practices: Lessons for an Ongoing Pandemic

Home-based primary care (HBPC) practices rapidly adapted to maintain care during the COVID-19 pandemic. This mixed-methods national online survey of HBPC practices probed responses to COVID-19 surges, COVID-19 testing, the use of telemedicine, practice challenges due to COVID-19, and adaptations to address these challenges. Seventy-nine practices across 29 states were included in the analyses. Eighty-five percent of practices continued to provide in-person care and nearly half cared for COVID-19 patients. Most practices also pivoted to concurrent use of video visits. The top five practice challenges were: patient familiarity with telemedicine, patient and clinician anxiety, technical difficulties reaching patients, and supply shortages. Practices also described creative strategies to physically support the needs of patients. These findings illustrate the need to balance in-person and virtual care for this population, and attend to the emotional needs of patients and staff.

Kedudukan Majelis Kehormatan Disiplin Kedokteran Indonesia dalam Penyelesaian Sengketa Medis antara Dokter dan Pasien

This article aims to analyze the position of the Indonesian Medical Discipline Honorary Council in the Settlement of Disputes between Doctors and Patients. Medical disputes due to alleged violations of medical discipline should be resolved through the Indonesian Medical Discipline Honorary Council, however currently there are still medical disputes that are reported to the court without going through the Indonesian Medical Doctors Honorary Council. This study uses a normative juridical research method with a statute approach and a conceptual approach. The results of this study are based on Article 66 paragraph (1) and paragraph (3) of Law Number 29 of 2004 concerning Medical Practices, there is still legal uncertainty regarding the resolution of medical disputes between doctors and patients, because the word "can" contained in paragraph (1) can mean that the complaint against the Indonesian Medical Discipline Honorary Council may or may not be made. Whereas in paragraph (3) it is stated that it is possible to resolve medical disputes through the courts, which can cause medical dispute resolution to be carried out through the courts.