Legal Authority and Protection for Anesthesia Practitioners Working Without Direct Anesthesiologist Supervision in Indonesian Hospitals
DOI:
https://doi.org/10.57218/jkj.Vol4.Iss4.2187Kata Kunci:
Anesthesia practitioners, Health law, Legal authority, Legal protectionAbstrak
Anesthesia services are a critical component of hospital care and require clear legal authority and adequate legal protection to ensure patient safety and professional accountability. In Indonesia, the unequal distribution of anesthesiologists has resulted in anesthesia practitioners (penata anestesi) frequently providing services without direct specialist supervision, creating inconsistencies between legal norms and clinical practice. This study aims to analyze the legal authority and legal protection of anesthesia practitioners working without direct supervision from anesthesiologists within the Indonesian health law framework. This research employs a normative juridical method using statute and conceptual approaches by examining Law No. 17 of 2023 on Health, Minister of Health Regulation No. 18 of 2016, and relevant legal literature. Data were analyzed through qualitative normative legal analysis. The findings indicate that Permenkes No. 18 of 2016 imposes restrictive delegation of authority, particularly in private hospitals and emergency situations, which does not adequately reflect workforce shortages and exposes anesthesia practitioners to criminal, civil, and administrative legal risks. In conclusion, inconsistencies between legal regulations and healthcare realities weaken legal certainty and legal protection for anesthesia practitioners, highlighting the need for regulatory harmonization that balances professional competence, patient safety, and legal certainty.
Referensi
BPS. (2025). Jumlah Penduduk Pertengahan Tahun (Ribu Jiwa),2022-2024. In https://www.bps.go.id/id/statistics-table/2/MTk3NSMy/jumlah-penduduk-pertengahan-
Budiman, A., Rizka, R., & Absori, A. (2023). Juridical Analysis of Hospital Liability for Actions of Doctors Performing Medical Malpractice. Soepra, 9(1), 95–101. https://doi.org/10.24167/sjhk.v9i1.10061
Fakrulloh, Z. A., & Lubna. (2023). Legal Review Of Hospital Responsibility For Medical. Journal of Indonesian Social Science, 4(12), 1237–1247.
Haryono, T. A., Ras, H., & Kurniati, Y. (2025). Civil Legal Liability of Hospitals for Negligence Committed by Medical Personnel Based on Law No . 17 of 2023 Concerning Health. Indonesian Journal of Applied and Industrial Sciences (USA), 4(3), 317–330.
Ismail Koto, E. A. (2021). Pertanggungjawaban Hukum Terhadap Tindakan Malpraktik Tenaga Medis di Rumah Sakit. Volksgeist: Jurnal Ilmu Hukum Dan Konstitusi, 4(2), 153–165. https://doi.org/10.24090/volksgeist.v4i2.5738
Nobel, R. M., Westiartika, D. T., Abdulhamid, M., & Prayuti, Y. (2025). The Application of Vicarious Liability Principle in Malpractice Cases by Health Workers in Indonesia. Legal Brief, 14(3), 540–551.
Peraturan Menteri Nomor 519 Tahun 2011 tentang Pedoman Penyelenggaraan Pelayanan Anestesiologi Dan Terapi Intensif Di Rumah Sakit.
Peraturan Menteri Kesehatan Nomor 18 Tahun 2016 tentang Izin Dan Penyelenggaraan Praktik Penata Anestesi.
Prayitno, E. (2021). Tanggung jawab hukum praktik tanpa surat izin oleh penata anestesi di rumah sakit (Studi di Rumah Sakit Umum Daerah Sangatta). 1(September).
Qintharah, Y. N. (2019). PerancanganPenerapanManajemenRisiko. 10(1), 67–86.
Ramdani, M. I. (2019). Pemenuhan Hak Pasien Atas Informasi Penyakit & Tindakan Medis Dalam Upaya Mengurangi Risiko Tuntutan Pasien Di Rumah Sakit Tmc Tasikmalaya. Aktualita (Jurnal Hukum), 2(2), 544–556. https://doi.org/10.29313/aktualita.v2i2.4991
Sumantri, U. (2019). Kepala Badan PPSDM Kementerian kesehatan. In http://www.depkes.go.id.
Undang-Undang Republik Indonesia Nomor 17 Tahun 2023 tentang Kesehatan.
Widjaja, G. (2025a). Ensuring Patient Rights And Safety : Legal Protection In The 2023 Health Law For Safe And Quality Medical Services. International Journal of HUmanities, Scial Sciences and Business (INJOSS), 4(3), 675–686.
Widjaja, G. (2025). Tanggung jawab rumah sakit dalam perlindungan hukum bagi pasien dan tenaga medis. Jurnal Tana Mana, 6(1).












