Legal Protection for Anesthesiologists Regarding Permits and Practice Implementation at Pusri Hospital Palembang According to Permenkes No. 18 of 2016
Abstract
Anesthesiologists play a vital role in ensuring patient safety during surgical and other invasive medical procedures. Their professional responsibilities require not only high clinical competence but also substantial legal certainty, particularly regarding licensing and the practice of medicine. This study examines the legal protection afforded to anesthesiologists regarding permits and the execution of professional practice at PUSRI Hospital Palembang, as regulated by the Indonesian Minister of Health Regulation (Peraturan Menteri Kesehatan/Permenkes) No. 18 of 2016. This research employs a normative juridical method with a statutory and conceptual approach, focusing on an analysis of Permenkes No. 18 of 2016 and its relevance to anesthesiology practice within hospital settings. Primary legal materials include statutory regulations governing medical practice, while secondary materials include legal literature, scientific journals, and expert opinions on health law and medical professional liability. The study is further supported by empirical data from interviews with hospital management and anesthesiology practitioners, enriching the legal analysis with practical perspectives. The findings indicate that Permenkes No. 18 of 2016 provides a legal framework to ensure legal protection for anesthesiologists by establishing precise requirements for practice permits, delineating professional authority, and defining hospitals’ institutional responsibilities. However, in practice, challenges remain in implementing these regulations, particularly in administrative compliance, interprofessional coordination, and risk management within hospital operations. These gaps may potentially expose anesthesiologists to legal vulnerability, especially in the event of medical disputes or allegations of malpractice. This study concludes that adequate legal protection for anesthesiologists requires not only comprehensive regulatory provisions but also consistent implementation, institutional support, and continuous legal awareness among medical professionals. Strengthening hospital governance, ensuring compliance with licensing requirements, and fostering a culture of legal and ethical accountability are essential to safeguarding anesthesiologists while simultaneously enhancing patient safety and quality of healthcare services.
References
Series L. No man’s land: Troubling the borders of mental health and capacity law. Int J Law Psychiatry. 2025;98. doi:10.1016/j.ijlp.2024.102039
Stavert J, McKay C. Unified mental health and capacity law: Creating parity and non-discrimination? Int J Law Psychiatry. 2025;101. doi:10.1016/j.ijlp.2025.102108
Darma IMW. The Development of Health Criminal Law in The Perspective of Dignified Justice: What and How? J IUS Kaji Huk dan Keadilan. 2024;12(1). doi:10.29303/ius.v12i1.1486
Ardiansah, Asnawi E, Pardede R. Government Responsibilities in the Health Services of the Indonesian People Post the Implementation of the New Health Law. J Ecohumanism. 2025;4(1). doi:10.62754/joe.v4i1.6016
Oktaviana R S, Handayani PW, Hidayanto AN, Siswanto BB. Healthcare data governance assessment based on hospital management perspectives. Int J Inf Manag Data Insights. 2025;5(1). doi:10.1016/j.jjimei.2025.100342
Kessler DP, Wygal W. Non-Profit Hospital Governance, Conduct, and CEO Pay. Inquiry. 2025;62. doi:10.1177/00469580251366975
Akemoto K, Kamata K, Kaiho Y, et al. Effectiveness of a preoperative explanatory video system on patient acceptance and anesthesiologists’ workload: a questionnaire survey. JA Clin Reports. 2025;11(1). doi:10.1186/s40981-025-00805-9
Sato M, Ida M, Nakatani S, Kawaguchi M. A cross-sectional survey of prehabilitation among surgeons and anesthesiologists. JA Clin Reports. 2024;10(1). doi:10.1186/s40981-024-00749-6
Zhao Y, Chen NP, Su X, Ma JH, Wang DX. Overtime work of anesthesiologists is associated with increased delirium in older patients admitted to intensive care unit after noncardiac surgery: a secondary analysis. BMC Anesthesiol. 2024;24(1). doi:10.1186/s12871-024-02825-x
Zahran A, Besharieh F, Hamdan Y, Alsadder T, Jaber M, Shawahna R. Knowledge and perceptions of the roles of anesthesiologists as providers of healthcare services: toward better-educated patients. BMC Health Serv Res. 2024;24(1). doi:10.1186/s12913-024-12048-y
Cai J, Huang S, Jiang Y, et al. Knowledge, attitude and practice toward to artificial intelligent patient-controlled analgesia among anesthesiologists: a cross-sectional study in east China’s Jiangsu Province. BMC Anesthesiol. 2024;24(1). doi:10.1186/s12871-024-02724-1
Forman L, Karim SA, Kolawole O. Global Health “With Justice”: The Challenges and Opportunities for Human Rights in Global Health Law. J Law, Med Ethics. 2025;53. doi:10.1017/jme.2025.1
Gostin LO, Bosha SL, Meier BM. Teaching Global Health Law: Preparing the Next Generation for Future Challenges. J Law, Med Ethics. 2024;52(1). doi:10.1017/jme.2024.63
Yusoff AFJ. Reassessment of Islamic Legal Bases for Matrimonial Property in Malaysia. El-Usrah. 2024;7(2). doi:10.22373/ujhk.v7i2.26374
M Gulfie Agung Majid, Ade Mahmud. Tinjauan Yuridis terhadap Klinik Kecantikan Tanpa Izin Praktik Dihubungkan dengan Undang-Undang Nomor 29 Tahun 2004 Tentang Praktik Kedokteran Juncto Undang-Undang Nomor 8 Tahun 1999 Tentang Perlindungan Konsumen. Bandung Conf Ser Law Stud. 2024;4(1). doi:10.29313/bcsls.v4i1.9828
Asyah N. Pelindungan Hukum bagi Bidan Memberikan Pelayanan Obat kepada pasien dalam Praktik Kebidanan di Daerah Terpencil. J Huk dan Etika Kesehat. Published online 2024. doi:10.30649/jhek.v3i2.122
Enserink M, Klaaskate V, Oudes D, Stremke S. From promise to practice. A landscape perspective on discrepancies between permit documentation and built solar power plants. Landsc Res. 2025;50(6). doi:10.1080/01426397.2025.2475170
Fouad AM, Fahim AE, Bedewy AA, Al-Touny A, Al-Touny SA. Work-related musculoskeletal complaints and ergonomic risk factors among Egyptian anesthesiologists: a cross-sectional study. BMC Public Health. 2024;24(1). doi:10.1186/s12889-024-17757-x
Dandy Saputro, Rosita Candrakirana. Legal Protection for Consumers of Health Services by Dentists in Indonesia. Int J Law, Crime Justice. 2025;2(1). doi:10.62951/ijlcj.v2i1.384
Amiati M, Halim H, Hassim JZ. Navigating Ambiguity: Critiques of Indonesia’s Health Law and its Impact on Legal Redress for Medical Malpractice Victims. Hasanuddin Law Rev. 2024;10(1). doi:10.20956/HALREV.V10I1.5346
Ilmayanti NA, Darmawansyah, Balqis, Razak A, Saleh LM. THE IMPLEMENTATION OF GOOD HOSPITAL GOVERNANCE ON THE PROFESSIONAL PERFORMANCE OF NURSES. Asia Pacific J Heal Manag. 2025;20(1). doi:10.24083/apjhm.v20i1.4013
Bella Ivanna Hutajulu A, Budi Utami S. Inovasi Pelayanan Surat Izin Praktik (SIP) bagi Tenaga Kesehatan di Dinas Penanaman Modal dan Pelayanan Terpadu Satu Pintu (DPMPTSP) Kota Cirebon. J Manaj dan Ilmu Adm Publik. 2025;7(1). doi:10.24036/jmiap.v7i1.1191
Dos Santos GAC, Pinheiro PG, Pinheiro CG, Pregun ML, Alves RC, Rached CDA. NEONPASS ROOM: A DIGITAL INTERACTION TOOL BETWEEN PATIENT, CARE AND HOSPITAL GOVERNANCE AREAS. Texto e Context Enferm. 2024;33. doi:10.1590/1980-265X-TCE-2023-0351en
Martini D, Noordegraaf M, Schoonhoven L, Spits J, Van Bokhorst P, Lalleman P. Reworking Nursing Expertise: Directors of Nursing’s Tactics to (Re)Connect Knowledge and Power in Hospital Governance. Nurs Inq. 2025;32(1). doi:10.1111/nin.12696
Jalilvand MA, Raeisi AR, Shaarbafchizadeh N. Hospital governance accountability structure: a scoping review. BMC Health Serv Res. 2024;24(1). doi:10.1186/s12913-023-10135-0
Strzelczyk A, Maschio M, Pensel MC, et al. Perampanel for Treatment of People with a Range of Epilepsy Aetiologies in Clinical Practice: Evidence from the PERMIT Extension Study. Neurol Ther. 2024;13(3). doi:10.1007/s40120-024-00618-5
Donald Willem Srianto Aronggear, Abdullah Sulaiman. The Urgency of Legal Certainty for Traditional Healthcare Who Do Not Have a Practice License. Athena J Soc Cult Soc. 2025;3(1). doi:10.58905/athena.v3i1.389
Gani NA, Harun SH. Communication and Strategic Leadership: Its Role In Strengthening Hospital Governance. Tech Soc Sci J. 2024;53. doi:10.47577/tssj.v53i1.10483
Afonso AM, Cadwell JB, Staffa SJ, Sinskey JL, Vinson AE. U.S. Attending Anesthesiologist Burnout in the Postpandemic Era. Anesthesiology. 2024;140(1). doi:10.1097/ALN.0000000000004784
Copyright (c) 2026 Paramitha Paramitha, Sri Suatmiati, Mulyadi Tanzili
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Copyright for this article is retained by the author(s), with first publication rights granted to the journal. This is an open-access article distributed under the terms and conditions of the Creative Commons Attribution license (https://creativecommons.org/licenses/by-nc-nd/4.0/).
