Commercialization of Medical Services as a Business Practice: A Legal Analysis of Conflicts of Interest and Patient Protection in Indonesia

Aris Prio Agus Santoso

Abstract


There is a growing gap between the normative regulation of medical services, which is oriented toward patient safety, and the reality of commercialized practice driven by economic interests. This condition creates conflicts of interest and weakens legal protection for patients. This study aims to analyze the legal framework governing the commercialization of medical services and examine its implications for patient protection in order to realize a healthcare system that is fair, professional, and patient-oriented. The research method used is a normative legal approach that analyzes legal norms, principles, and rules. The analysis is conducted qualitatively to produce theoretical understanding and comprehensive legal argumentation regarding the relationship between business practices in medical services and the legal responsibilities of medical personnel. The findings show that Indonesia’s legal framework for the commercialization of medical services recognizes the economic aspects of medical professionals and healthcare facilities, but it is still constrained by ethical principles, professionalism, and patient protection, resulting in a normative dualism between economic orientation and humanitarian values. In practice, this dualism has not been harmoniously implemented due to the persistent gap between norms and implementation. This condition weakens patient protection, increases the risk of over-treatment, creates information asymmetry, and shifts the doctor–patient relationship into a transactional one that may trigger medical disputes and service injustice. Therefore, stronger regulatory enforcement, clearer separation between medical and business functions, service transparency, strengthened ethical supervision, and reform of medical legal culture are required to achieve a balanced healthcare system that fairly integrates economic interests with patient protection and prioritizes patient safety.

Keywords


Commercialization of Medical Services, Conflict of Interest, Patient Protection.

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References


Anisyaniawati, & Chandra, H. A. (2024). Konsep hukum dan keadilan dalam pemikiran Gustav Radbruch. Praxis: Jurnal Filsafat Terapan, 2(1), 1–14.

Angell, M. (2000). Is academic medicine for sale? New England Journal of Medicine, 342(20), 1516–1518. doi: https://doi.org/10.1056/NEJM200005183422009

Emanuel, E. J., & Thompson, D. F. (2016). The concept of conflicts of interest. The Lancet, 388(10060), 239–241. doi: https://doi.org/10.1016/S0140-6736(16)30372-0

Hendrojono, S. (2007). Batas pertanggungjawaban hukum malpraktik dokter dalam transaksi terapeutik. Bandung: Srikandi.

Hukumonline. (2020). Perlindungan pasien dalam sengketa medis. https://www.hukumonline.com

Ibrahim, J. (2006). Teori dan metodologi penelitian hukum normatif. Malang: Bayumedia Publishing.

Ikatan Dokter Indonesia. (2012). Kode etik kedokteran Indonesia. Jakarta: IDI.

Indriani, D., Suryana, D., Yuni, P., & Redjeki, F. (2025). Dimensi etika bisnis dalam pelayanan kesehatan berdasarkan prinsip-prinsip bioetika. SIBATIK Journal: Jurnal Ilmiah Bidang Sosial, Ekonomi, Budaya, Teknologi, Dan Pendidikan, 4(5), 567–576. https://doi.org/10.54443/sibatik.v4i5.2718

Kesselheim, A. S., Robertson, C. T., Myers, J. A., Rose, S. L., Gillet, V., Ross, K. M., & Studdert, D. M. (2012). A randomized study of how physicians interpret research funding disclosures. New England Journal of Medicine, 367(12), 1119–1127. doi: https://doi.org/10.1056/NEJMsa1202397

Kompas. (2010). Profesionalitas dokter telah dikomersialisasi. https://megapolitan.kompas.com/read/2010/03/18/0940199/profesionalitas-dokter-telah-dikomersialisasi

Kurniawan, D. (2026). Etika dan hukum kesehatan. Karawang: Afdan Rojabi Publisher.

Lo, B., & Field, M. J. (2009). Conflict of interest in medical research, education, and practice. National Academies Press. doi: https://doi.org/10.17226/12598

Marzuki, P. M. (2017). Penelitian hukum (Edisi revisi). Jakarta Timur: Kencana.

Razak, A. (2023). Mewujudkan pemilu adil dan bermartabat: Suatu tinjauan sistem hukum Lawrence M. Friedman. Fundamental: Jurnal Ilmiah Hukum, 12(2), 471–488.

Relman, A. S. (2007). Medical professionalism in a commercialized health care market. JAMA, 298(22), 2668–2670. doi: https://doi.org/10.1001/jama.298.22.2668

Rodwin, M. A. (2011). Conflicts of interest and the future of medicine: The United States, France, and Japan. Inggris: Oxford University Press. doi: https://doi.org/10.1093/acprof:oso/9780199750589.001.0001

Saltman, R. B., Durán, A., & Dubois, H. F. W. (2011). Governing public hospitals. European Observatory on Health Systems and Policies. Swiss: WHO.

Tempo. (2024). Pasien diminta kritis pada rekomendasi tindakan medis. https://www.tempo.co/gaya-hidup/pasien-diminta-kritis-pada-rekomendasi-tindakan-medis-380180

Thabrany, H. (2014). Jaminan kesehatan nasional. RajaGrafindo Persada.

Undang-Undang Republik Indonesia Nomor 17 Tahun 2023 tentang Kesehatan.




DOI: http://dx.doi.org/10.58258/jihad.v8i2.10593

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Alamat: Jl. Lingkar Selatan, Perum Elit kota Mataram Asri Blok O. No. 35, Jempong Baru, Sekarbela, Kota Mataram NTB. Indonesia