Model PIKAT: A Normative Remuneration Framework for Nurses Performing Delegated Medical Procedures in Private Hospitals
DOI:
https://doi.org/10.58258/dz3q7a08Keywords:
Nurses' rights, Compensation, Delegation of medical procedures, Private hospitals, PIKAT ModelAbstract
The delegation of medical procedures from physicians to nurses is a common practice in hospital healthcare services. However, Indonesian health regulations do not explicitly govern nurses' entitlement to remuneration for delegated medical procedures, creating a legal vacuum and potential legal uncertainty. This study aims to examine the legal framework governing nurses' remuneration rights in delegated medical procedures in private hospitals and to develop a normative remuneration calculation model. This research employs a normative legal approach using statutory, conceptual, comparative, and case analyses. Primary, secondary, and tertiary legal materials were analyzed qualitatively based on Gustav Radbruch's theory of legal certainty, justice, and expediency. The findings reveal that existing health legislation does not provide a standardized legal mechanism for determining remuneration for nurses performing delegated medical procedures, leaving remuneration systems largely dependent on internal hospital policies. As its primary contribution, this study proposes the PIKAT Model (Competency-Based Remuneration Calculation for Medical Procedures), which incorporates weighted parameters including legal authority, professional competence, procedural complexity, clinical risk, professional responsibility, service contribution, quality of care, performance, institutional factors, and professional ethics. The model provides a normative framework that promotes legal certainty, distributive justice, and practical utility, while offering a policy reference for remuneration systems in private hospitals and future healthcare regulatory reforms.References
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