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Tantangan Dokter di Era Jaminan Kesehatan Nasional
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Dr. Pribakti B., SpMOG(K)*
Sistem Jaminan Sosial Nasional (SJSN) dengan program unggulannya Jaminan Kesehatan Nasional (JKN) telah berlangsung sejak 1 Januari 2014. Sesuai prediksi banyak pihak sebelumnya, pelaksanaan kebijakaÂn baru ini masih jauh dari kata sempurna. Hal ini mengacu pada masih kuÂrangÂnya sosialisasi dan beberapa peraturan turunan yang belum selesai.
Persoalan kesehatan jiwa sesungguhnya sama beratnya dengan kesehatan fisik. Sayangnya, kesehatan jiwa belum mendapatkan perhatian sebagaimana mestinya. Kita masih menempatkan kesehatan fisik sebagai prioritas pelayanan. Sedangkan kesehatan jiwa, selama belum masuk kategori psikotik berat, belum dinyatakan sakit.
Harus diakui bahwa membangun komunikasi yang seimbang antara dokter-pasien bukanlah hal yang mudah. Paling tidak, itu yang bisa saya simpulkan dari pengalaman selama 25 tahun praktik. Masalahnya, antara dokter dan pasien terdapat kesenjangan bermakna menyangÂkut pengetahuan dan pemahaman medis.