The Impact of Modern Medical Technology on the Transformation of Healthcare Service Contract Structures from Conventional Face-to-Face Contracts to Digital Contracts: An Indonesian Health Law Perspective
DOI:
https://doi.org/10.38035/snlpr.v2i2.1039Keywords:
Healthcare Service Contract, Therapeutic Agreement, Digital Healthcare, Telemedicine, Electronic Contract, Health LawAbstract
The rapid integration of digital technologies into healthcare has fundamentally reshaped the legal framework governing healthcare service delivery. Medical consultations, informed consent, health records, prescriptions, and payment systems are increasingly conducted through electronic platforms, altering the manner in which legal relationships between patients and healthcare providers are established and performed. This transformation raises important legal issues concerning the validity of electronic healthcare contracts, the legal status of therapeutic agreements concluded in digital environments, the protection of personal health data, and the allocation of legal responsibility among healthcare professionals, healthcare institutions, and electronic system providers. This research employs normative legal research using statutory, conceptual, and analytical approaches. Primary legal materials include the Indonesian Civil Code, Law Number 17 of 2023 on Health, Law Number 27 of 2022 on Personal Data Protection, and Law Number 11 of 2008 on Electronic Information and Transactions as last amended by Law Number 1 of 2024. The study demonstrates that the digitalisation of healthcare services does not alter the juridical nature of the therapeutic agreement as the legal basis of the physician–patient relationship. Digitalisation instead transforms the structure of healthcare service contracts by introducing electronic consent, electronic medical records, digital evidence, and multiple contractual actors whose rights and obligations extend beyond the traditional relationship between patients and healthcare professionals. Existing legal provisions have yet to provide a comprehensive framework governing these evolving contractual relationships. A reconstruction of healthcare service contracts is therefore required to accommodate digital healthcare practices while preserving legal certainty, safeguarding patients' rights, ensuring personal data protection, and maintaining accountability within Indonesia's healthcare system.
References
Beauchamp, T. L., & Childress, J. F. (2019). Principles of biomedical ethics (8th ed.). Oxford University Press.
Brazier, M., & Cave, E. (2023). Medicine, patients and the law (7th ed.). Manchester University Press.
Hall, M. A., Bobinski, M. A., & Orentlicher, D. (2022). Health care law and ethics (10th ed.). Wolters Kluwer.
Herring, J. (2023). Medical law and ethics (9th ed.). Oxford University Press.
Indonesia. (1847). Kitab Undang-Undang Hukum Perdata (Burgerlijk Wetboek).
Indonesia. (2008). Undang-Undang Nomor 11 Tahun 2008 tentang Informasi dan Transaksi Elektronik (Lembaran Negara Republik Indonesia Tahun 2008 Nomor 58, Tambahan Lembaran Negara Republik Indonesia Nomor 4843).
Indonesia. (2019). Peraturan Pemerintah Nomor 71 Tahun 2019 tentang Penyelenggaraan Sistem dan Transaksi Elektronik (Lembaran Negara Republik Indonesia Tahun 2019 Nomor 185, Tambahan Lembaran Negara Republik Indonesia Nomor 6400). Indonesia. (2019).
Indonesia. (2022). Peraturan Menteri Kesehatan Nomor 24 Tahun 2022 tentang Rekam Medis.
Indonesia. (2022). Undang-Undang Nomor 27 Tahun 2022 tentang Pelindungan Data Pribadi (Lembaran Negara Republik Indonesia Tahun 2022 Nomor 196, Tambahan Lembaran Negara Republik Indonesia Nomor 6820).
Indonesia. (2023). Undang-Undang Nomor 17 Tahun 2023 tentang Kesehatan (Lembaran Negara Republik Indonesia Tahun 2023 Nomor 105, Tambahan Lembaran Negara Republik Indonesia Nomor 6887).
Indonesia. (2024). Undang-Undang Nomor 1 Tahun 2024 tentang Perubahan Kedua atas Undang-Undang Nomor 11 Tahun 2008 tentang Informasi dan Transaksi Elektronik (Lembaran Negara Republik Indonesia Tahun 2024 Nomor 1).
Organisation for Economic Co-operation and Development. (2019). Health in the 21st century: Putting data to work for stronger health systems. OECD Publishing.
Rocher, L., Hendrickx, J. M., & de Montjoye, Y.-A. (2019). Estimating the success of re-identifications in incomplete datasets using generative models. Nature Communications, 10, 3069.
Terry, N. P. (2013). Protecting patient privacy in the age of big data. UMKC Law Review, 81(2), 385–415.
Terry, N. P. (2019). Regulating health information technology. Indiana Health Law Review, 16(1), 1–34.
United Nations Commission on International Trade Law. (1996). UNCITRAL model law on electronic commerce with guide to enactment. United Nations.
United Nations Commission on International Trade Law. (2005). United Nations convention on the use of electronic communications in international contracts. United Nations.
World Health Organization. (2019). WHO guideline: Recommendations on digital interventions for health system strengthening. World Health Organization.
World Health Organization. (2021). Ethics and governance of artificial intelligence for health. World Health Organization.
World Health Organization. (2021). Global strategy on digital health 2020–2025. World Health Organization.
World Medical Association. (2022). Declaration of Lisbon on the Rights of the Patient. World Medical Association.
World Medical Association. (2024). Declaration of Taipei on Ethical Considerations Regarding Health Databases and Biobanks. World Medical Association.
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