Legal Asessment of Mediation Effectiveness in Patient-Hospital Medical Dispute Resolution

Authors

  • Minar Mushari Universitas Pembangunan Panca Budi
  • Redyanto Sidi Universitas Pembangunan Panca Budi
  • Irsyam Risdawati Universitas Pembangunan Panca Budi

Keywords:

Alternative Dispute Resolution, Health Law, Mediation Effectiveness, Medical Disputes, Patient-Hospital Relations

Abstract

The complexity of legal relationships between patients and hospitals in Indonesia continues to experience significant dynamics, with medical disputes increasing substantially and requiring clear regulations for effective resolution. This research aims to analyze the effectiveness of mediation in resolving medical disputes between patients and hospitals based on Law No. 17 of 2023 on Health, examine the implementation of Supreme Court Regulation No. 1 of 2016 on Court Mediation Procedures, and formulate an optimal synergy model between both regulations to enhance mediation effectiveness. This study employs a normative juridical qualitative approach through library research, analyzing primary legal sources including both regulations and secondary sources comprising legal textbooks, national and international journal articles, and expert opinions published from 2020 to present. The findings reveal that Law No. 17 of 2023 establishes a progressive paradigm prioritizing non-litigation resolution through mandatory mediation before judicial proceedings, reflecting restorative philosophy to restore doctor-patient trust, while PERMA No. 1 of 2016 provides a comprehensive procedural framework with a maximum 60-day timeframe and settlement reinforcement with executorial power. However, implementation faces challenges including limited dual-competent mediators in law and clinical aspects, bargaining position imbalances, low public legal literacy, and inadequate supporting infrastructure. Strategic recommendations include establishing certified specialized mediator lists through collaboration between medical councils and certification institutions, technical harmonization between the Ministry of Health and Supreme Court, developing integrated monitoring systems, intensive public socialization, utilizing digital technology, and strengthening derivative regulations for standardized protocols to create a fast, fair, restorative dispute resolution ecosystem while maintaining patient safety standards.

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Published

2025-10-27