Criminal Act of Misuse of Patient Medical Data Against Health Insurance
DOI:
https://doi.org/10.56087/xg3ptf55Keywords:
law Enforcement, Misuse of Medical Data, Insurance Fraud, Hospital, Personal Data ProtectionAbstract
This study This study aims to analyze the criminal misuse of patient medical data in the context of health insurance in Indonesia, which is a crucial issue in protecting individual privacy rights. In practice, misuse of medical data is not uncommon, both directly and indirectly, which can harm patients physically, psychologically, and financially. This study uses a normative juridical approach by examining the applicable legal framework, combined with case studies as an empirical approach to assess how the law is implemented in the field. The results show that although a legal framework governing medical data protection exists, its implementation still faces various challenges, such as weak oversight, low legal literacy among data holders, and the absence of a firm and effective sanction mechanism. This study provides several strategic recommendations to strengthen legal protection for patient medical data, including through regulatory harmonization, increased oversight, education for stakeholders, and the establishment of an independent supervisory body authorized to protect personal data in the health and insurance sectors.
References
[1] Dwi Dasa Suryantoro, “TINJUAN YURIDIS TERHADAP PERATURAN MAHKAMAH AGUNG NOMOR 1 TAHUN 2016 TENTANG MEDIASI,” Leg. Stud. J., vol. 3, no. 2, pp. 91–110, Feb. 2023.
[2] O. Y. Disalahgunakan and H. Y. Rumengan, “No Title,” vol. 14, 2024.
[3] I. A. Chandra et al., “Jurnal Pendidikan dan Pengajaran PERLINDUNGAN DATA PRIBADI DALAM MENCEGAH TINDAK PIDANA PENYALAHGUNAAN HAK PASIEN Jurnal Pendidikan dan Pengajaran,” vol. 6, no. 2, pp. 32–45, 2025.
[4] D. P. Setiawan, “Penyalahgunaan Data Pribadi Pasien Dalam Rekam Medis Oleh Tenaga Medis / Tenaga Kesehatan Rumah Sakit,” vol. 2, no. 4, pp. 674–680, 2024.
[5] Meray Hendrik Mezak, “Jenis, Metode dan Pendekatan Dalam Penelitian Hukum,” Law Rev., vol. 5, no. 1, pp. 85–97, Mar. 2006.
[6] Fitra Dewi Nasution Ferry Aries Suranta, “PENYELESAIAN SENGKETA PERDATA DENGAN MEDIASI MENURUT PERATURANMAHKAMAH AGUNG NOMOR 1 TAHUN 2008,” Mercatoria, vol. 5, no. 1, pp. 35–46, Jan. 2012.
[7] F. H. A. D. W. L. Rendi Gue, “KEKUATAN HUKUM AKTA PERDAMAIAN DALAMKASUS PERCERAIAN MELALUI MEDIASI DIPENGADILAN MENURUT PERSPEKTIF HUKUMPERDATA,” Lex Priv., vol. 11, no. 2, Feb. 2023.
[8] N. A. Sinaga and T. Zaluchu, “PERLINDUNGAN HUKUM HAK-HAK PEKERJA DALAM HUBUNGAN KETENAGAKERJAAN DI INDONESIA,” Indonesia, Jan. 2017. doi: https://doi.org/10.35968/jti.v13i1.
[9] M. Syarif, D. S. Busthami, M. K. Hidjaz, and A. Aswari, “Metode Penelitian Hukum ( Legal Research Methods ),” no. 1, 2017.
[10] D. G. Yambo, L. Marsuni, and A. Aswari, “Legal Force of Information Technology-Based Money Lending Agreements,” vol. 1, no. 2, pp. 1–8, 2025.
[11] M. F. Ramadhan, A. Asis, and A. M. Muin, “Law Enforcement Of The Crime Of Illegal Fishing In The Waters Area Of Pangkajene Regency And The Islands,” Leg. Br., vol. 11, no. 3, pp. 2722–4643, 2022, doi: 10.35335/legal.
[12] R. Ramadani, “PROTEST VOTE : MITIGATING THE IMPACT OF SINGLE CANDIDATES,” vol. 10, no. 1, pp. 85–104, 2025, doi: 10.14710/dilrev.10.1.2025.85-104.
[13] S. Indiva, K. Ahmad, and H. Djanggih, “Peran Dan Fungsi Jaksa Sebagai Penyidik Dalam Proses Pemeriksaan Tindak Pidana Korupsi,” vol. I, no. I, pp. 1–16, 2025.
[14] I. Abbas, R. Ramadani, and U. M. Indonesia, “Yustisia Jurnal Hukum Balancing State Revenue and Fair Competition in Social Commerce Platforms,” vol. 14, no. 2, pp. 170–185, 2025, doi: 10.20961/yustisia.v14i2.93969.
[15] A. Aswari, “Peran Ganda Administrator sebagai Mediator dalam Sengketa Transaksi Ponsel Bekas secara Online,” J. Ilm. Kebijak. Huk., vol. 12, no. 3, p. 259, Dec. 2018, doi: 10.30641/kebijakan.2018.v12.259-274.
[16] S. Bachri and N. Azisa, “Optimizing the Management of Seized Goods : The Strategic Role of the Prosecutor ’ s Office in Asset Recovery from Corruption Crimes,” vol. 3, no. 2, pp. 3184–3203, 2025.
[17] M. A. Munandar et al., “Menilik Sanksi Pidana Tambahan Pemenuhan Kewajiban Adat Setempat dalam KUHP Nasional,” vol. 27, 2025, doi: 10.30595/pssh.v27i.1842.
[18] A. Firman, “How Digital Technology Driven Millennial Consumer Behaviour in Indonesia.”
[19] Y. Sukma Permana, “PERJANJIAN JUAL-BELI MELALUI E-COMMERCE DI DITINJAU DARI HUKUM PERJANJIAN DI INDONESIA”.
Downloads
Published
Issue
Section
License
Copyright (c) 2026 Sukaina Aziilah, Hasbuddin Khalid, Tri Abriana Ma'ruf
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
