Main Article Content
Abstract
The resolution of medical disputes in Indonesia has predominantly relied on litigation based mechanisms, with a strong tendency toward the criminal prosecution of healthcare professionals. This approach has intensified the criminalization of medical practice and produced broader systemic consequences, including institutional inefficiency, procedural rigidity. This study examines the urgency and normative feasibility of integrating restorative justice as an alternative framework for resolving medical disputes in Indonesia. Employing a normative doctrinal research approach, the study analyzes statutory regulations, judicial decisions, and policy discourses relevant to medical dispute resolution and criminal justice. The analysis focuses on assessing the compatibility of restorative justice principles with Indonesia’s legal structure and healthcare governance, situating these principles within the country’s philosophical, cultural, and religious value systems. The findings indicate that the prevailing retributive model generates significant systemic pressures, particularly the persistent overcapacity of correctional institutions and the worsening national shortage of medical personnel. The fear of criminal liability discourages healthcare professionals from exercising professional judgment, ultimately undermining the quality and accessibility of healthcare services. From a normative perspective, restorative justice aligns with the foundational values of Pancasila especially social justice and deliberative consensus as well as with Islamic legal principles such as islah, which prioritize reconciliation and social harmony.
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References
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- Crescitelli, M. E. D., Hayter, M., Artioli, G., Sarli, L., & Ghirotto, L. (2022). Relational dynamics involved in therapeutic discordance among prescribers and patients: a grounded theory study. Patient Education and Counseling, 105(1), 233–242.
- Darmawan, J. B., Suhariadi, F., Widjojo, S., Amiati, M., & Abdullah, A. H. (2025). Incorporating Islah Principles into Restorative Justice: Bridging Contemporary Legal Practice and Islamic Values. MILRev: Metro Islamic Law Review, 4(1), 269–294.
- Dartanto, T., Pramono, W., Lumbanraja, A. U., Siregar, C. H., Bintara, H., & Sholihah, N. K. (2020). Enrolment of informal sector workers in the National Health Insurance System in Indonesia: A qualitative study. Heliyon, 6(11).
- Fauzi, I., Ismayawati, A., & Hanani, A. (2023). Seeking Harmony over Punishment: Restorative Justice Approaches to Domestic Violence in Islamic and Indonesian Legal Frameworks. Al-Mazaahib: Jurnal Perbandingan Hukum, 11(2), 183–204.
- Grewal, G., Polisetty, T., Boltuch, A., & Levy, J. C. (2021). Does knowledge of medical risk influence patient decision for same day discharge following primary shoulder arthroplasty: a randomized control trial. Seminars in Arthroplasty: JSES, 31(2), 353–359.
- Gunawan, M. M., Suwadi, P., & Rustamaji, M. (2024). Comparison of restorative justice implementation in Indonesia, USA, Germany, Poland and Switzerland. Revista de Gestao Social e Ambiental, 18(1), 1–15.
- Gunawan, S. (2021). Juridical Review of Medical Notes Therapeutic Transactions on Medical Malpractice. JL Pol’y & Globalization, 107, 49.
- Hamzani, A. I., Aryani, F. D., Bawono, B. T., Khasanah, N., & Yunus, N. R. (2025). Non-procedural dispute resolution: Study of the restorative justice approach tradition in Indonesian society. International Journal of Offender Therapy and Comparative Criminology, 69(4), 373–387.
- Handayani, I. G. A. K. R., Karjoko, L., & Jaelani, A. K. (2019). Model Pelaksanaan Putusan Mahkamah Konstitusi yang Eksekutabilitas Dalam Pengujian Peraturan Perundang-Undangan di Indonesia. Bestuur, 7(1), 36–46.
- Herlianto, S. (2014). Mediasi Penal Sebagai Alternatif Penyelesaian Perkara Malpraktik Kedokteran. Majalah Masalah-2 Hukum, 43(2), 297–304.
- Hidayah, N. P., Cloet, Q. R., & Pradhan, D. (2021). The Implementation of Labor Development Principles According to Job Creation Law as a Reason to Protect Wages Rights. Bestuur, 9(1), 68–76.
- Hijriani, H., Niasa, L., Dewi, A. L., & Yusuf, M. (2023). Restorative Justice Approach to The Settlement of Banking Crime Cases. Substantive Justice International Journal of Law, 6(1), 1–16.
- Irfan, M. (2019). Mediation as A Choice of Medical Dispute Settlements in Positive Law of Indonesia. Sociological Jurisprudence Journal, 2(2), 141–145.
- Ismail, D. E., Arsyad, Y., Ahmad, A., Nggilu, N. M., & Chami, Y. (2024). Collocation of restorative justice with human rights in Indonesia. Legality: Jurnal Ilmiah Hukum, 32(2), 394–417.
- Iswanty, M., Razak, A., Sampurno, S., & Halim, H. (2017). Maladministration as Doctor Medical Malpractice: A Health Law Perspective in Indonesia. JL Pol’y & Globalization, 67, 167.
- Karjoko, L., Handayani, I. G. A. K. R., Jaelani, A. K., Barkhuizen, J., & Hayat, M. J. (2021). The Urgency of Restorative Justice on Medical Dispute Resolution in Indonesia. Al-Ihkam Jurnal Hukum & Pranata Sosial, 16(2), 362–392. https://doi.org/10.19105/al-lhkam.v16i2.5314
- Kawalek, A. (2020). A tool for measuring therapeutic jurisprudence values during empirical research. International Journal of Law and Psychiatry, 71, 101581.
- Khodapanahandeh, S., & Hambali, S. N. (2014). Efficiency of Using “Alternative Dispute Resolution” Method in Medical Negligence. Advances in Natural and Applied Sciences, 8(13), 1–5.
- Laksono, A. D., & Ridlo, I. A. (2020). Distribution analysis of doctors in Indonesia. Jurnal Administrasi Kesehatan Indonesia, 8(1), 29–39.
- Li, Y., Gao, D., Liang, W., Qiu, L., Liu, X., Zhang, L., & Deng, Z. (2018). A comparison of malpractice lawsuits mediated and judged in court in China. Journal of Forensic and Legal Medicine, 54, 109–113.
- Lintang, L. C., Martufi, A., & Ouwerker, J. W. (2020). The Alternative Concepts of Blasphemy Law in Indonesia: Legal Comparison with Ireland and Canada. Bestuur, 9(1), 13–25.
- Mashendra, M., Ibrahim, K. M., Salam, S., Nurcahyo, E., & Chatimah, N. A. (2024). Study of the Implementation Restoration Concept in the Criminal Justice System in Indonesia. SASI, 30(4), 339–354.
- Meliala, A., Hort, K., & Trisnantoro, L. (2013). Addressing the unequal geographic distribution of specialist doctors in Indonesia: the role of the private sector and effectiveness of current regulations. Social Science & Medicine, 82, 30–34.
- Mulyadi, D., Danil, E., Chandrawila, W., & Warman, K. (2020). Medical Negligence Dispute Settlement in Indonesia. Indian Journal of Forensic Medicine & Toxicology, 14(4).
- Murhula, P. B. B., & Tolla, A. D. (2020). The Effectiveness of Restorative Justice Practices on Victims of Crime: Evidence From South Africa. International Journal for Crime Justice and Social Democracy, 9(3). https://doi.org/10.5204/ijcjsd.1511
- Mustika, N. W. E., Darma, I. M. W., Kurniawan, I. G. A., & Thapa, N. Y. (2023). Restorative Justice Settles Health Disputes Between Patients and Hospitals From an Inclusive Justice Perspective. Jurnal Ius Kajian Hukum Dan Keadilan, 11(3), 423–436. https://doi.org/10.29303/ius.v11i3.1293
- Nashriana, N., Banjarani, D. R., Del Rosario, M. S., & Novianti, V. (2023). Enhancing Restorative Justice in Indonesia: Exploring Diversion Implementation for Effective Juvenile Delinquency Settlement. Sriwijaya Law Review, 318–334.
- Nickson, R., & Neikirk, A. (2024). Restorative Justice in Healthcare Settings: Better Outcomes for Patients and Medical Professionals. Alternative Law Journal, 49(2), 91–96. https://doi.org/10.1177/1037969x241248781
- Noor, H. J., Afkar, K., & Glaser, H. (2021). Application of Sanctions Against State Administrative Officials Failing to Implement Administrative Court Decisions. Bestuur, 9(1), 53–67.
- Novianto, W. T. (2014). Alternatif model penyelesaian sengketa medik di luar pengadilan melalui lembaga penyelesaian sengketa medik dalam pelayanan kesehatan. Sebelas Maret University Press.
- Novikasari, S. R., Ly, D. Q., & Gershaneck, K. (2021). Taxing Micro, Small and Medium Enterprises in Yogyakarta: Regulation and Compliance. Bestuur, 9(1), 59.
- Payne-James, J., & Byard, R. (2015). Encyclopedia of forensic and legal medicine. Academic Press.
- Presser, L., & Van Voorhis, P. (2002). Values and evaluation: Assessing processes and outcomes of restorative justice programs. Crime & Delinquency, 48(1), 162–188.
- Putri, W. B., Widyasari, V., Musabula, J., & Hayat, M. J. (2021). Medicolegal Perspective on Physician-Induced Demand Issue. Bestuur, 9(1), 77–89.
- Rosidah, Z. N. (2020). Coherence of the Rules of Sharia Against Pancasila. Bestuur, 8(1), 40–52.
- Shurtz, I. (2013). The impact of medical errors on physician behavior: Evidence from malpractice litigation. Journal of Health Economics, 32(2), 331–340.
- Triasari, D., Hanum, W. N., & Firmandiaz, V. (2023). Mapping Restorative Justice in Information and Electronic Transaction Criminal Regulation. Journal of Human Rights, Culture and Legal System, 3(1), 1–16.
- Yuniza, M. E. (2016). Arah Kebijakan Pengaturan Bidang Kesehatan Pada Era Otonomi Luas. Yogyakarta: Universitas Gadjah Mada.
References
Abbas, I. (2024). The Essence Of Restorative Justice In The Development Of Indonesian Law. RGSA–Revista de Gestão Social e Ambiental, 18(8), 1–15.
Abubakar, L., Afriana, A., Rajamanickam, R., & Fakhirah, E. L. (2024). Restorative Justice in Corporate Dispute Resolution as Business Actor in Indonesia. Journal of Indonesian Legal Studies, 9(1), 187–216. https://doi.org/10.15294/jils.vol9i1.4573
Amiati, M., Halim, H., & Hassim, J. Z. (2024). Navigating Ambiguity: Critiques of Indonesia’s Health Law and Its Impact on Legal Redress for Medical Malpractice Victims. Hasanuddin Law Review, 10(1), 94. https://doi.org/10.20956/halrev.v10i1.5346
Ariefulloh, A., Nugroho, H., Angkasa, A., & Ardhanariswari, R. (2023). Restorative Justice-Based Criminal Case Resolution in Salatiga, Indonesia: Islamic Law Perspective and Legal Objectives. Ijtihad Jurnal Wacana Hukum Islam Dan Kemanusiaan, 23(1), 19–36. https://doi.org/10.18326/ijtihad.v23i1.19-36
Banwell-Moore, R. (2024). Restorative justice: Adopting a whole system approach to address cultural barriers in criminal justice. Criminology & Criminal Justice, 24(5), 1028–1046.
Bek, D., & Hanc, J. (2023). On the Insufficiencies of the Current Legislative Regime Regarding Physician-Patient Mediation in the Professional Liability of Physicians. A Critical Analysis of the Polish Solution. Medicine Law & Society, 16(1). https://doi.org/10.18690/mls.16.1.25-54.2023
Cheluvappa, R., & Selvendran, S. (2020). Medical negligence-Key cases and application of legislation. Annals of Medicine and Surgery, 57, 205–211.
Crescitelli, M. E. D., Hayter, M., Artioli, G., Sarli, L., & Ghirotto, L. (2022). Relational dynamics involved in therapeutic discordance among prescribers and patients: a grounded theory study. Patient Education and Counseling, 105(1), 233–242.
Darmawan, J. B., Suhariadi, F., Widjojo, S., Amiati, M., & Abdullah, A. H. (2025). Incorporating Islah Principles into Restorative Justice: Bridging Contemporary Legal Practice and Islamic Values. MILRev: Metro Islamic Law Review, 4(1), 269–294.
Dartanto, T., Pramono, W., Lumbanraja, A. U., Siregar, C. H., Bintara, H., & Sholihah, N. K. (2020). Enrolment of informal sector workers in the National Health Insurance System in Indonesia: A qualitative study. Heliyon, 6(11).
Fauzi, I., Ismayawati, A., & Hanani, A. (2023). Seeking Harmony over Punishment: Restorative Justice Approaches to Domestic Violence in Islamic and Indonesian Legal Frameworks. Al-Mazaahib: Jurnal Perbandingan Hukum, 11(2), 183–204.
Grewal, G., Polisetty, T., Boltuch, A., & Levy, J. C. (2021). Does knowledge of medical risk influence patient decision for same day discharge following primary shoulder arthroplasty: a randomized control trial. Seminars in Arthroplasty: JSES, 31(2), 353–359.
Gunawan, M. M., Suwadi, P., & Rustamaji, M. (2024). Comparison of restorative justice implementation in Indonesia, USA, Germany, Poland and Switzerland. Revista de Gestao Social e Ambiental, 18(1), 1–15.
Gunawan, S. (2021). Juridical Review of Medical Notes Therapeutic Transactions on Medical Malpractice. JL Pol’y & Globalization, 107, 49.
Hamzani, A. I., Aryani, F. D., Bawono, B. T., Khasanah, N., & Yunus, N. R. (2025). Non-procedural dispute resolution: Study of the restorative justice approach tradition in Indonesian society. International Journal of Offender Therapy and Comparative Criminology, 69(4), 373–387.
Handayani, I. G. A. K. R., Karjoko, L., & Jaelani, A. K. (2019). Model Pelaksanaan Putusan Mahkamah Konstitusi yang Eksekutabilitas Dalam Pengujian Peraturan Perundang-Undangan di Indonesia. Bestuur, 7(1), 36–46.
Herlianto, S. (2014). Mediasi Penal Sebagai Alternatif Penyelesaian Perkara Malpraktik Kedokteran. Majalah Masalah-2 Hukum, 43(2), 297–304.
Hidayah, N. P., Cloet, Q. R., & Pradhan, D. (2021). The Implementation of Labor Development Principles According to Job Creation Law as a Reason to Protect Wages Rights. Bestuur, 9(1), 68–76.
Hijriani, H., Niasa, L., Dewi, A. L., & Yusuf, M. (2023). Restorative Justice Approach to The Settlement of Banking Crime Cases. Substantive Justice International Journal of Law, 6(1), 1–16.
Irfan, M. (2019). Mediation as A Choice of Medical Dispute Settlements in Positive Law of Indonesia. Sociological Jurisprudence Journal, 2(2), 141–145.
Ismail, D. E., Arsyad, Y., Ahmad, A., Nggilu, N. M., & Chami, Y. (2024). Collocation of restorative justice with human rights in Indonesia. Legality: Jurnal Ilmiah Hukum, 32(2), 394–417.
Iswanty, M., Razak, A., Sampurno, S., & Halim, H. (2017). Maladministration as Doctor Medical Malpractice: A Health Law Perspective in Indonesia. JL Pol’y & Globalization, 67, 167.
Karjoko, L., Handayani, I. G. A. K. R., Jaelani, A. K., Barkhuizen, J., & Hayat, M. J. (2021). The Urgency of Restorative Justice on Medical Dispute Resolution in Indonesia. Al-Ihkam Jurnal Hukum & Pranata Sosial, 16(2), 362–392. https://doi.org/10.19105/al-lhkam.v16i2.5314
Kawalek, A. (2020). A tool for measuring therapeutic jurisprudence values during empirical research. International Journal of Law and Psychiatry, 71, 101581.
Khodapanahandeh, S., & Hambali, S. N. (2014). Efficiency of Using “Alternative Dispute Resolution” Method in Medical Negligence. Advances in Natural and Applied Sciences, 8(13), 1–5.
Laksono, A. D., & Ridlo, I. A. (2020). Distribution analysis of doctors in Indonesia. Jurnal Administrasi Kesehatan Indonesia, 8(1), 29–39.
Li, Y., Gao, D., Liang, W., Qiu, L., Liu, X., Zhang, L., & Deng, Z. (2018). A comparison of malpractice lawsuits mediated and judged in court in China. Journal of Forensic and Legal Medicine, 54, 109–113.
Lintang, L. C., Martufi, A., & Ouwerker, J. W. (2020). The Alternative Concepts of Blasphemy Law in Indonesia: Legal Comparison with Ireland and Canada. Bestuur, 9(1), 13–25.
Mashendra, M., Ibrahim, K. M., Salam, S., Nurcahyo, E., & Chatimah, N. A. (2024). Study of the Implementation Restoration Concept in the Criminal Justice System in Indonesia. SASI, 30(4), 339–354.
Meliala, A., Hort, K., & Trisnantoro, L. (2013). Addressing the unequal geographic distribution of specialist doctors in Indonesia: the role of the private sector and effectiveness of current regulations. Social Science & Medicine, 82, 30–34.
Mulyadi, D., Danil, E., Chandrawila, W., & Warman, K. (2020). Medical Negligence Dispute Settlement in Indonesia. Indian Journal of Forensic Medicine & Toxicology, 14(4).
Murhula, P. B. B., & Tolla, A. D. (2020). The Effectiveness of Restorative Justice Practices on Victims of Crime: Evidence From South Africa. International Journal for Crime Justice and Social Democracy, 9(3). https://doi.org/10.5204/ijcjsd.1511
Mustika, N. W. E., Darma, I. M. W., Kurniawan, I. G. A., & Thapa, N. Y. (2023). Restorative Justice Settles Health Disputes Between Patients and Hospitals From an Inclusive Justice Perspective. Jurnal Ius Kajian Hukum Dan Keadilan, 11(3), 423–436. https://doi.org/10.29303/ius.v11i3.1293
Nashriana, N., Banjarani, D. R., Del Rosario, M. S., & Novianti, V. (2023). Enhancing Restorative Justice in Indonesia: Exploring Diversion Implementation for Effective Juvenile Delinquency Settlement. Sriwijaya Law Review, 318–334.
Nickson, R., & Neikirk, A. (2024). Restorative Justice in Healthcare Settings: Better Outcomes for Patients and Medical Professionals. Alternative Law Journal, 49(2), 91–96. https://doi.org/10.1177/1037969x241248781
Noor, H. J., Afkar, K., & Glaser, H. (2021). Application of Sanctions Against State Administrative Officials Failing to Implement Administrative Court Decisions. Bestuur, 9(1), 53–67.
Novianto, W. T. (2014). Alternatif model penyelesaian sengketa medik di luar pengadilan melalui lembaga penyelesaian sengketa medik dalam pelayanan kesehatan. Sebelas Maret University Press.
Novikasari, S. R., Ly, D. Q., & Gershaneck, K. (2021). Taxing Micro, Small and Medium Enterprises in Yogyakarta: Regulation and Compliance. Bestuur, 9(1), 59.
Payne-James, J., & Byard, R. (2015). Encyclopedia of forensic and legal medicine. Academic Press.
Presser, L., & Van Voorhis, P. (2002). Values and evaluation: Assessing processes and outcomes of restorative justice programs. Crime & Delinquency, 48(1), 162–188.
Putri, W. B., Widyasari, V., Musabula, J., & Hayat, M. J. (2021). Medicolegal Perspective on Physician-Induced Demand Issue. Bestuur, 9(1), 77–89.
Rosidah, Z. N. (2020). Coherence of the Rules of Sharia Against Pancasila. Bestuur, 8(1), 40–52.
Shurtz, I. (2013). The impact of medical errors on physician behavior: Evidence from malpractice litigation. Journal of Health Economics, 32(2), 331–340.
Triasari, D., Hanum, W. N., & Firmandiaz, V. (2023). Mapping Restorative Justice in Information and Electronic Transaction Criminal Regulation. Journal of Human Rights, Culture and Legal System, 3(1), 1–16.
Yuniza, M. E. (2016). Arah Kebijakan Pengaturan Bidang Kesehatan Pada Era Otonomi Luas. Yogyakarta: Universitas Gadjah Mada.
