PROBLEMATIC OF AUTONOMY REVIEW OF THE COVID-19 VACCINATION INFORMED CONSENT
Background: Not all public approval to receive COVID-19 vaccination is based on understanding the right information, which is considered insufficient motivation. It is also related to inadequate government policies.
Aims: This study was to identify the implementation of informed consent in COVID-19 vaccination, in terms of the autonomy of the vaccine recipients, so that the necessary policy could be recommended.
Methods: The research was conducted at Surabaya in June-December 2021 with descriptive qualitative methods through in-depth interviews with five vaccinators and five vaccine recipients using purposive sampling. Data were analyzed from interview transcripts by coding, making categories and themes, and then compared to relevant references.
Results: The results showed that 60% of the implementation of the COVID-19 vaccination informed consent was inadequate. It was found that incomplete information disclosure is often not even given information, and vaccinations are carried out without a signature of informed consent. These findings suggest that respect for the autonomy of COVID-19 vaccine recipients has not been made.
Conclusion: Inadequate respect for the autonomy of vaccine recipients risks causing a medical conflict in the future if there are unexpected effects. Thus, the government must make standard informed consent procedures for COVID-19 vaccination and collaborate with the local government.
Keywords: Covid-19 vaccination, informed consent, information disclosure, respect for autonomy
Atalan, A. (2020) ‘Is the lockdown important to prevent the COVID-19 pandemic? Effects on psychology, environment and economy-perspective', Annals of Medicine and Surgery, 56, pp. 38–42. Available at: https://doi.org/10.1016/j.amsu.2020.06.010.
Beauchamp, T.L. and Childress, J.F. (2019) Principles of biomedical ethics. Eighth edition. New York Oxford: Oxford University Press.
Dewi, E.D.A.M. (2021) ‘Penilaian Pemahaman Pasien dalam Kaitan dengan Penghormatan Otonomi Pasien dalam Persetujuan Tindakan Kedokteran', MEDIKA: Jurnal Kedokteran Indonesia, 7(1), pp. 19–23.
Dewi, E.D.A.M. (2022) ‘Urgensi Penghormatan Otonomi dan Hak Menerima Informasi Vaksinasi Covid-19 dalam Konteks Kewajiban Vaksinasi', Jurnal HAM, 13(3), p. 445. Available at: https://doi.org/10.30641/ham.2022.13.445-458.
Disemadi, H.S. and Pardede, T.S. (2021) ‘Problematika Pemberian Sanksi Terhadap Penolakan Vaksinasi Covid-19: Suatu Kajian Perspektif HAM', Jurnal Supremasi, pp. 107–119. Available at: https://doi.org/10.35457/supremasi.v11i2.1442.
Faden, R.R., Beauchamp, T.L. and King, N.M.P. (1986) A history and theory of informed consent. New York, NY: Oxford Univ. Press.
Gilardino, R.E. (2020) ‘Does "Flattening the Curve” Affect Critical Care Services Delivery for COVID-19? A Global Health Perspective', International Journal of Health Policy and Management, p. 1. Available at: https://doi.org/10.34172/ijhpm.2020.117.
Green, J. and Thorogood, N. (2018) Qualitative methods for health research. 4th edition. Los Angeles London New Delhi: SAGE (Introducing qualitative methods).
Hanif, W. et al. (2020) ‘Cultural competence in covid-19 vaccine rollout', BMJ, p. m4845. Available at: https://doi.org/10.1136/bmj.m4845.
Indikator (2022) Rilis Survei Online: Sikap Publik Terhadap Omicron, Vaksin Booster, Pembelajaran Tatap Muka dan Protokol Kesehatan. Jakarta: INDIKATOR. Available at: https://indikator.co.id/rilis-survei-online-20-februari-2022/.
Indonesia, P.R. (2021) ‘Presidential Regulation No.14 of 2021 concerning Amendments to Presidential Regulation Number 99 of 2020 concerning Procurement of Vaccines and Implementation of Vaccinations in the Context of Overcoming the 2019 Corona Virus Disease (COVID-19) Pandemic'. Jakarta.
Kadam, R.A. (2017) ‘Informed consent process: A step further towards making it meaningful!', Perspectives in Clinical Research, 8(3), pp. 107–112. Available at: https://doi.org/10.4103/picr.PICR_147_16.
Lazarus, J.V. et al. (2021) ‘A global survey of potential acceptance of a COVID-19 vaccine', Nature Medicine, 27(2), pp. 225–228. Available at: https://doi.org/10.1038/s41591-020-1124-9.
Lazarus, J.V. et al. (2023) ‘A survey of COVID-19 vaccine acceptance across 23 countries in 2022', Nature Medicine, 29(2), pp. 366–375. Available at: https://doi.org/10.1038/s41591-022-02185-4.
Marbella, H.N. et al. (2021) ‘Analisis Pengaruh Berita Bohong di Sosial Media Terhadap Keputusan Masyarakat Indonesia Melakukan Vaksinasi Covid-19', Jurnal Indonesia Sosial Teknologi, 2(11), pp. 1951–1966. Available at: https://doi.org/10.59141/jist.v2i11.267.
Martha, E. (2016) Metodologi Penelitian Kualitatif. Cet. 1. Jakarta: Rajawali Pers.
Osuji, P.I. (2018) ‘Relational autonomy in informed consent (RAIC) as an ethics of care approach to the concept of informed consent', Medicine, Health Care, and Philosophy, 21(1), pp. 101–111. Available at: https://doi.org/10.1007/s11019-017-9789-7.
Paul, E., Steptoe, A. and Fancourt, D. (2021) ‘Attitudes towards vaccines and intention to vaccinate against COVID-19: Implications for public health communications', The Lancet Regional Health. Europe, 1, p. 100012. Available at: https://doi.org/10.1016/j.lanepe.2020.100012.
Puteri, K.E. et al. (2021) ‘Kecemasan Masyarakat akan Vaksinasi Covid-19', Jurnal Keperawatan Jiwa, 9(3), pp. 539–548. Available at: https://doi.org/10.26714/jkj.9.3.2021.539-548.
Satgas COVID-19 (2020) COVID-19 Vaccine Acceptance Survey in Indonesia,. Jakarta: Satuan Tugas COVID-19, p. in. Available at: https://covid19.go.id/storage/app/media/Hasil Kajian/2020/November/vaccine-acceptance-survey-en-12-11-2020final.pdf.
Satgas COVID-19 (2022) Cakupan Vaksinasi Lengkap Nasional Capai 62% Total Populasi Indonesia, Satuan Tugas COVID-19. Jakarta: Satuan Tugas COVID-19, p. in. Available at: https://covid19.go.id/artikel/2022/06/07/cakupan-vaksinasi-lengkap-nasional-capai-62-total-populasi-indonesia.
Sinaga, N.A. (2021) ‘Penyelesaian Sengketa Medis di Indonesia', JURNAL ILMIAH HUKUM DIRGANTARA, 11(2). Available at: https://doi.org/10.35968/jihd.v11i2.765.
Siregar, S. and Ahmad, A.H.B. (2019) ‘Eksistensi Komunikasi Empati Dalam Pencegahan Penuntutan Hukum Pasien Kepada Dokter', Legalitas: Jurnal Hukum, 10(1), pp. 9–19. Available at: https://doi.org/10.33087/legalitas.v10i1.154.
Sun, S., Lin, D. and Operario, D. (2021) ‘Interest in COVID-19 vaccine trials participation among young adults in China: Willingness, reasons for hesitancy, and demographic and psychosocial determinants', Preventive Medicine Reports, 22, p. 101350. Available at: https://doi.org/10.1016/j.pmedr.2021.101350.
Susanto, D.P., Pratama, B.S. and Hariyanto, T. (2017) ‘Analisis Faktor -Faktor yang Mempengaruhi Pemahaman Pasien terhadap Informed Consent di Rumah Sakit', Jurnal Manajemen Kesehatan Indonesia, 5(2), pp. 73–81. Available at: https://doi.org/10.14710/jmki.5.2.2017.73-81.
Wake, A.D. (2021) ‘The Willingness to Receive COVID-19 Vaccine and Its Associated Factors: "Vaccination Refusal Could Prolong the War of This Pandemic” - A Systematic Review', Risk Management and Healthcare Policy, 14, pp. 2609–2623. Available at: https://doi.org/10.2147/RMHP.S311074.
Copyright (c) 2023 Ervin Dyah Ayu Masita Dewi, Hwian Christianto
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
1. As an author you (or your employer or institution) may do the following:
- make copies (print or electronic) of the article for your own personal use, including for your own classroom teaching use;
- make copies and distribute such copies (including through e-mail) of the article to research colleagues, for the personal use by such colleagues (but not commercially or systematically, e.g. via an e-mail list or list server);
- present the article at a meeting or conference and to distribute copies of the article to the delegates attending such meeting;
- for your employer, if the article is a ‘work for hire', made within the scope of your employment, your employer may use all or part of the information in the article for other intra-company use (e.g. training);
- retain patent and trademark rights and rights to any process, procedure, or article of manufacture described in the article;
- include the article in full or in part in a thesis or dissertation (provided that this is not to be published commercially);
- use the article or any part thereof in a printed compilation of your works, such as collected writings or lecture notes (subsequent to publication of the article in the journal); and prepare other derivative works, to extend the article into book-length form, or to otherwise re-use portions or excerpts in other works, with full acknowledgement of its original publication in the journal;
- may reproduce or authorize others to reproduce the article, material extracted from the article, or derivative works for the author's personal use or for company use, provided that the source and the copyright notice are indicated.
All copies, print or electronic, or other use of the paper or article must include the appropriate bibliographic citation for the article's publication in the journal.
2. Requests from third parties
Although authors are permitted to re-use all or portions of the article in other works, this does not include granting third-party requests for reprinting, republishing, or other types of re-use.
3. Author Online Use
- Personal Servers. Authors and/or their employers shall have the right to post the accepted version of articles pre-print version of the article, or revised personal version of the final text of the article (to reflect changes made in the peer review and editing process) on their own personal servers or the servers of their institutions or employers without permission from JAKI;
- Classroom or Internal Training Use. An author is expressly permitted to post any portion of the accepted version of his/her own articles on the author's personal web site or the servers of the author's institution or company in connection with the author's teaching, training, or work responsibilities, provided that the appropriate copyright, credit, and reuse notices appear prominently with the posted material. Examples of permitted uses are lecture materials, course packs, e-reserves, conference presentations, or in-house training courses;