Sains Malaysiana 48(2)(2019): 353–359

http://dx.doi.org/10.17576/jsm-2019-4802-12

 

Hak Pesakit bagi Melaksanakan Arahan Awal Perubatan: Suatu Gambaran Umum

(Patient's Right to Implement an Advance Medical Directive: An Overview)

 

MOHD ZAMRE MOHD ZAHIR1*, TENGKU NOOR AZIRA TENGKU ZAINUDIN1, HANIWARDA YAAKOB1, RAMALINGGAM RAJAMANICKAM1, HUSYAIRI HARUNARASHID2, AHMAD AZAM MOHD SHARIFF1, ZAINUNNISAA ABD RAHMAN1 & MUHAMMAD HATTA3

 

1Fakulti Undang-undang, Universiti Kebangsaan Malaysia, 43600 Bangi, Selangor Darul Ehsan, Malaysia

 

2Tuanku Muhriz Medical Centre, Universiti Kebangsaan Malaysia Medical Center, Jalan Yaacob Latif, Bandar Tun Razak, 56000 Cheras, Kuala Lumpur, Federal Territory, Malaysia

 

3Fakulti Undang-Undang, Universitas Malikussaleh, Acheh, Indonesia

 

Received: 1 June 2017/Accepted: 21 February 2018

 

ABSTRAK

Setiap pesakit berhak menentukan apa yang beliau mahu atau tidak mahu dilakukan ke atas tubuh badan mereka. Perbincangan tentang hak pesakit bagi meneruskan atau meninggalkan rawatan perubatan akan memberi kesan kepada hak mereka untuk kekal hidup atau tidak. Huraian tentang hak pesakit telah dinyatakan dalam Piagam Pesakit, Persatuan Perubatan Malaysia (MMA). Dalam keadaan ini, keizinan pesakit menjadi faktor penting sama ada doktor dibenarkan meneruskan rawatan perubatan terhadap pesakit atau tidak. Arahan Awal Perubatan (AMD) adalah satu dokumen khusus bagi menyatakan kehendak pesakit berkeupayaan sama ada ingin meneruskan atau meninggalkan rawatan perubatan tentang pelan perubatan masa hadapannya sekiranya beliau menjadi tidak berkeupayaan. Rujukan di England dibuat dan keputusannya mendapati bahawa terdapat suatu peruntukan perundangan khusus berhubung dengan AMD. Berbanding dengan Malaysia, AMD masih dianggap bukan perkara lazim dan kedudukannya dalam aspek perundangan masih tidak jelas. Maka, objektif artikel ini adalah membincangkan hak-hak pesakit dewasa dengan mengambil kira AMD di Malaysia dan asas undang-undang yang berkaitan dengannya. Kaedah yang digunakan di dalam artikel ini adalah kualitatif. Keputusan daripada penulisan kertas ini dapat memberi gambaran yang lebih jelas tentang hak pesakit dewasa berhubung dengan perlaksanaan AMD di Malaysia.

 

Kata kunci: Arahan Awal Perubatan (AMD); autonomi; hak pesakit; keizinan; rawatan perubatan

 

ABSTRACT

Every patient has the right to indicate what he wants or does not want performed on his body. The discussion about the patient's right to continue or refuse his medical treatment will affect his right to remain alive or not. A description of the patient’s right set out in the Charter of Patients of Malaysian Medical Association (MMA). In this case, the consent of the patient is a crucial factor whether the doctors are allowed to continue medical treatment or not. Advance Medical Directive (AMD) is a special document to express the will of a competent patient whether to continue or refuse medical treatment of his future medical plan once he became incompetent. Reference is made in England and as a result has found that there is a specific provision in relation to AMD. By comparing to Malaysia, AMD is not considered a matter of common and its position in the legal aspect is still unclear. Thus, the objective of this article was to discuss the rights of adult patients with regard to AMD in Malaysia and the legal basis related to it. The methods used in this paper is qualitative. The results of this paper is hope to give a clearer picture on the right of adult patients related to the implementation of AMD in Malaysia.

 

Keywords: Advance Medical Directive (AMD); autonomy; consent; medical treatment; patient’s right

REFERENCES

 

Ai Theng Cheong, Ping Yein Lee, Chirk Jenn Ng, Yew Kong Lee, Teng Aik Ong, Khatijah Lim Abdullah & Azad Hassan Abdul Razack. 2016. Doctors approaches to decision support in counseling patients with localized prostate cancer: An Asian perspective. Sains Malaysiana 45(6): 941-947.

Berliner, H. & Swagerty, D.L. 2012. Advance Directive. http://www.kpjdamansara.com/Advance-Directives-article-843. html. Diakses pada 4 November 2015.

Curtin, R.B., Lowrie, E.G. & DeOreo, B.B. 1999. Self-reported functional status: An important predictor of health outcomes among end-stage renal disease patients. Adv. Ren. Replace. Ther. 6(2): 133-140.

Collins v Wilcock [1984] 3 All ER 374.

HMSO. 1965. White Paper on Proposals for English and Scottish Law Commission, CMND. 2573.

House of Lord Select Committee on Medical Ethics. 1993-1994. Report of the Select Committee on Medical Ethics. United Kingdom. HL Paper 21-I: 263-267.

Htut, Y., Shahrul, K. & Poi, P. 2007. The views of older Malaysians on advanced directive and advanced care planning: A qualitative study. Asia-Pacific Journal of Public Health 19(3): 58-66.

Herring, J. 2008. Medical Law and Ethics. Edisi Kedua. Oxford: Oxford University Press.

Kamus Dewan Edisi Keempat. 2015. Kuala Lumpur: Dewan Bahasa dan Pustaka.

Kennedy, I. & Grubb, A. 1998. Principles of Medical Law. Oxford: Oxford University Press.

Khan, M., Robson, M. & Swift, K. 2002. Clinical Negligence. London & Sydney: Cavendish Publishing Limited.

Mageswari. M. 8 Disember 2014a. Death with Dignity. The Star (Nation). hlm. 1.

Mageswari. M. 8 Disember 2014b. Living Will for the Terminally Ill. The Star (Nation). hlm. 4.

Mapes, D.L., Lopes, A.A., Satayathum, S., Mccullough, K.P., Goodkin, D.A., Locatelli, F., Fukuhara, S., Young, E.W., Kurokawa, K., Saito, A., Bommer, J., Wolfe, R.A., Held, P.J. & Port, F.K. 2003. Health-related quality of life as a predictor of mortality and hospitalization: The dialysis outcomes and practice patterns study (DOPPS). Kidney Int. 64(1): 339-349.

Mohd Zamre Mohd Zahir, Tengku Noor Azira Tengku Zainudin, Haniwarda Yaakob, Ramalinggam Rajamanickam, Ahmad Azam Mohd Shariff, Zainunnisaa Abd Rahman, Husyairi Harunarashid & Muhammad Hatta. 2017. Perspektif syariah tentang hak pesakit berhubung arahan awal perubatan: Suatu tinjauan umum. Current Law Journal. CLJ Law. Legal Network Series. 1 LNS(A) lvii.

Persatuan Perubatan Malaysia (MMA). The Patient's Responsibilities. http://www.mma.org.my/patient-s-responsibilities. Diakses pada 12 Februari 2016.

Persatuan Perubatan Malaysia (MMA). The Patient's Right. http://www.mma.org.my/patient-s-right. Diakses pada 12 Februari 2016.

Pretty v United Kingdom [2004] 79 BMLR 126.

Nietzsche, F. 1968. Twillight of the Idols and the Anti-Christ. London: Penguin.

Norchaya Talib. 2002. Euthanasia- A Malaysian Perspective. Kuala Lumpur: Sweet & Maxwell Asia.

Norhayati Ibrahim, Norella Kong Chiew Thong, Asmawati Desa & Rozmi Ismail. 2015. Illness perception as a predictor of health-related quality of life in patients with end stage renal disease: Comparison between haemodialysis and continuous ambulatory peritoneal dialysis patients. Sains Malaysiana 44(4): 599-605.

Noor Naemah Abdul Rahman, Ridzwan Ahmad & Luqman Abdullah. 2015. AMD dan beberapa persoalan hukum. Kertas kerja dibentangkan pada Muzakarah Pakar: Bioetika Islami mengenai Isu Advance Medical Directive (AMD). Kuala Lumpur: Dewan Besar IKIM.

Perkara 17 dan 18, Consent for Treatment of Patients by Registered Medical Practitioners. Malaysian Medical Council Guideline. hlm. 1-14.

Puteri Nemie Jahn Kassim & Fadhlina Alias. 2015. The legality of advance directives in Malaysia from the medical law perspective. Kertas kerja dibentangkan pada Muzakarah Pakar: Bioetika Islami mengenai Isu Advance Medical Directive (AMD). Kuala Lumpur: Dewan Besar IKIM.

Re B [2002] EWHC 429.

Re C (Adult, refusal of treatment) [1994] 1 All ER 819.

Re T (Adult) [1992] 4 All ER 649.

Rumsfeld, J.S., MaWhinney, S., McCarthy, M., Shroyer, A.L.W., VillaNueva, C.B., O’Brien, M., Moritz, T.E., Henderson, W.G., Grover, F.L., Sethi, G.K. & Hammermeister, K.E. 1999. Health-related quality of life as a predictor of mortality following coronary artery bypass graft surgery. JAMA 281(14): 1298-1303.

Seksyen 24, 25 dan 16 Mental Capacity Act 2005 (England).

Seksyen 3 dan 5 Akta Undang-Undang Sivil 1956 (Akta 67) (Civil Law Act 1956) (Act 67).

Shaikh Mohd Saifuddeen Shaikh Mohd Salleh & Mohammad Mustaqim Malik. 2017. Arahan Perubatan Awal: Perspektif Bioetika Islami. Kuala Lumpur: Institut Kefahaman Islam Malaysia (IKIM).

Shaikh Mohd Saiffuddeen Shaikh Mohd Salleh. 2015. Persoalan berkaitan Advance Medical Directive (AMD) dalam kerangka bioetika islami. Kertas kerja dibentangkan pada Muzakarah Pakar: Bioetika Islami mengenai Isu Advance Medical Directive (AMD). Kuala Lumpur: Dewan Besar IKIM.

Sommerville, A. 1996. Are advance directives really the answer? and what was the question? Dlm. Death, Dying and the Law, disunting oleh McLean, S. Dartmouth: Aldershot. hlm 20. dan Dlm. Medical Law and Ethics, disunting oleh Mclean, S. Ashgate Dartmouth, Aldershot. 2002.

Syafiq Sulaiman, Salawati Mat Basir & Mohd Zamre Mohd Zahir. 2018. Rescuing asylum-seeker stranded at sea: Malaysia’s duty under International Law. International Journal of Engineering & Technology 7(3.30): 182-187.

Tengku Noor Azira Tengku Zainudin, Anita Abdul Rahim & Ramalinggam Rajamanickam. 2015. Consent to medical treatment and the autonomous power of adult patients: The Malaysian Legal Position. Mediterranean Journal of Social Sciences 6(4S3): 418-423.

 

*Corresponding author; email: zamrezahir7@gmail.com

 

 

 

 

 

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