Toward Social Justice in Digital Transformation: Legal and Ethical Governance of Electronic Medical Records for Global Welfare
DOI:
https://doi.org/10.38035/jgsp.v3i4.548Keywords:
Social Justice, Digital Transformation, Electronic Medical Records, Data Protection, Ethical Governance, IndonesiaAbstract
The accelerating digital transformation of healthcare across countries—driven by the adoption of Electronic Medical Records (EMR)—has reshaped the relationship between technology, ethics, and law. While EMR systems promise efficiency and interoperability, they also raise pressing issues of privacy, accountability, and equitable access. In developing contexts such as Indonesia, the challenge lies not only in technological implementation but also in ensuring that digital governance upholds the principles of social justice and human dignity. This study investigates how legal and ethical frameworks governing EMR in Indonesia align with global standards of justice and digital welfare. It aims to identify the normative gaps between regulation, ethics, and practice in digital health governance, proposing a regional framework for “digital justice.” Employing a qualitative legal-ethical approach, the study conducts comparative document analysis and case study evaluation of EMR regulations, including Indonesia’s Law No. 27/2022 on Personal Data Protection (Republic of Indonesia, 2022). These are benchmarked against international references such as the General Data Protection Regulation (GDPR), the WHO Digital Health Ethics Framework, and the OECD Principles on Data Governance. The comparative analysis reveals four thematic insights: (1) legal compliance and ethical governance; (2) digital inclusion and justice are hindered by structural disparities; (3) accountability mechanisms are underdeveloped; and (4) social justice principles are not yet institutionalized in digital health policy. The paper argues that sustainable digital transformation must integrate ethical equity, legal accountability, and participatory governance as interdependent pillars of “social justice in digital transformation.” The proposed model contributes to policy harmonization in Indonesia and reinforces the legitimacy of digital health governance within global welfare discourse.
References
Amalia, N., Azhri, M. Z., Rosarini, A., Wijayanti, D. R., & Riestiyowati, M. A. (2021). The Implementation of Electronic Medical Record (EMR) in The Development Health Care System in Indonesia: A Literature Review. International Journal of Advancement in Life Sciences Research, 4(3). https://doi.org/10.31632/ijalsr.2021.v04i03.002
Booth, A., Purnagunawan, R. M., & ... (2019). Towards a healthy Indonesia? Bulletin of Indonesian …. https://doi.org/10.1080/00074918.2019.1639509
?erný, M. (2020). Luciano Floridi: The logic of information: A theory of philosophy as conceptual design. Filozofia, 75(3). https://doi.org/10.31577/FILOZOFIA.2020.75.3.8
Creswell, J. W. (2014). Research Design Qualitative, Quantitative and Mixed Methods Approaches. In Sage Publication, Inc.
Hanifa, A., & Cahaya, F. R. (2016). Ethical communication on society issues: a story from Indonesia. Journal of Global Responsibility, 7(1), 39–55. https://doi.org/10.1108/JGR-09-2015-0020
Kementerian Kesehatan Republik Indonesia. (2022). SATUSEHAT Platform: Ekosistem pertukaran data kesehatan nasional [Situs web]. https://satusehat.kemkes.go.id/platform/docs/id/playbook/introduction/
Larasati, T., Fardiansyah, A. I., Saketi, D., & Dewiarti, A. N. (2024). The Ethical and Legal Aspects of Health Policy on Electronic Medical Records in Indonesia. Cepalo. https://jurnal.fh.unila.ac.id/index.php/cepalo/article/view/3634
Miles, M. B., & Huberman, A. M. (2016). Miles, M. B., & Huberman, A. M. (1994). Qualitative data analysis: An expanded sourcebook. In Nursing standard (Royal College of Nursing (Great Britain): 1987) (Vol. 30, Issue 25).
Nababan H. Digital health divide in Indonesia: evidence from national-level data. Eur J Public Health. 2024 Oct 28;34 (Suppl 3): ckae144.426. doi: 10.1093/eurpub/ckae144.426. PMCID: PMC11517066.
Morreim, E. H. (2025). Errors in the EMR: Under-Recognized Hazard for AI in Healthcare. Hous. J. Health L. &Pol’y. https://heinonline.org/hol-cgi-bin/get_pdf.cgi?handle=hein.journals/hhpol24§ion=5
Ministry of Health of the Republic of Indonesia. (2022). Minister of Health Regulation No. 24 of 2022 on Electronic Medical Records. State Gazette of the Republic of Indonesia Year 2022 No. 857. Retrieved from https://peraturan.bpk.go.id/Details/244059/permenkes-no-24-tahun-2022
Rawls, J. (1971). A Theory of Justice (Original Edition). In Development Policy Review
Rohmah, A. ‘A., Rachmawati, R., & Mei, E. T. W. (2023). Smart City Achievement through Implementation of Digital Health Services in Handling COVID-19 Indonesia. Smart Cities, 6(1), 639-651. https://doi.org/10.3390/smartcities6010030
Republic of Indonesia. (2022). Law No. 27 of 2022 on Personal Data Protection. State Gazette of the Republic of Indonesia No. 242 of 2022. Retrieved from https://peraturan.go.id/id/uu-no-27-tahun-2022
Said, M. Y., & Nurhayati, Y. (2021). A REVIEW ON RAWLS THEORY OF JUSTICE. International Journal of Law, Environment, and Natural Resources, 1(1). https://doi.org/10.51749/injurlens.v1i1.7
Schiopoiu Burlea, A., & Popa, I. (2013). Legitimacy Theory. In S. O. Idowu, N. Capaldi, L. Zu, & A. Das Gupta (Eds.), Encyclopedia of Corporate Social Responsibility (pp. 1579–1584). Springer Berlin Heidelberg. https://doi.org/10.1007/978-3-642-28036-8_471
Sebastian, R. (2024). The Role of Artificial Intelligence in Telemedicine: Legal Considerations under Indonesian Health Laws. Devotion: Journal of Research and …. https://devotion.greenvest.co.id/index.php/dev/article/view/20694
Srilaksmi, N. K. T., Irnadianis, B., Estiningtyas, D., Delareiza, M., Sulistiowati, S., & Nilam, A. (2023). State Defense: Challenges Towards Digitalization. Journal of Digital Law and Policy, 2(2). https://doi.org/10.58982/jdlp.v2i2.313
Wong, B. K. M., Vengusamy, S., & Bastrygina, T. (2024). Healthcare digital transformation through the adoption of artificial intelligence. Artificial Intelligence, Big Data …. https://www.sciencedirect.com/science/article/pii/B9780443215988000142
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Ade Netra Kartika, Ahmad Redi

This work is licensed under a Creative Commons Attribution 4.0 International License.
Hak cipta :
Penulis yang mempublikasikan manuskripnya di jurnal ini menyetujui ketentuan berikut:
- Hak cipta pada setiap artikel adalah milik penulis.
- Penulis mengakui bahwa Jurnal Greenation Sosial dan Politik (JGSP) berhak menjadi yang pertama menerbitkan dengan lisensi Creative Commons Attribution 4.0 International (Attribution 4.0 International CC BY 4.0) .
- Penulis dapat mengirimkan artikel secara terpisah, mengatur distribusi non-eksklusif manuskrip yang telah diterbitkan dalam jurnal ini ke versi lain (misalnya, dikirim ke repositori institusi penulis, publikasi ke dalam buku, dll.), dengan mengakui bahwa manuskrip telah diterbitkan pertama kali di JGSP.






















