Dilemmatics of the Program for Equating Specialist Doctors with the Readiness of Educational Hospitals through Reconstruction of Regulations on the Role of Private Hospitals

This study analyzes and describes the efforts of private hospitals in the program of organizing specialist doctor education from universities to hospital-based to run well. The type of research that the author uses is empirical normative legal research (Socio-Legal), where normative law refers to legal norms, laws and regulations, while empirical law here refers to the situation in the field of how the readiness of private hospitals will be involved in hospital-based specialist education. The result of this study is that the distribution of medical personnel, especially specialist doctors, is still a big challenge. Although the development of medical technology in Indonesia is quite rapid, the distribution of human resources capable of utilizing it has not been evenly distributed. Based on data from various sources, the number of specialist doctors is still far from the standard set by WHO, with a ratio of 0.65 doctors per 1,000 population in 2023, far below the WHO standard of 1:1,000. This imbalance is particularly evident in 3T (underdeveloped, frontier, and outermost) areas such as NTB and Toli-Toli, where the shortage of specialists is particularly pronounced. Programs such as Nusantara Sehat and new government initiatives for hospital-based specialist education are expected to help address this issue, but their implementation and success still need to be evaluated. The success of these programs is critical to achieving equity in health care and to improving the overall health status of Indonesians.