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Every hospital is required to have an obligation to prepare and implement its internal hospital regulations or hospital by laws. The implementation of hospital by laws is regulated in detail in the Decree of the Minister of Health long before the enactment of Law Number 44 of 2009 concerning Hospitals. This study analyzes in more depth the construction of regulations on hospital by laws in Indonesia and the implementation of hospital by laws as internal regulations in Hospitals.

Health as one of the most important factors for the realization of welfare is the ideal of Indonesian state law. The role of the rule of law was to realize this philosophical goal when the 1945 Constitution of the Republic of Indonesia (UUD 1945) was amended in 1945 and Health Law No. 36 was promulgated in 2009. The history of the development of hospitals in Indonesia was first established in 1626. Hospital Bylaws are regulated by Law Number 44 of 2009, specifically Article 29 paragraph (1) letter r which requires Hospital Bylaws, technically guided by Kepmenkes Number 772/Menkes/SK/VII/2002 concerning Guidelines for Hospital Internal Regulations (Hospital Bylaws) and Permenkes Number 755/Menkes /Per/IV/2011 concerning Organizing Medical Committees in Hospitals. Hospital Bylaws include Corporate Bylaws and Medical Staff Bylaws which are the Legal Implications of "Hospital By Laws" Hospital Internal Regulations.    

These regulations are set forth in the rules of the game established in the Hospital specifically for the benefit of the Hospital concerned. Every hospital, in accordance with the law, has many obligations, one of which is to compile and implement hospital internal regulations or also called hospital by laws (RS Law No.44/2009 Ps.29 paragraph (1) letter r). What is meant by Hospital internal regulations (Hospital bylaws) are Hospital organizational regulations (corporate bylaws) and Hospital medical staff regulations (medical staff bylaws) which are prepared in the context of implementing good corporate governance and clinical governance good (good clinical governance).