Patient bill of rights
The first axis: the optimal reception of health services is a right of the patient.
The provision of health services must:
• To be worthy of human dignity and respect for cultural and religious values and beliefs.
• To be based on honesty, fairness, decency and kindness.
• To be free from any discrimination including race, cultural, religious, disease and gender.
• Based on current knowledge.
• Be based on the patient’s interests outweighing.
• The distribution of health resources must be based on patient safety, equity and treatment priorities.
• To be based on coordinating elements of care including prevention, diagnosis, treatment and rehabilitation.
• With the provision of all basic and necessary care facilities and away from the imposition of suffering and unnecessary restrictions.
• Pay special attention to the rights of vulnerable groups in society, including children, pregnant women, the elderly, the mentally ill, prisoners, the mentally and physically handicapped, and the homeless.
• Be patient as quickly as possible while respecting time.
• Considering variables such as language, age and gender of service recipients.
• Necessary and urgent (emergency) care, whatever its cost. In non-urgent cases (optional) it is determined by criteria.
• In emergency and urgent care, if it is not possible to provide the appropriate services, it is necessary to provide the necessary transportation for the patient to the equipped unit after providing the necessary services and necessary clarifications.
• In the last stages of life when the patient’s condition is irreversible and death is imminent, services must be provided to keep him comfortable. The convenience of relieving the patient’s pain and suffering means taking care of the psychological, social, spiritual and emotional needs of him and his family at the time of mourning. The dying patient has the right to be with whoever he wants in the last moments of his life.
Axis 2: Information must be provided to the patient in a satisfactory and adequate manner.
The information content should include:
Provisions of the patient’s rights document at the time of admission
Hospital standards and expected costs, including medical and non-medical services, insurance standards and the introduction of support systems at the time of admission
The name, responsibility and professional rank of the members of the medical team responsible for providing care, including physicians and nurses, and their professional relationship with each other
Methods of diagnosis and treatment, strengths and weaknesses in each method and its potential complications, diagnosis, prognosis and complications, as well as all information that affects the patient’s decision-making process.
How to reach the attending physician and key members of the medical team during treatment
All procedures that have a research nature
Provide basic training to continue treatment
How the information is provided should be as follows:
Information should be provided in a timely manner and according to the patient’s condition, including anxiety and pain, and their personal characteristics, including language, education and comprehension, unless:
• Delay in starting treatment by providing the above information will result in harm to the patient (in this case, the information must be conveyed after the necessary procedure at the first appropriate time)
• The patient, although aware of the right to receive information, refuses to do so, in which case the patient’s wishes must be respected, unless the patient’s lack of information exposes him or others to serious danger.
• The patient can access all the information recorded in his clinical file, obtain a copy of it, and request correction of errors in it.
Axis 3: The patient’s right to choose and decide freely about receiving health services must be respected.
The scope of selection and decision making is as follows:
• Choose the attending physician and the center that provides health services within the framework of the standards
• Choosing and consulting a second doctor as a consultant
To participate or not to participate in any research, with an assurance that his decision will not affect the continuity and method of receiving health services.
Acceptance or refusal of a suggested treatment after realizing the potential side effects of accepting or refusing it, except in cases of suicide or cases where refusal of another person’s treatment would be at great risk.
• Announcing the patient’s previous opinion about future treatment procedures when the patient has the ability to make decisions and as evidence for medical procedures in the absence of the ability to make a decision in accordance with legal standards, health care providers and decision makers replace the patient.
• – Selection and decision conditions include the following:
• The patient’s choice and decision-making must be free and informed, based on receiving adequate and comprehensive information (referred to in paragraph 2).
• After providing the information, the patient should be given the necessary and sufficient time to make a decision and choice.
Pillar 4: The provision of health services must be based on respect for patient privacy (the right to privacy) and respect for the principle of confidentiality.
• The principle of confidentiality regarding all patient information is mandatory, unless otherwise provided by law.
• Patient privacy must be respected at all stages of care, both diagnostic and therapeutic. For this purpose, it is necessary to provide all necessary facilities to ensure patient privacy.
• Only the patient, group therapy and persons authorized on behalf of the patient and persons authorized by law may access the information.
• The patient has the right to be accompanied by a trusted person in the diagnostic process, including examinations. Accompanying one of the parents of the child in all stages of treatment is the right of the child, unless this conflicts with a medical necessity.
Fifth Axis: Access to an effective system for addressing grievances for the patient.
• Every patient has the right to file a complaint with the competent authorities in the event of a violation of his rights, which are the subject of this Charter, without prejudice to the quality of the health services he receives.