Charter of Patients' Rights
This
charter is based on high human values and based on Islamic and Iranian
culture and on the basis of equal inherent dignity of all recipients of health
services and with the aim of maintaining, promoting and strengthening the human
relationship between providers and recipients of health services.
The
first axis: the optimal receipt of health services is the patient's right.
The
provision of health services should be such that:
• Be worthy of human dignity and respect for
values, cultural and religious beliefs.
Be based on honesty, fairness, politeness and kindness.
• Be free from any discrimination including
ethnic, cultural, religious, disease and gender.
Be based on current knowledge.
• Be based on the superiority of the
patient's interests.
• Distribution of health resources based on
justice and patients' treatment priorities.
• Be based on the coordination of care elements
including prevention, diagnosis, treatment and rehabilitation.
• With the provision of all basic and essential
welfare facilities and away from the imposition of pain 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 disabled, and the
homeless.
• Be patient as soon as possible and with
respect to time.
• Considering variables such as language, age
and gender of service recipients.
The
second axis: information should be provided to the patient in a desirable and
sufficient manner.
The
content of the information should include the following:
• The provisions of the Charter of Patients'
Rights at the time of admission
• Predictable criteria and costs of the
hospital, including medical and non-medical services, insurance criteria and
introduction of support systems at the time of admission
• The name, responsibility and professional
rank of the members of the medical department responsible for providing care,
including physicians, nurses and students, and their professional relationship
with each other
• Diagnostic and therapeutic methods and the
strengths and weaknesses of each method and its possible complications,
diagnosis, prognosis and its complications, as well as all the information
influencing the patient's decision-making process.
• How to access the treating physician and key
members of the medical team during treatment
• All actions that have a research nature
• Provide essential training to continue
treatment
How
to provide information should be as follows:
• Information should be provided at the appropriate
time and in accordance with the patient's condition, including anxiety, pain
and personal characteristics, including language, education and comprehension,
unless:
• Delay in starting treatment by providing the
above information can cause harm to the patient. (In this case, the transfer of
information after the necessary action must be done at the first appropriate
time.)
• The patient, despite being 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 puts him or her or
others at serious risk.
• The patient can access all the images of the
information recorded in his clinical file and receive it and request the correction
of the errors contained in it.
Axis
3: The patient's right to freely choose and decide on receiving health services
must be respected.
The
scope of selection and decision-making is as follows:
• Selection of the treating
physician and the center providing health services within the framework of the
criteria
• Selection and consultation of the second
physician as a consultant
Participating
or not participating in biological research, ensuring that his decision does not
affect the continuity and manner of receiving health services.
Accept
or reject the proposed treatment after being aware of the possible side effects
of accepting or rejecting it, except in cases of suicide or in cases where refusing to treat another person is in serious danger.
• Announcing the patient's previous opinion about
future treatment measures when the patient has the capacity to make decisions
and as a guide to medical measures in the absence of decision-making capacity
in accordance with legal standards, health care providers and decision-makers
replace the patient To take.
Selection
and decision conditions include the following:
•The patient's choice and decision
should be free and informed, based on receiving sufficient and comprehensive
information (mentioned in paragraph 2).
• After providing information, the patient should
be given enough time to make decisions and choices.
Axis
4: The provision of health services should be based on respect for patient
privacy and the principle of confidentiality.
• It is mandatory to observe the principle of
confidentiality regarding all information about the patient, except in cases
where the law has excluded it.
• Patient privacy must be respected at all
stages of care, including diagnosis and treatment. For this purpose, it is
necessary to provide all the necessary facilities to ensure the privacy of the
patient.
• Only the patient and group therapy and authorized
persons on behalf of the patient and persons who are considered authorized by
law can 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 child's parents in all stages of treatment is the child's right,
unless it is against medical necessity.
Axis
5: Access to an efficient grievance redressal system.
• Every patient has the right to complain to
the competent authorities in the event of a violation of their rights, which is
the subject of this charter, without compromising the quality of health
services.
• Patients have the right to be informed about
the procedure and the outcome of their complaint.
• Damage caused by the error of health care providers
should be compensated as soon as possible after review and proof in accordance
with the regulations.
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