A-1 The patient is entitled for receiving the best health services

 : Health services shall be

• Deserving human dignity , respect to values , cultural and religious believes –
• Based on honesty , fairness , curtsey and kindness –
• Out of any discrimination such as cultural , ethnical , religious , kind of diseases and gender –
• Based on modern knowledge –
• Due to the priority of patient benefits –
• Due to distribution of health resources based on justice and care priorities –
• Based on coordination of care elements such as preventing , diagnose , treatment and recreation –
• Along with supplying all basic welfare facilities out of imposing pain and suffering and also non necessary limits –
• – Special care of sensitive groups in society including children , pregnant women , the old persons , people with mental diseases ,     prisoners, people with physical and mental disabilities and people without caretakers
• Done as soon as possible and regard to the respect to the patient time –
• Done due to variables such as language , age and gender of service takers –
• Done regardless the cost of intensive care . It must be defined based on the regulations in elective cases –
• – In intensive care, whether the sufficient health services are not possible , it is necessary to transfer the patient to the equipped unit   after providing the necessary services and descriptions
• – In final stages of living , when the patient condition is irreversible and imminent death is probable , the patient convenience shall be     provided . This means decreasing pain and suffering , considering the psychological , social , spiritual and emotional needs of patient   and his/her family. The patient with imminent death is right of accompany with the loved one in his/her last moments of life.

 

A-2 Information shall be provided to the patient as appropriately and as required .

The content of information shall be included as below :

1- content of Patient rights charter in admission

2- foreseeable costs and regulations of hospital such as health and non-health services , insurance regulations and introducing the support systems in admission

3- Name , responsibility and professional rank of medical group who are responsible to provide the care such as physician, nurse , student and also their professional interaction

4- diagnostic and treatment methods , the weakness and advantages of any method, the possible side effects , diagnosis , prognosis, its effects and also all information influencing on the patient decision procedure

5- How to access the practitioner and main members of medical group during the treatment

6- All measures with medical nature

7- Providing the necessary training to continue the treatment

B- Information must be provided as below:

1- Information must be provided in correct time and in proportion with the patient condition such as pain , stress and personal characterization including language , education level and his / her perception, except :

Delay in treatment may harm to the patient because of above information (In this regard , data transfer shall be done after necessary actions in best first time

Patient prevents the information in spite of knowing his right of receiving the information. In this case, the patient demand shall be meet except his/ her non- knowledge may face him, or others in risk .

2- Patient can access all information recorded in his/her clinical file and copy them and also revise the errors in it

C-1 Free decision of patient in health services delivery  shall be respected .

1- Decision and selection limit shall include the below cases:

2- choice of practitioner and health provider center in regard to the regulation

3- Choice and opinion of second practitioner as the counsellor

4- participate or non-participate in any research in assurance to his decision is not influenced the health services delivery and its continuation

5- accept or reject the suggested treatments after knowing the possible effects , except in suicide cases or cases that the prevention of personal treatment make serious risk for others

6- Previous opinion of patient about future treatments , when the patient can make decision , must be recorded and used as the guidance of medical measures when the patient has no ability to decision , in regard to the regulations which are considered by the health services providers and substitute decision maker

C-2 Choice and decision condition shall include below cases:

1- Patient is right of making decision freely and consciously , based on receiving the sufficient information ( mentioned in paragraph 2)

2- After providing the information , the patient shall be given the necessary time to decide and select well.

D- Health services must be provided to the patient based on the respect to the patient privacy and observing the confidentiality principal .

1- Confidentiality is included all information related to the patient , except the law excluded them.

2- In all stages of treatment such as diagnostic and care stages , the patient privacy shall be observed and it is necessary to provide the required facilities to assure it .

3- The information can be available just for patient , health group and the authorized persons and legal authorities.

4- Patient is entitled to be accompany with the trusted one in diagnostic stages such as examinations .The child is entitles to be accompany with one of parents except this is against of medical requirements.

E- Patient is entitled to access an efficient system of complaints handling

1- without any failure in quality of services delivery .

2- Patients are entitled to know how their complaint  are handled and what is the result of it.

3- Damages of providers failures shall be compensated after investigation and proving due to the regulation as soon as possible .

To perform the content of this charter, if the patient can’t make decision because of any reason , all of his legal rights – mentioned in this charter- shall be borne by his legal substitute decision maker . If the substitute decision maker prevent the care of patient contrary to the physician opinion , the physician can request the revision of decision by the authorities.

Whether the patient has no sufficient ability to make decision , but can decide rationally about a part of care procedure, his / her decision must be considered .