Patient’s Rights and Responsibilities
Patient Rights Charter in IRAN
According to the National Constitution, respecting human dignity is one of the basic principles, and the government is obliged to provide healthcare services for all citizens. All citizens are committed to maintain and respect human dignity. This fact is more important when individuals are suffering from illness.
Therefore, providing healthcare must be based on justice and observing human dignity and patient’s rights.
The charter has been adjusted regarding dignity, Islamic-Iranian values, and it is also based upon the principle of equal intrinsic dignity for all recipients of health services. The charter aims to maintain, enhance, and consolidate humane relationships between the recipients and providers of health services.
Chapter 1: Every individual has the right to receive appropriate health care services.
– Providing healthcare must be based on:
1-1) Respecting human dignity, cultural values, and religious beliefs;
1-2) Loyalty, equity, politeness and in association with kindness;
1-3) Freedom from any discrimination based on ethnicity, culture, religion, disease or gender;
1-4) Up-to-date knowledge;
1-5) Priority of patients’ interest;
1-6) Justice and therapeutic priorities of patients in terms of health resource allocation;
1-7) Coordination of all aspects of care including prevention, diagnosis, treatment and rehabilitation;
1-8) Avoidance of causing unnecessary pain, suffering and limitation. This must be along with providing all basic and necessary welfare needs;
1-9) Focus on vulnerable groups of the society including children, pregnant women, elderly, mental patients, prisoners, mental and physical handicaps, and abandoned children;
1-10) Timely responses to patients’ needs;
1-11) Considering certain variables such as language, age, and gender of health care recipients;
1-12) Ignoring medical costs in case of emergency; in none emergency cases, it must be based on predefined standards;
1-13) Trying to transfer the patient to a more specialized center if necessary services are not available;
1-14) Providing comfort for terminally ill if death is imminent. Comfort refers to decreasing patients’ suffering and pain, to observe their (patients and their families) mental, social, spiritual and moral requirements at the time of death. Dying patients are entitled to be accompanied by a person of their choice.
Chapter 2: Every individual has the right to receive a sufficient amount of desired information.
2-1) The information must contain the following:
2-1-1) Patient’s rights charter upon reception;
2-1-2) Standards and predictable costs of hospitalization including medical and non-medical services, insurance standards, and introduction to supportive systems upon reception;
2-1-3) Name, professional position, and the responsibilities of the members of the medical team in charge of the patient including, physician, nurse, student and their professional relations to each other;
2-1-4) Diagnostic and therapeutic techniques as well as advantages and disadvantages of each technique, its probable risks, side effects, diagnosis, prognosis methods and any information which might affect patients’ decision;
2-1-5) How to reach the physician in charge and main members of the medical team during treatment;
2-1-6) All interventions which are conducted with the purpose of research;
2-1-7) Necessary information for treatment follow up.
2-2) Information must be offered in following manner:
2-2 -1) Information must be provided at a proper time with consideration of patient’s condition; i.e., anxiety, pain, language, education, and comprehension, unless:
– Postponing treatment in order to offer abovementioned information might harm the patient; in this case, information must be released at the proper time after taking necessary steps.
– Patient refuses to receive information despite knowing that they have the right to be informed. This refusal must be accepted if it does not cause serious harm to the patients or others.
2-1-2) Patients are entitled to access all their recorded medical information, receive their copies, and request corrections if necessary.
Chapter 3: Every individual has the right to a free choice and decision about receiving healthcare services:
3-1) The scope of individual choice is:
3-1-1) To choose their physician and healthcare center according to current regulations;
3-1-2) To choose to receive advice from a consultant;
3-1-3) Voluntary participation in research ensuring their decision will never affect their ongoing care;
3-1-4) To accept or to reject proposed treatments after being informed about the medical consequences of their decisions, except in cases of suicide or harm to others;
3-1-5) Patients’ advance directives for times when they are incompetent.
3-2) Provisions for individual choice and decision making are:
3-2-1) Patients must make decisions freely and based on sufficient information as mentioned in chapter 2;
3-2-2) Patients must have been given enough time for decision making.
Chapter 4: Every individual has the right to privacy and confidentiality.
4-1) Observing patients’ confidentiality is compulsory unless stated in regulations;
4-2) Patients’ privacy must be respected at all times, and preparing all requirements to secure such right is necessary;
4-3) Only patients, people authorized by the patient, the law, and the medical team can have access to the information;
4-4) Patients are entitled to enjoy companionship of a person they wish, during diagnostic procedures such as physical examination. Parents can accompany their child during all treatment stages unless there is a medical restriction.
Chapter 5: Every individual has the right to access an efficient complaint system
5-1) Every individual has the right to report violations to their rights (subject of the charter) to authority without jeopardizing the quality of the healthcare they receive.
5-2) Every individual has the right to be informed about the result of their complaint.
5-3) Any harm caused by healthcare providers must be dealt with according to the existing regulations as soon as possible.
If the patient is not able to make decisions for any reason, all patients’ rights mentioned in this charter apply to the surrogate decision maker. However, if the surrogate decision maker is opposed to treatment, against the physician’s advice, the physician can demand intervention from related authorities.
If the patient lacks sufficient capacity to make decisions, but can participate in some parts of decision making reasonably, their decision must be respected.
- Receive appropriate medical care without discrimination
- Contact and speak with the doctors ordering your care
- Communicate and receive a timely response to your complaints by contacting Patient Relations
- Be treated as an individual, with unique needs and desires within the hospital premises
- Receive care free of unnecessary restraints
- Be assured of the confidentiality of your medical information
- Have your personal privacy respected
- Make informed choices about your care and treatment including the decision to refuse treatment
- Know who is in-charge of your care
- Know the identity of your physicians and your caregivers
- Be given complete and current information about your injury or illness, course of treatment and outcomes of care, including unanticipated outcomes, in a manner that you can understand
- Participate in decisions about your diagnosis, treatment and discharge
- Know the potential risks and benefits of procedures and treatments
- Receive an estimate and an explanation of charges, given to you in a manner that you can understand
- Be given the option of having a family member, family doctor or friend notified of your admission
- Involve family members and friends in your care when it is safe and possible
- Be cared for in an environment that is healing, clean and safe
- Receive a timely response to your pain with the intention of maximizing your comfort
- Express concerns, be listened to and receive an appropriate response
- Have your spiritual needs respected
- Have access to people outside the hospital, whether through visitors, written or verbal contact, including private phone conversations as appropriate to clinical setting
- Receive continuity and consistency of care within mehrad Hospital
- Provide complete and accurate information about your current and past state of health, including past illnesses, hospitalizations and the medications you are taking
- Inform us if you perceive a problem with your care
- Talk to us about your pain and options for minimizing it
- Ask questions when you do not understand what are we saying or asking you to do
- Follow the treatment plan that you developed with your doctors
- Accept responsibility for your health outcome, if you choose not to follow your treatment plan
- Follow the rules and regulations of our hospital, which have been put in place for your safety and the safety of others
- Assist our hospital in providing a safe environment by sharing your observations if you perceive unsafe conditions or practices
- Show respect and consideration for your caregivers and other patients and families by controlling noise and disturbances, refraining from smoking and respecting others’s property
- Kindly do not Tip the Housekeeping / Nursing / Valet and other staffs at the hospital. We are here to serve you and make sure that your stay at mehrad Hospital is satisfied.
- Respect that Hospital is an Equal Opportunity Employer and reserves the right to assign a competent caregiver with skills that match your clinical needs.
During scheduling we will ask for the following information:
- Your language assistance needs.
- Your medical history. If you have obtained your medical records in English, we will give you mailing information so you can send them to us.
- Your health insurance information. A copy of your insurance card must be provided. If you do not have health insurance, we can discuss your preferred method of payment.
- Members of your family who are interested in scheduling appointments. Upon notification we will make all necessary appointments for you and your family.
- Your contact information. Please provide an email address (email is preferred).
- If you require special medical needs, please inform us prior to your arrival.