Patients' Rights and Responsibilities PDF

Patients’ rights and responsibilities References: Module 5: Patients’ rights and responsibilities Pages 57-63 Patient Rights from the Ministry of Health website Learning outcomes Explain the importance of patient rights with regards to ethical, legal and policy issues. Describe t...

Patients’ rights and responsibilities References: Module 5: Patients’ rights and responsibilities Pages 57-63 Patient Rights from the Ministry of Health website Learning outcomes Explain the importance of patient rights with regards to ethical, legal and policy issues. Describe the rights and responsibilities of patients  Terminologies Patient rights: They are the moral and legal entitlements of an eligible patient while being treated at any health care institution. Health Facility: It is the facility related to MOH or work under its supervision. It provides health services to patients Ex: clinic, health center, dispensary or hospital Professionalism and ethics handbook for residents. Module 5: Patient rights and responsibilities Page 57-61  Introduction Patient rights Most important ethical issues related to Patient Patient Community Relatives Professionalism and ethics handbook for residents Module 5: Patient rights and responsibilities Page 57 Patients' rights vary Patients' rights vary in different countries and in different jurisdictions, often depending upon prevailing cultural and social norms. https://www.who.int/genomics/public/patientrights/en/  There are many ethical issues related to patients rights and disagreements between Patients, families, and health care professionals about Disclosure of Easy access to Treatment Informed Refusal of medical health care decisions consent treatment information resources Professionalism and ethics handbook for residents Module 5: Patient rights and responsibilities Page 57-58  Most pressing ethical issues related to patient rights Prolonged waiting times for patients to Waiting lists receive treatment and be admitted to hospital beds Professionalism and ethics handbook for residents Module 5: Patient rights and responsibilities Page 58 Study carried out in Saudi Arabia on major ethical challenges facing the public and health care providers in Saudi Arabia Results showed all issues related to patients’ rights in order are 1. Patient rights 2. Equitable access of resources 3. Patient confidentiality 4. Patient safety 5. Informed consent Professionalism and ethics handbook for residents Module 5: Patient rights and responsibilities Page 58  What are the ethical issues that are included in Patients rights (They are important and must be explained to the patient) Informed consent Signed consent Treatment Refusal of Patient decisions treatment compliance Personal safety Security and Transfer of Provision of a Process protection rights bed in a hospital resolution Professionalism and ethics handbook for residents Module 5: Patient rights and responsibilities Page 58  Why are patient rights important? Most important ethical issues related to Improve trust between Improve health care patients, their family, patient and systems and safety and the community community Professionalism and ethics handbook for residents Module 5: Patient rights and responsibilities Page 58  Ethical, legal and policy issues The aim is to achieve a balance between clinical care and clinical research, the patient’s decision, and the ethics of research publication. Clinic Patient Patient’s Clinical care decision Ethics of Clinical research research publication Professionalism and ethics handbook for residents Module 5: Patient rights and responsibilities Page 59  Policies of patients’ rights 1. Patients’ rights and research 2. Informed consent 3. Patient safety: Benefit versus risk considerations 4. Privacy and confidentiality 5. Patients’ rights and responsibilities 6. Disclosure of medical errors Professionalism and ethics handbook for residents Module 5: Patient rights and responsibilities Page 59  All workers in the health facility are committed to patients' rights and realize that they are MOH representatives. They are also expected to guide them to Patients Relations Directorate to file their complaints or suggestions, where the Directorate’s official protects their rights and clarify it properly. Patient Rights from the Ministry of Health website Patients' rights cycle Workers in the health facility MOH representatives If patients have problem with MOH representatives Patients Relations Directorate Directorate’s official Patient Rights from the Ministry of Health website Patients have the following rights Receive the health care needed regardless of race, creed, age, color, beliefs, national origin, gender, gender identity, religion, or disability Professionalism and ethics handbook for residents Module 5: Patient rights and responsibilities Page 59  Be treated with dignity and respect in a safe environment free of threat and harm. Professionalism and ethics handbook for residents Module 5: Patient rights and responsibilities Page 59  Have an interpreter present if unable to understand or speak the language used, e.g. English. Professionalism and ethics handbook for residents Module 5: Patient rights and responsibilities Page 59  Request assistance if having visual and/or hearing impairment. Professionalism and ethics handbook for residents Module 5: Patient rights and responsibilities Page 59 Express personal religious and cultural beliefs as long as the exercise of these beliefs does not harm others or interfere with the medical treatment or the rights of others. Professionalism and ethics handbook for residents Module 5: Patient rights and responsibilities Page 59 Patient can decide the doctor can make decisions about care and treatment in the event the patient isn’t able to communicate personal wishes. Professionalism and ethics handbook for residents Module 5: Patient rights and responsibilities Page 59 Patient can file a dispute or grievance for any issues, like care or access, that haven’t been resolved with doctor or nurse by calling the Patient Assistance Coordinator or the Department of Health. Professionalism and ethics handbook for residents Module 5: Patient rights and responsibilities Page 59  Speak to a member of the Ethics Committee when there are issues about care. Professionalism and ethics handbook for residents Module 5: Patient rights and responsibilities Page 59  Patient should know the members of the health care team providing care. Professionalism and ethics handbook for residents Module 5: Patient rights and responsibilities Page 59  Patient should get information needed to understand what is thought to be the health concern, as well as the risks, benefits, and choices of treatment. Professionalism and ethics handbook for residents Module 5: Patient rights and responsibilities Page 60  Patient should participate with the treatment team (doctors) in making decisions about care and treatment. Professionalism and ethics handbook for residents Module 5: Patient rights and responsibilities Page 60  Patient can refuse treatment to the extent permitted by law. Professionalism and ethics handbook for residents Module 5: Patient rights and responsibilities Page 60  Patient can get a second opinion if he/she is not satisfied with a doctor. Professionalism and ethics handbook for residents Module 5: Patient rights and responsibilities Page 60 Patients’ responsibilities  Treat other patients, hospital staff, and the property of others with respect. Professionalism and ethics handbook for residents Module 5: Patient rights and responsibilities Page 60  Give correct and complete information to the treatment team. Professionalism and ethics handbook for residents Module 5: Patient rights and responsibilities Page 60  Ask questions or request more information when patient is unable to understand information or instructions. Professionalism and ethics handbook for residents Module 5: Patient rights and responsibilities Page 60  Follow treatment plan or tell health care team member inability to follow it. Professionalism and ethics handbook for residents Module 5: Patient rights and responsibilities Page 60  Tell doctor about any changes in health. Professionalism and ethics handbook for residents Module 5: Patient rights and responsibilities Page 60  Cancel appointments that cannot be kept. Professionalism and ethics handbook for residents Module 5: Patient rights and responsibilities Page 60  Follow hospital rules and regulations. Professionalism and ethics handbook for residents Module 5: Patient rights and responsibilities Page 60  Meet financial obligations. Professionalism and ethics handbook for residents Module 5: Patient rights and responsibilities Page 60  Express opinions and concerns in a helpful way to the right people, including doctor, nurse, or the Patient Assistance Coordinator. Professionalism and ethics handbook for residents Module 5: Patient rights and responsibilities Page 60  Keeping appointments and informing hospital when unable to attend for any reason. Professionalism and ethics handbook for residents Module 5: Patient rights and responsibilities Page 60  Rulings and fatwas on patient rights and responsibilities Islamic Fiqh Assembly stated the following in its resolution about informed consent 1. Informed consent is required from the competent patient 2. If the patient has reduced or absent competence, then his legal substitute decision maker’s consent is considered, only within what it in the patient’s best interests. 3. The substitute decision makers consent is not valid if there is clear harm on the patient Professionalism and ethics handbook for residents Module 5: Patient rights and responsibilities Page 60  Rulings and fatwas on patient rights and responsibilities 4. In cases of emergency, the medical interventions are not dependent on the informed consent (i.e. the doctors should not wait for an informed consent to start lifesaving medical interventions) 5. In cases of medical research, the informed consent should be given by the competent persons without coercion (like prisoners), or financial temptations (like the needy); given that there will be no harm on them. Professionalism and ethics handbook for residents Module 5: Patient rights and responsibilities Page 60  How to improve your practice by knowing about patient’s rights Health care professionals have to Educate medical students and Educate physicians, nurses, and residents about these Educate the patient about health care providers about the important issues through the his/her rights and patients’ rights and teaching process, such as CME, responsibilities. responsibilities. videos, TV, radio, courses, workshops, etc. 2 3 1 Professionalism and ethics handbook for residents Module 5: Patient rights and responsibilities Page 61  Conclusion Patients’ rights are one of the most important ethical issues related to the community. Professionalism and ethics handbook for residents Module 5: Patient rights and responsibilities Page 60 THANK YOU TUTORIAL Learning outcomes Explain the importance of patient rights with regards to ethical, legal and policy issues. Describe the rights and responsibilities of patients Video on patient rights https://www.youtube.com/watch?v=3Oyj5Gvupiw https://www.youtube.com/watch?v=_x7WCuZG8M4 Writing task List out all the patient rights after watching this video.  Case Hosa is 80 years old and lives alone in her apartment. She is fully independent and has never had a serious illness. She prefers not to see doctors. Now she is admitted to the hospital after falling on the stairs and suffering a fracture of the femoral neck. A consultant in internal medicine diagnoses critical aortic stenosis, which is confirmed by echocardiography. The anesthetist visits Hosa to discuss the scheduled surgery and anesthesia. When he says that serious risks are associated with the surgery, Hosa says she does not want to know about them. She wants her fracture fixed because she simply cannot live with reduced mobility. The anesthetist feels that he has a duty to disclose the risks of anesthesia.  Discussion Ms. Hosa has asked the anaesthetist not to further disclose the risks associated with hip surgery. She says that her goal is to be able to walk and that further suffering from pain and immobility is not acceptable. She tells the anaesthetist that any further discussion of the risks will not change her mind, but might upset her. The anaesthetist respects Ms. Hosa’s request but tells her that she can change her mind regarding the discussion of risks at any time. He also asks her if there are any family members whom Ms. Hosa would like to involve in the decision-making process. Discussion Ms. Hosa wants her daughters to participate in the decision, and so the scheduled surgery and its possible risks are disclosed to them. The entire discussion is documented, including Ms. Hosa‟s reasons for waiving (refusal of) further disclosure of the risks of surgery. Ms. Hosa undergoes an uncomplicated repair of her hip fracture and returns home to live independently. This case includes many ethical issues, such as patient safety, informed consent, patients’ rights, and the decision-making process. THANK YOU