Charter of Patient’s Rights
Charter of Patient’s Rights in Iran
Vision and value
Each single individual in the society shall respect humans’ dignity. This is of specific importance in illness conditions. Based on the constitution, attention to high dignity of mankind is one of the basic doctrines in the Islamic Republic System and the government is obliged to provide health- medical services for each single individual in the country. Based on this, providing health services must be fair and based on respecting rights and observing human dignity of patients.
This charter has been developed with respect to high human values, based on Islamic and Iranian culture, and on the basis of intrinsic dignity of all health service recipients by aiming at maintaining, promotion and reinforcing human relations between providers and recipients of health services.
1- It is patient’s right to receive desirable health services.
- Providing basic health services:
1-1) It should be with respect to human’s dignity and prestige of individuals and their cultural and religious beliefs.
1-2) It must be based on honesty, fairness, politeness and kindness.
1-3) It shall be based on current knowledge.
1-4) It must be based on the superiority of patient’s best interests.
1-5) It should distribute health resources based on fairness and medical priorities of patients.
1-6) It should be based on full coordination of the care fundamentals including prevention, diagnosis, treatment and rehabilitation.
1-7) It should be associated with providing the entire basic and necessary welfare facilities away from causing pain, suffering and unnecessary restrictions.
1-8) It shall pay specific attention to the rights of vulnerable groups of the society, including children and pregnant women, senile, mental patients, prisoners, mentally and physical handicapped and unattended individuals.
1-9) It should be provided in fastest times possible and by showing respect to the patient’s time.
1-10) It should consider variables such as language, gender and age of service recipients.
1-11) In providing emergency cares, such shall be provided with no attention to its costs and in elective cases, it must be based on defined criteria.
1-12) In emergency cases, if it is not possible to provide suitable services, it is necessary to arrange for transferring the patient to equipped units after providing necessary services and giving required explanations.
1-13) In terminal stages when the illness is definitely not curable and the death seems inevitable, patient’s comfort shall be ensured. By patient’s comfort, it means saving the patient from pain and suffering by considering his/her and his/her family’s mental, psychological, social, spiritual and emotional needs and states in time of death. The dying patient is entitled to be accompanied by a person that the patient wishes to be with.
2- Basic data must be available to the patient desirably and sufficiently.
2-1) The contents of basic information shall include the following:
2-1-1) Contents of patient’s rights charter on the date of his/her admission
2-1-2) Anticipated hospital criteria and expenses including medical and non-medical services, insurance regulations and introducing supportive systems on time of admission.
2-1-3) Name, responsibility and professional ranks of the attending medical staff, providing care services including physician, nursing and interns and their professional relationships
2-1-4) Diagnostic and medical procedures, the strong and weak points of each procedure and their possible side effects, diagnosis of diseases, prognosis and its symptoms and the entire information that affect the process of making decision about the patient.
2-1-5) Accessibility to attending physician and the main members of medical group during treatment procedure
2-1-6) The entire actions that have research quality.
2-1-7) Providing the necessary education for continuation of the treatment
2-2) The information must be provided as follows:
2-2-1) Information shall be available to the patient in suitable time proportion to the patient’s condition including anxiety, pain and personal characteristics including language and perception power unless:
- Providing information mentioned above would cause delay in starting the medical treatment and cause harm to the patient (in case of discoursing information after urgent acts, it shall be done in the first suitable time.)
- The patient, despite being aware of his/her right of receiving information refrains from receiving it in which case, the patient’s wish must be respected unless patient’s lack of information put him/her or others in risk.
2-2-2) The patient will have access to the entire information registered in his/her clinical file and receive it; and ask for correcting any mistakes in it.
3- The right of free selection and decision making by the patient in receiving health services must be respected.
3-1) The scope of selection and making decisions must be in the following items:
3-1-1) selecting the attending physicians and the center that provides health services in the framework of the criteria
3-1-2) Selection and seeking the view of the second physician as consultant
3-1-3) Participation or non-participation in biological researches with the certainty that his/her decision making will have no effects in the continuity and procedure of receiving health services.
3-1-4) Acceptance or rejection of the proposed treatments after knowledge on the possible symptoms caused by acceptance or rejection of the treatments unless in suicides or cases when withdrawing from treatment would put another person in serious risk.
3-1-5) Expressing the previous view of the patient on the future medical treatments when that patient has the capacity of making decisions and registering that view as a guideline of medical treatments in case of the absence of his/her decision making capacity to replace the patient’s decision by observing legal regulations considered by health service providers.
3-2) The conditions of selecting and making decisions shall contain following items:
3-2-1) Selection and making decision by the patient shall be freely and based on knowledge, on the ground of receiving sufficient and comprehensive information (in clause 2).
3-2-2) The patient must be given sufficient time for making decisions after presenting him/her the information.
4- Providing health services must be based on respect to private space of the patient and observing the principles of confidentiality
4-1) Observing the principle of confidentiality on all information related to the patient is mandatory unless in the cases when the law has excluded it.
4-2) In all stages of care, including diagnostic and medical, the private space of the patient shall be respected. To do so, the entire necessary equipment must be provided for the patient to keep his/her private scope.
4-3) Only the patient, medical staff and authorized persons from the patient and individuals that are legally authorized to have access to information. being accompanied with an adult with him/her is necessary unless otherwise is required in medical procedures.
5- It is the patient’s right to have access to efficient system to investigate his/her complaints
5-1) Any patient is entitled to lodge complaints before concerned officials in claim of breach of his/her rights, subject of this charter, without disturbing the quality of receiving health services.
5-2) Patients are entitled to become aware of the investigation procedures and results of their complaints.
5-3) Damages caused by the mistake of health service providers shall be compensated in the shortest time possible after investigations and proof in accordance with the regulations.
In execution of the contents of this charter, if the patient is incapable to make decisions for any reasons, exercising the entire rights of the patient- as mentioned in this charter- will be the duty of legal decision makers that replace him. If another decision maker contrary to the view of attending physician prevents medical treatment, the attending physician will be entitled to request for revising the decision making. If the patient lacks sufficient capacity to make decisions, but is able to make reasonable decisions on parts of medical procedure, his/her decision must be respected.