SCHS Topic 3: Patients Rights
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SCHS Topic 3: Patients Rights

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Definition and classification of patient rights ...

Definition and classification of patient rights
Ethical basis for patient’s right
Patient’s Right related to
Treatment
Access to care
Choice of care
Participation in decision making
Privacy and Confidentiality
Seek for 2nd opinion or referral
Compassionate Palliative and EOL care

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  • 1. Asst. Prof., Dept. of Medical Ethics King Fahad Medical City – Faculty of Medicine King Saud Bin Abdul-Aziz University for Health Sciences Dr. Ghaiath M. A. Hussein Professionalism and Ethics Education for Residents (PEER) Patient’s Right
  • 2.  Definition and classification of patient rights  Ethical basis for patient’s right  Patient’s Right related to  Treatment  Access to care  Choice of care  Participation in decision making  Privacy and Confidentiality  Seek for 2nd opinion or referral  Compassionate Palliative and EOL care Outline
  • 3. Patient’s Right Rights directly related to Treatment  Receive treatment  Consent to treatment ( accept or refuse )  Privacy  Confidentiality  Compassionate End of Life ( EOL ) Care Right Not directly related to treatment  Respect  Safety  Protection for Physical assault ( specially vulnerable )  Spiritual care  Participation in clinical trials
  • 4. The ethics behind care... Is there a moral obligation to provide healthcare? • The duty to respect patient’s ability to decideAutonomy • The duty to do good to patientsBeneficence • The duty not to do harm to patientsNon-Malificence • The duty to be fair to our patients • Fairness is not equity!Justice
  • 5. Treatment-Related Rights • Access to care • Choice of Care • Participation in decision making • Privacy & Confidentiality • Seek 2nd Opinion/Referral • Compassionate Palliative • And EOL care • Complaint system
  • 6. 1- Access to Care  Patients have the right to have access to healthcare that meets their needs at the time they need it at a cost they can afford.  Patients should not be denied access to care they need or discriminated against based on their colour, race, belief, disability, etc.  This includes their right to transport to hospital in case of emergency (Ambulance). Saudi Commission for Health Specialties
  • 7. 2- Choice of Care These include:  Receiving timely emergency care  Treatment and rehabilitation  Be seen of their doctor (of choice)  Provision for special needs  Counseling  Palliative care  Health information (education)
  • 8. Participation in decision-making Receive Relevant Information Diagnosis Treatment Prognosis Post-Discharge Care Hospital policies Consent to Treatment Relevant facts explained Patients are free from undue influence Patients assign Substitute decision maker Right to Refuse Treatment Relevant alternatives explained Risks explained, and consent taken
  • 9. CAPACITY VOLUNTARINESS DISCLOSURE •The patients has the ability to: • Understand medical information • Appreciate the risks • Memorize the information •Freedom from undue influence: • Money • Social pressure •Physical restraint •Information: •Diagnosis • Possible prognosis • Benefits and risk of treatment • Expected outcome • In a language understood by the patient
  • 10. 4- Continued care, Seeking 2nd opinion & Referral The patients have the right to:  Receive uninterrupted care from his/her doctor.  To be referred to other health care providers when necessary.  Receive a second opinion when the patient or his/her doctor requests one.  The second opinion must be provided by a qualified health care professional within the same organization. Saudi Commission for Health Specialties
  • 11. 5- Compassionate EOL Care The patient have the right to:  Have her physical pain assessed and managed  Have Advance Directive Plan (Living Will)  Assign a family member to be the SDM  Have her/his emotional and spiritual needs addressed Ethical quiz: what to draw the line between “allowing your patient to die” and “helping your patient to die?” Saudi Commission for Health Specialties
  • 12. 6- Appeal and Complaint Submission The patient have the right to:  Be told on how to process her problems or complaints  Voice his/her concerns about the care she/he receives  Ask questions and express concerns about hospital health care and services, without fear of reprisal  Have his/her complaint responded to in a timely and satisfactory manner Saudi Commission for Health Specialties
  • 13. Key messages  Make sure you know your patient's rights  Train your colleagues on patient’s rights  Knowing and providing these rights protects you ethically and legally  Patient rights guide you to achieve your ethical and professional goals of availing the best service to your patients  Rights are rights NOT gifts that you may not give! Saudi Commission for Health Specialties