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Israel Journal of Health Policy Research Sep 2020Over the past decade, hospitals in many countries, including Israel, have undergone an accreditation process aimed at improving the quality of services provided. This...
BACKGROUND
Over the past decade, hospitals in many countries, including Israel, have undergone an accreditation process aimed at improving the quality of services provided. This process also refers to the protection and promotion of patients' rights. However, reviewing the criteria and content included in this category in the Israeli context reveals definitions and implications that differ from those presented by the law - specifically the Patient's Rights Act 1995. Moreover, the rights included in it are not necessarily equally represented in other legislation.
METHODS
This study seeks to examine the question of whether and to what extent the scope, contents, and definitions of patients' rights in the JCI Standards are similar to or different from patients' rights as they are addressed and protected in national legislation. The article provides a comparison and examination of the different regulatory frameworks of patients' rights, especially those in the accreditation of healthcare institution and legislation, analyzes the gaps between such frameworks, and suggests possible implications on our understanding of the concept of patients' rights.
RESULTS
The patients' right chapter in the accreditation process introduces and promotes the concepts of patient and family rights, increases the awareness and compliance of such concepts, and may create greater consistency in their introduction and application.
CONCLUSIONS
Discussion of the Israeli case not only demonstrates how regulatory frameworks are instrumental - for broader policy purposes, especially in the area of patients' rights and the rights of patients' families - but also calls for a more general examination of the concept of patients' rights in health policies and its contribution to the quality of health services. Reference to patients' rights in accreditation of healthcare institutions may promote and enhance this concept and contribute to the delivery of care, thereby complementing a lacuna in the law.
Topics: Accreditation; Hospitals; Humans; Israel; Legislation, Hospital; Patient Rights; Quality of Health Care
PubMed: 32958047
DOI: 10.1186/s13584-020-00405-1 -
The Mediated Role of Credibility on Information Sources and Patient Awareness toward Patient Rights.International Journal of Environmental... Aug 2021Although patient rights are an important issue, this remains an understudied research area. Patients are unaware of their rights, lacking control of health care...
Although patient rights are an important issue, this remains an understudied research area. Patients are unaware of their rights, lacking control of health care treatments they might deserve. This can contribute to sustaining inequality as well as failure in achieving welfare policy goals. Drawing on channel complementarity theory, the current study explored patients' awareness toward their rights, and the credibility of information sources related to patient rights. In a web-based survey, 994 Israeli participants, suffering from chronic illness and using health services, were recruited. To examine the study's theoretical framework and relationships among the constructs and test the hypotheses, a path analysis was conducted using Structural Equation Modeling. The research model depicts direct and indirect relationships between constructs, and the relevant coefficients. The results show a direct and positive interaction between information credibility and patient rights awareness (β = 0.10, = 0.019). Information credibility partially mediates the relationship between public service information sources and patient rights awareness (bootstrap with 95% CI: 0.01-0.07; = 0.015). The mass media information sources construct is directly and positively related to information credibility (β = 0.36, = 0.000). Age was found as a moderator, indicating that information credibility is a factor only at lower ages. Therefore, patient rights should be systematically and reliably accessible in order to raise the awareness and trust of chronic patients regarding information about patient rights. Using planned health communication campaigns mainly via public service sources that are perceived as trustworthy can help contribute to approach patients more effectively and provide them with accessible and detailed information about their rights.
Topics: Chronic Disease; Communication; Humans; Patient Rights; Surveys and Questionnaires; Trust
PubMed: 34444377
DOI: 10.3390/ijerph18168628 -
Israel Journal of Health Policy Research Nov 2020Legislation and accreditation standards both address patients' rights. The two approaches differ in important ways; they should not be seen as competing but as...
Legislation and accreditation standards both address patients' rights. The two approaches differ in important ways; they should not be seen as competing but as complementing efforts. Laws define minimum standards, whereas accreditation standards describe optimal performance; laws focus on the rights, whereas accreditation standards also point out ways in which hospitals may act to deliver these rights, which both serves to help hospitals implementing the rights and to standardize the measures taken across hospitals. A recent Israeli study underpins this view, but also highlights that international accreditation standards and national legislation may differ, when it comes to the definition of the actual rights.
Topics: Accreditation; Hospitals; Humans; Israel; Patient Rights
PubMed: 33256832
DOI: 10.1186/s13584-020-00421-1 -
Journal of Religion and Health Dec 2013The proliferation of patents on human genes has raised important ethical questions centered on the conflict of patient rights and intellectual property rights. With the... (Review)
Review
The proliferation of patents on human genes has raised important ethical questions centered on the conflict of patient rights and intellectual property rights. With the Supreme Court's June 2013 decision that altered the patent eligibility of genetic material, it is important to reexamine the ethical implications of gene patents as a concept. Such patents suggest an ownership of genetic material that may hinder access to healthcare and inhibit medical progress. The application of the current patent system to genetic material thus violates patients' rights without fulfilling the system's goal of promoting innovation, suggesting a need for a revised incentives infrastructure.
Topics: Biomedical Research; Genes; Genetics, Medical; Humans; Motivation; Ownership; Patents as Topic; Patient Rights
PubMed: 23877132
DOI: 10.1007/s10943-013-9758-2 -
European Annals of Otorhinolaryngology,... Sep 2015
Topics: Compensation and Redress; Decision Making; Defensive Medicine; France; Humans; Informed Consent; Liability, Legal; Otolaryngology; Patient Education as Topic; Patient Participation; Patient Rights; Physician-Patient Relations
PubMed: 26043817
DOI: 10.1016/j.anorl.2015.05.002 -
Clinical Medicine (London, England) Aug 2015Immigration detainees, like prisoners, are entitled to the same standard of healthcare as non-detained patients. When hospital attendance or admission is required, the... (Review)
Review
Immigration detainees, like prisoners, are entitled to the same standard of healthcare as non-detained patients. When hospital attendance or admission is required, the priority for custodial staff (who for purposes of this article we refer to as 'escorts') is to prevent absconding. For that reason, they may wish to use physical restraints, such as handcuffs, and remain with the detainee at all times. This can be degrading for the patient and breach their human rights. Clinicians have professional obligations to all their patients and must object to any restraint methods that risk damaging the patient's right to confidentiality, treatment, health or the therapeutic relationship itself. The starting presumption is that restraints ought not to be used during treatment and only in the most exceptional cases ought escorts to be present during clinical examination or treatment.
Topics: Confidentiality; Emigration and Immigration; England; Hospitals; Human Rights; Humans; Patient Rights; Prisoners; Restraint, Physical; Wales
PubMed: 26407381
DOI: 10.7861/clinmedicine.15-4-334 -
Anaesthesiology Intensive Therapy 2014The right to self-determination, including the decision on treatment, is affirmed in modern societies. Therefore, the fundamental condition of legal procedures is... (Review)
Review
The right to self-determination, including the decision on treatment, is affirmed in modern societies. Therefore, the fundamental condition of legal procedures is informed consent of a patient or an authorised person. However, to make the consent legally effective, some conditions have to be met; of these, the provision of comprehensive medical information is of the utmost importance. Thus, a patient is entitled to necessary information provided by a physician. The correlate of this right is the obligation to disclose information which must be fulfilled by a medical practitioner. The aim of this review is to examine this obligation in terms of determining the range of subjects authorised to provide information, the scope of subject information or a set of data, and the manner and time in which it should be given. Moreover, this article discusses regulations which permit limitations of information disclosure, i.e. the patient's entitlement to renounce the right to information, and therapeutic privilege. The disquisition regards achievements of legal doctrine and judicature, from the angle of which all the legal solutions and doubts arising are presented.
Topics: Disclosure; Humans; Informed Consent; Legal Guardians; Patient Rights; Third-Party Consent
PubMed: 25078772
DOI: 10.5603/AIT.2014.0033 -
Indian Journal of Medical Ethics 2007This article looks at some ethical challenges in cosmetic surgery. Enhancement versus therapy, risks, patient autonomy, beneficence and informed consent are issues that... (Review)
Review
This article looks at some ethical challenges in cosmetic surgery. Enhancement versus therapy, risks, patient autonomy, beneficence and informed consent are issues that need to be considered when considering cosmetic surgery in today's world.
Topics: Beneficence; Humans; India; Informed Consent; Mass Media; Patient Rights; Patient Selection; Personal Autonomy; Plastic Surgery Procedures; Surgery, Plastic
PubMed: 18630237
DOI: 10.20529/IJME.2007.068 -
Reumatologia Clinica 2018A standard model of the Patient Information Sheet (PIS) and Informed Consent (IC) would facilitate compliance with the guaranteed rights of the patient when their health... (Review)
Review
The Patient Information Sheet (PIS) and Informed Consent (IC) for case reports and case series: Proposal for a standard model for presentations in congresses and other scientific publications.
A standard model of the Patient Information Sheet (PIS) and Informed Consent (IC) would facilitate compliance with the guaranteed rights of the patient when their health data is used in any form for purposes other than medical assistance, like the release of case reports and case series. This model would be suitable for the presentation of case reports in a congress in any form (verbal communication, poster or presentation), for its publication in a journal that does not require the completion of its own model, or even for teaching practice. A standard model of the PIS and IC would facilitate the application of the current regulations and good clinical practices in clinical research: it would guarantee the compliance of the professionals' duty of protection of the patient's privacy against the use of their health data for purposes other than medical assistance.
Topics: Congresses as Topic; Epidemiologic Studies; Humans; Informed Consent; Models, Theoretical; Patient Education as Topic; Patient Rights; Periodicals as Topic; Publishing; Research Report
PubMed: 30075946
DOI: 10.1016/j.reuma.2018.07.001 -
Health Policy and Planning Oct 2021The notion of patient rights encompasses the obligations of the state and healthcare providers to respect the dignity, autonomy and equality of care-seeking individuals...
The notion of patient rights encompasses the obligations of the state and healthcare providers to respect the dignity, autonomy and equality of care-seeking individuals in healthcare processes. Functional patient grievance redressal systems are key to ensuring that the rights of individuals seeking healthcare are protected. We critically examined the published literature from high-income and upper-middle-income countries to establish an analytical framework on grievance redressal for patient rights violations in health facilities. We then used lawsuits on patient rights violations from the Supreme Court of India to analyse the relevance of the developed framework to the Indian context. With market perspectives pervading the health sector, there is an increasing trend of adopting a consumerist approach to protecting patient rights. In this line, avenues for grievance redressal for patient rights violations are gaining traction. Some of the methods and instruments for patient rights implementation include charters, ombudsmen, tribunals, health professional councils, separating rules for redressal and professional liability in patient rights violations, blame-free reporting systems, direct community monitoring and the court system. The grievance redressal mechanisms for patient rights violations in health facilities showcase multilevel governance arrangements with overlapping decision-making units at the national and subnational levels. The privileged position of medical professionals in multilevel governance arrangements for grievance redressal puts care-seeking individuals at a disadvantaged position during dispute resolution processes. Inclusion of external structures in health services and the healthcare profession and laypersons in the grievance redressal processes is heavily contested. Normatively speaking, a patient grievance redressal system should be accessible, impartial and independent in its function, possess the required competence, have adequate authority, seek continuous quality improvement, offer feedback to the health system and be comprehensive and integrated within the larger healthcare regulatory architecture.
Topics: Delivery of Health Care; Government Programs; Health Facilities; Humans; India; Patient Rights
PubMed: 34133734
DOI: 10.1093/heapol/czab066