Insight and Value
Everyone in the community is committed to maintain and respect the dignity of human. This is very important in the context of the disease. According to the Constitution, attention to the high human dignity is one of the basic principles of the Islamic Republic, and the government is obliged to provide health-care services for all the people in the country. Accordingly, the provision of health services should be fair and based on respect and observance of human rights and dignity of patients.
The charter is set in accordance with the high values of humanity and is based on Islamic and Iranian culture and on the equality of the inherent dignity of all health care recipients with the aim of maintaining, enhancing and strengthening the human relationship between providers and recipients of health services.
The desired reception of health care is the patient's right
- The provision of health services should:
1-1) Deserves the of human dignity and respect for values and cultural and religious beliefs
1-2) be based upon honesty, fairness, politeness and kindness
1-3) be apart from any discrimination, including ethnic, cultural, religious, gender or disorder
1-4) be based on the knowledge of the day
1-5) be based on the superiority of the patient's benefits
1-6) with regard to the distribution of health resources it should be based on justice and patient care priorities
1-7) It is based on the coordination of the care pillars, including prevention, diagnosis, treatment and rehabilitation.
1-8) it should include the provision of all essential welfare facilities, and be away from imposing unnecessary pain and restrictions.
1-9) Special attentions should be paid to the rights of vulnerable groups of society, including children, pregnant women, elderly, mental patients, prisoners, mentally and physically disable, and derelict people.
1-10) be in the fastest possible time and with respect to the time of patient
1-11) Consider variables such as language, age, and gender of the service recipient
1-12) In necessary and urgent care (emergency), it should be done regardless of the costs. In Non-urgent (elective) cases, it should be defined according to the criteria
1-13) In urgent and necessary care (emergency), if the provision of appropriate services is not possible, after the provision of essential services and necessary explanations, the patient should be transferred to an equipped unit.
1-14) In the final stages of life, in which the illness condition is irreversible and the death of the patient is imminent, it should be presented with the aim of keeping patient calm. By comfort we mean, reduction of pain and suffering of the patient, paying attention to his/her mental, social, spiritual and emotional needs and his/her family at the time of dying. In the last moments of his/ her life, the patient has right to be with anyone he/she wants.
2- The information should be presented to the patient in an appropriate and sufficient manner
2-1) the content of the information should include:
2-1-1) the contents of the charter of patient rights at the time of admission
2-1-2) predictive criteria and costs of the hospital, including health and non-medical services and insurance policies, and introduction of supportive systems at the time of admission
2-1-3)name, responsibility and professional rating of the medical team members responsible for providing care including physicians, nurses and students, and their professional relationship with each other.
2-1-4) Diagnostic and therapeutic methods and the strengths and weaknesses of each method and its possible side effects, diagnosis of the disease, prognosis and its side effects, as well as all the information that influences the decision making process of the patient.
2-1-5) How to access the physician and the main members of the medical team during treatment
2-1-6) All actions of an investigation nature
2-1-7) provide all training required for continue the treatment
2-2) presenting the information should be:
2-2-1) The information should be provided to the patient at an appropriate time and in accordance with the patient's conditions, including anxiety and pain and his/her personal characteristics, including language, education and his/her ability to understand, unless:
- Delay in initiating treatment due to the presentation of the above information causes injury to the patient(in this case it is necessary to present the information after required actions, at the first appropriate time)
- In spite of the fact that patient is aware of his/her right to receive information, the patient refuses to do so, in which case the patient's will must be respected unless his/her unawareness put the patient or others in serious dangers
2-2-2) The patient can access all of the information recorded in his clinical file and receive the image and request for correcting the mistakes contained therein.
3- The right to choose and decide freely on the receipt of health care services should be respected
3-1) The range of choices and decisions is as follows:
3-1-1) Choosing a physician and health care provider center within the framework of the criteria
3-1-2) chose and Consult a second physician as an advisor
3-1-3)attending or not attending in any research, being sure that his/her decision will not affect the continuity and way of receiving health services.
3-1-4) Accepting or rejecting proposed treatments after knowing the possible side effects of admission or rejection, except in cases of suicide or in cases which refusal to treat expose another person at serious risk.
3-1-5) The patient's previous opinion about future therapeutic measures should be recorded in times that the patient has the decision capacity and uses as a guide to medical practice, in the absence of his/her decision-making capacity, considering the legal requirements of healthcare providers and who decides instead of the patient.
3-2) The selection and decision-making conditions include the following:
3-2-1) The patient's choice and decision must be free and informed and be on the basis of adequate and comprehensive information (referred to in the second clause).
3-2-2) give the patient enough time to make a decision and select, after the information is provided.
4- the provision of health services should be based on respect for the patient's privacy (right to privacy) and respect for the principle of confidentiality.
4-1) the observance of the confidentiality principle is required for all patient information except in cases where the law has been excluded.
4-2) in all stages of care, both diagnosis and treatment, the patient's privacy must be respected. Therefore, it is necessary to provide all the necessary facilities to guarantee the privacy of the patient.
4-3) only the patient and the group and the authorized persons on the patient's side and those who are allowed by law are allowed access to the information.
4-4) the patient has the right to have his or her trusted person at diagnostic stages, including examinations. The attendance of one of the child's parents in all stages of the child's treatment process is the child’s right, unless it is contrary to medical necessities.
5- the patient has the right to access to an effective system for dealing with patient complaints
5-1) in the case of claiming violations of their rights, which are the subject of this charter, complain to the competent authorities without disturbing the quality of health care services.
5-2) Patients have the right to be informed about the way and the outcome of their complaint
5-3) The damage caused by the error of the health service provider must be compensated for the shortest possible time after consideration and proof, in accordance with the regulations.
In implementing the content of this charter, if the patient for any reason lacks decision-making capacity, applying all patient rights mentioned in this charter will be the responsibility of the his/her legal alternate decision-maker. Of course, if the alternate decision maker, in contrast to the physician's opinion, prevents patient treatment, the physician requests through relevant authorities for reconsidering the decision. If a patient who does not have enough capacity to make decisions but can decide on a reasonable proportion of treatment, his decision should be respected.