The charter of patient’s rights

It‘s a patient’s right to be offered efficient health care services.

Health care services should:

-    Be compatible with human dignity and have respect for the values and cultural and religious beliefs.
-    Be based on honesty, fairness, courtesy and kindness.
-    Be opposed to any discrimination, including race, culture, religious or discriminations by the type of the disease.
-    Be based on the most recent scientific findings.
-    Prioritize the patient’s interests.
-    Distribute the health resources based on priorities.
-    Be based on coordination of care elements, including prevention, diagnosis, treatment and rehabilitation.
-    Be based on provision of all basic and necessary amenities and be away from inflicting pain or suffering and imposing unnecessary restrictions.
-    Pay special attention to the rights of vulnerable groups such as children, pregnant women, the elderly, mentally ill people, prisoners, mentally and physically disabled and unsupervised people.
-    Be offered in the fastest time possible and with respect for the patient’s time.
-    Take into account variables such as language, age and gender of the recipient of the services.    
-    Be regardless of the cost of urgent cases, and be based on the defined criteria in the case of non-urgent (elective) ones.
-    In the case of emergency, if the provision of appropriate medical services is not possible, provide essential help and then transfer the patient to a more equipped unit.
-    In the last stages of life, when death is irreversible, comfort care should be offered with the aim of soothing the person who is dying. This means emotional comfort to the patient and their family. At the last moment of their life, dying patient has the right to meet someone who they like.

The patient should be adequately provided with proper information

The content of this information should include the following:
- The content of the charter of patient rights at the time of admission
- Terms and predictable hospital costs, both medical and nonmedical services and insurance regulations and the introduction of support systems at the time of admission
- Name, responsibility and professional status of medical staff responsible for providing care including doctors, nurses, medical students and their professional relationship with each other
- Diagnostic and therapeutic methods and strengths and weaknesses of each method and its possible complications, diagnosis, prognosis and all information affecting the patient's decision making process
- How to access physicians and medical staff during treatment
- All medical practices done for them and used in some research
- Providing the necessary training for the continuity of medical care

Provision of information should be as follows:

-  information should be provided in the appropriate time and according to the patient's conditions such as anxiety, pain and their personal characteristics such as language, education and their power of perception, unless:
       # Delay in treatment is likely to endanger patient's health (in this case the patient will receive the necessary information after the emergency is responded to).
       # The patient abstains to receive this information (with this knowledge that it is their right to be informed; in this case the patient's will must be respected unless the failure to provide this information involves a risk for the patient and the others.
-  The patient should have access to all the information recorded in their medical file and request for correction of errors contained therein.

The patient’s right to be free to choose and decide to get health care services should be respected

The range of choices and decisions to be taken are as follows:
-    To choose a doctor and the health care institution in the framework of regulation
-    To ask for a second opinion or consultant
-    Whether to participate in any medical research and to ensure that this decision will bring about no effect on the continuity and the way of receiving health care service
-    Whether to consent to or refuse the proposed treatment after becoming fully aware of the possible consequences, except in cases of suicide or when refusal of treatment expose another person in serious danger.
-    Having a record of the patient’s opinion on the further treatment when they have decisional capacity and to use it as a guide to medical care in the lack of this capacity, considering the official rules.

Decision making conditions includes the following: 

-    The patient should be able to decide freely on aspects of their care based on receiving accurate and precise information.
-    After they are provided with information, the patient should be given reasonable time to decide and choose
Providing health care services must be based on respect for principles of patient privacy and confidentiality.
-    It is necessary to compromise all principles of confidentiality, unless law makes an exception.
-    In all phases of patient care, both diagnosis and treatment patient’s privacy must be respected.
-    The only people who have the right to access the patient information include patient, medical team and other people authorized by law.
-    The patient has the right to be accompanied by a trusted person during diagnostic procedures such as examinations, unless it is contrary to medical necessities.

The patient has the right to access an effective complaint handling system

-    The patient has the right to claim on the violation of their rights without a change in the quality of health care service they receive  
-    Patients have the right to be informed of how their complaint is handled.
-    The damage cause to the patient due to the fault of health care service must be compensated as soon as possible.