Patients are entitled to
receive optimal healthcare services. Provided services should be:
Complied with human dignity
and with respect to values, cultural beliefs and religions.
Based on honesty, fairness,
courtesy and along with kindness.
Without any discrimination
such as ethnic, cultural and religious discriminations and regardless of
disease type and gender.
Based on up-to-date
Based on the patient's interest.
Based on justice and treatment priorities of
Based on the foundations of
care, including prevention, diagnosis, treatment and rehabilitation.
Along with providing all
basic and necessary amenities and away from inflicting pain, suffering and unnecessary
With a special attention to the rights of
vulnerable groups such as children, pregnant women, elders, mentally ill
patients, prisoners, mentally and physically disabled people
As fast as possible and
with respect to the patient's
Taking into account variables such as
language, age and gender of clients
For emergency cases
regardless of expenses and for non-emergency cases, based on defined criteria
If it is not possible to
provide appropriate services in emergency cases (after providing essential
services and explanations), to transfer the patient to an equipped ward is
In the final stages of life
that the patients'
condition is irreversible and death is imminent, provided services should keep
comfort for them. Comfort means to alleviate the suffering of patients, paying attention
to psychological, social, spiritual and emotional needs of the patients dying and
their family. Dying patients (in the last moments of their life) have the right
to be with someone that they want to be with them.
Dying refers to
an incurable and irreversible condition that imminent death is inevitable.
Information should be
effectively and adequately provided for patients. Its content should include:
Patients' Bill of Rights at the time of
Hospital terms and
predictable costs such as healthcare and non-healthcare services, insurance
regulations and support systems at the time of admission.
Name, rank and professional
liability of medical staff responsible for providing care, including
physicians, nurses, students and their professional relationship.
Diagnostic and therapeutic
procedures and the strengths and weaknesses of each method and its possible
complications, diagnosis, prognosis and complications, as well as all
information influencing patient decision-making process.
How to access to physicians of the medical
group during treatment.
All measures are in the
nature of research
training for the continuation of treatment
Provided information should be as follows:
Information should be provided
timely and appropriate for the patients'
condition, such as anxiety and pain, and their personal characteristics such as
language, education and understanding ability. Unless, the delay in starting
treatment (by providing this information) results in damage to the patient. In
this case, information (after necessary measures and as soon as possible)
should be provided.
Patients refuse to get
information (despite being informed that they have the right to get it) that in
this case patients'
request should be respected. Unless lack of information puts them (or others)
Patients can have access to
all information recorded in their clinical documents, receive copy of them and request
for correction of errors contained in the documents.
The patient's right
to choose and decide freely should be respected in healthcare services
Range of choices and decisions should be as follows:
Choice of doctor or health
services provider center within the terms
Choice and ask from second
doctor as a consultant
Participation or refusing
to participate in any study (to ensure that their decision will not affect the
continuity and quality of health services)
Acceptance or rejection of the
proposed treatment after learning of possible complications arising from the
acceptance or rejection (except in suicide or in cases that refusing from treatment
will put someone else in danger).
Patients' previous comments
regarding the future treatment of them are recorded (when the patient has the capacity
of decision-making) and as a guide for medical measures (in the absence of
decision-making capacity) in compliance with intended legal standards of health
services providers and decision maker are replaced by the patient.
Choice and decision-making conditions are as follows:
patients' choices and decisions should
be freely and informed
After providing the
information, necessary and sufficient time should be given to the patient to
make decisions and choices
Provided services should
be based on respect to privacy of the patient and comply with confidentiality
Considering the confidentiality
principle (regarding all information related to the patient) is obligatory, unless
cases excluded by the low.
In all stages of care
process including diagnostic and therapeutic cares, patient's privacy should be respected.
So, it is essential to provide all required facilities in order to guarantee
The people who are allowed
to have access to information include the patient, medical staff, people who
are allowed by the patient and those who are allowed by the law. The patients
have the right to bring their reliable people with themselves. To accompany the
children by one of their parents is of children's
rights. Unless this is contrary to the medical requirements.
Having access to an
efficient system of complaints handling
In case of rights violation
claim, the patient has the right to complain to the competent authorities
without impairing the quality of services.
Patients have the right to
know how to handle their conscious complaint results
Damage caused by failure of
health service providers should be compensated according to the provisions in
the shortest time possible (After investigating and demonstrating).
Performing the provisions
of this charter (if due to any reason the patient does not have the capacity to
make decision) alternative legal decision-maker is responsible for exercise of
patient rights. But, if the alternative decision-maker prevents treatment of
the patient, the doctor can appeal for reconsideration of decision (through
If the patients (that do not have capacity to make decision)
can decide on a part of the process of rational treatment, their decision
should be respected.