1-      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 knowledge.

·         Based on the patient's interest.

·          Based on justice and treatment priorities of the patient.

·         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 limitations.

·          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 time.  

·          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 essential.

·         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.   



2-      Information should be effectively and adequately provided for patients.  Its content should include:

·         Patients' Bill of Rights at the time of admission.

·         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

·         Providing necessary 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) in danger.

·         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.



3-      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



4-      Provided services should be based on respect to privacy of the patient and comply with confidentiality principle

·         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 patient's privacy.

·         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.



5-      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 concerned authorities).   

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.