First point: getting proper health services is the right of the patient.

- Giving health services should be:

1-1) observing the dignity of human beings, and respecting the cultural and religious values and beliefs.

1-2) based on honesty, politeness, justice and accompanied with kindness..

1-3) empty of any kind of discrimination such as tribal, cultural, religious, illness kind and gender.

1-4) based on updated knowledge.

1-5) based on the superiority of patient’s benefits.

1-6) The distribution of health resources should be based on observing patient’s safety, justice and patients’ treatment priorities.

1-7) be based on coordination of caring units such as prevention, diagnosis, treatment and rehabilitation.

1-8) be alongside with the complete basic welfare facilities and away from imposing more pain and misery and unnecessary limitations.

1-9) have special attention to the society vulnerable groups such as children, pregnant women, the olds, prisoners, mental and physical handicaps and orphaned people.

1-10) be quickly and respecting the time of the patient.

1-11) considering some variables such as language, age and gender of the patients.

1-12) in emergency cases, done without paying attention to money. In elective cases, done according to defined regulations.

1-13) if giving proper services are not possible in emergency cases, after doing the necessary services, the patient should be transferred to a more equipped center.

1-14) in the last moments of the patient (when the patient is dying and he cannot be resuscitated), done with the aim of the patient’s peace. By patient peace, we mean decreasing his pain and misery, paying attention to mental, social, spiritual and emotional needs of the patient and his family. The dying patient has this right to be with the person he wants in the last moment of his life.

Second point: The patient should be given enough information in a proper way.

2-1) The content of the information should consist of the following items:

2-1-1) The items of patient bill of rights at reception

2-1-2) predicted costs of the hospital including treatment services and non-treatment ones, insurance regulations and introducing supportive systems at reception

2-1-3) name, responsibility and professional status of the medical team, including doctor, nurse and their professional relationship with each other

2-1-4) both treatment and diagnosis methods; weak and strong points of each method and their probable side effects, illness diagnosis, pre-informing, and its side effects and other important information which affect patient’s decision making

2-1-5) how to access to the treating doctor and the other members of the medical team during treatment

2-1-6) all activities which are research-based

2-1-7) giving necessary trainings for the continuation of the treatment

2-2) The way, we inform the patient should be in the following way:

2-2-1) the information should be given to the patient in the proper time considering the conditions of the patient such as anxiety, pain, and other personal traits (language, education, his comprehension power), if:

•  a delay in starting the treatment occurs because of these information (in this case, informing the patient should be done after doing necessary activities in a proper time.)
•  although the patient knows that he has the right to be informed, he rejects this process. In this case, the patient’s want should be respected, unless patient’s unawareness expose him or others in serious danger.

2-2-2) patient can access to the whole information which has been written in his clinical file, and its image should be given to him; he can also request for correction.

Third point: The patient is free in choosing receiving health services or not.

3-1) The zone of choice and decision making is about the following issue:

3-1-1) choosing the treating doctor and health center according to rules

3-1-2) choosing and consulting a second doctor

3-1-3) participating or not participating in any research (the patient should be sure that this decision won’t affect his treatment.)

3-1-4) accepting or rejecting suggested treatment after being informed of probable side effects, unless there is a suicide case or cases that rejecting the treatment would put another person in danger.

3-1-5) stating the patient’s previous idea about the treatment procedure when the patient can decide in his medical records in order to be used by doctors if the patient loses his decision making power.

3-2) The conditions of choosing and decision making consist of the following items:

3-2-1) Patient’s choosing and decision making should be free, with awareness, and based on complete information.

3-2-2)after receiving the information, the patient should have enough time to decide.

Fourth point: giving health services should be based on respecting patient’s privacy and observing secret keeping.

4-1) observing secret keeping is necessary about all information related to the patient, unless the cases that has been exempted by law.

4-2) in all stages of care from diagnosis to treatment, patient’s privacy should be respected. It is necessary to provide all necessary facilities to guarantee patient’s privacy.

4-3) only the patient, the treatment team, the people authorized by the patient and the law can have access to the information.

4-4) the patient has the right to be accompanied by his trustee during diagnosis stages. A child should be accompanied by one his parents during all stages of his treatment, unless this is against medical necessities.

Fifth point: The patient has the right to access to the efficient system of dealing with the complaints.

5-1) in case of not observing the items of this bill of right, each patient has the right to complaint to concerned authority.

5-2) the patients should be informed of the processes of dealing with complaints and their results.

5-3) the damage which is the result of the error of health service center staff after being investigated and proved, should be compensated in no time according to the rules. Safety and Hygiene