Necessity of observing patient’s rights: a survey on the attitudes of patients, nurses and physicians
Studying the situation of observance of patients’ rights and interaction of those individuals who provide and/or receive health services are regarded as the most significant and salient parameters of qualitative evaluation of health services.
The main aim of this study is to compare the attitudes of patients as recipients of healthcare services with those of physicians and nurses as representatives of healthcare providers regarding the necessity of observance of various aspects of patients’ rights in three hospitals selected as representing the three models of providing medical service (teaching, private and public).
This was a cross-sectional descriptive analytical study and the data were gathered using a questionnaire. Researchers helped the patients to fill in the questionnaire through interviewing and the physicians and nurses filled in their own questionnaires.
The field consisted of three hospitals (a teaching general hospital, a private hospital and a public general one) all located in Tehran. The questionnaires included a set of general questions regarding demographic information and 21 questions about the necessity of observance of patients’ rights. They were filled in by the interviewer for 143 patients and, after being sent to other groups, 143 nurses (response rate = 61.3%) and 82 physicians (response rate = 27.5%) filled them in. The criterion for necessity of each right was measured according to the Likert Scale [from 0 (not necessary) to 10 (absolutely necessary]. The data were analyzed using SPSS 11.5 software. Given the abnormal distribution of the data, non-parametrical tests were used.
The results of this study showed that all of the study groups agreed with the necessity of almost all aspects of patients’ rights and the highest level of disagreement between groups was related to patients’ right of access to information and right of choosing provision provider and deciding on treatment plan. However, these disagreements were not significant altogether.
According to the results, it seems that healthcare providers, especially physicians, should be better familiarized with patients’ right of access to information and right of choosing and deciding. Based on the disagreement between the attitudes of the patients and physicians in this study, it seems that the patients had a higher level of expectations concerning their rights compared to physicians.
Ledo R, Salas L, Gonzalez, et al. The rights of the hospital patient: the knowledge and perception of their fulfillment on the part of the professional. The Group in Catalonia of the Spanish Society of Care for the Health Services User. Rev Clin Esp. 1998; 198(11): 703-5.
Kuzu N, Ergin A, Zencir M. Patients' awareness of their rights in developing country. Public Health 2006; 120(4): 290-6.
Hooshmand A, Joolaee S, Mehrdad N, Bahrani N. Nurses’ information and their view points about patient’s rights and practical facilitators in clinics. HAYAT 2006;12(4): 57-66.
Joolaee S, Mehrdad N. An Investigation of Iranian Patients’ Awareness of Their Rights. Abstract Book of The 3rd Bio Ethics Congress Bursa, Turkey; 2003.
Mossaddeq Rad AM, Esna Ashari P. Surveying on awareness of physicians and patients of patients’ rights and their observance in Shahid Beheshti Hospital of Isfahan. Iranian J Educ Med Sci 2004; 11: 45-53.
Guix Olove J, Fernadez Ballart J, Sala Barbany J. Patients, physicians and nurses: three different points of view on the same issue. Attitudes to and perceptions of patients' rights. Gac Sanit 2006; 20(6): 465-72.
Florin J, Ehrenberg A, Ehnfors M. Patient participation in clinical decision – making in nursing: a comparative study of nurses and patiens' perceptions. J Clin Nurs 2006; 15(12): 1498-508.
Ozdemir MH, Ergonen AT, Sonmez E, Can IO, Salacin S. The approach taken by the physicians working at educational hospitals in Izmir towards patient rights. Patient Educ Couns 2006; 61(1): 87-91.
Fotaki M. Users' perceptions of health care reforms: quality of care and patient rights in four regions in Russian Federa- tion. Soc Sci Med 2006; 63(6): 1637-47.
|Issue||Vol 5 (2012)|
|Patients’ rights, Medical ethics, Patients’ rights charter.|
|Rights and permissions|
|This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.|