Unsatisfied patient’s rights: a survey on the views of patients, nurses and physicians
Neglecting patients' rights in a health care system can give rise to a challenging situation between health care providers and patients. The purpose of this study was to compare the views of patients as recipients of healthcare services and physicians and nurses, as healthcare providers, regarding the unsatisfied demands of different aspects of patients' rights in 3 hospitals representing three types of settings (teaching, private, and public).
This was a cross-sectional descriptive analytical study. Data were gathered using a questionnaire which was filled out by an interviewer for the patients and self administered for nurses and physicians. The research venues were one general teaching hospital, one first class private hospital, and one non-teaching public hospital, and all 3 were in Tehran. The questionnaire consisted of some general questions about respondents' demographics, and 21 questions concerning the importance of patients' rights, and how well patients' rights were observed. Overall, 143 patients, 143 nurses (response rate: 61%) and 82 physicians (response rate: 27.5%) completed the questionnaire.
The degrees of unsatisfied demands were different depending on the various views within each group regarding the degree of importance and observance of each right, which was measured by the Likert's scale ranging from 0.0 (no importance, no observance) to 10.0 (absolutely important, full observance). Concerning the non-normal distribution, the collected data were analyzed by non-parametric tests using the SPSS software (ver. 11.5).
Results showed that the studied groups had significantly different views. The most prominent issue concerned patients' to make an informed decision, which was particularly unsatisfactory in the teaching hospital. The results of this research indicate that healthcare providers, especially physicians, need to be informed to show more respect for patients' rights in terms of access to clinical information and making decisions. The results demonstrated that there was a significant difference between the opinions of patients and health care providers regarding the extent of unsatisfied demands of patients' rights. According to the patients, the level of unsatisfied demands of these rights is far higher than that expressed by physicians.
Larijani B, Zahedi F. Medical ethics activities and plans in Iran at a glance. Iran J Allergy Asthma Immunol 2007; 6 (Suppl 5): 1-4.
Larijani B, Zahedi F. Contemporary medical ethics: an overview from Iran. Dev World Bioeth. 2008; 8(3): 192-6.
Emami razavi SH, Mohaghegh MR, Razavi SS. Hospital Accreditation Standards in Iran.Tehran: Seda Publication; 2011, p. 21. [in Persian]
Anonymous. Joint Commission International Accreditation Standards for Hospitals, 4th Edition, 2010. http://www.jointcommissioninternational.org/AccreditationManuals/EBIAS400/1553/ (accessed in 2011).
Parsapoor A, Mohammad K, Malek Afzali H, et al, Necessity of observing patient’s rights: a survey on the attitudes of patients, nurses and physicians. J Med Ethics Hist Med 2012; 5:2.
Özdemir MH, Ergönen AT, Sönmez E, et al. The approach taken by the physicians working at educational hospitals in İzmir towards patient rights. Patient Educ Couns 2006; 61 (1): 87-91.
Lledo 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.
Ducinskiene D, Vladickiene J, et al. Awareness and practice of patient's rights law in Lithuania. BMC Int Health Hum Rights 2006; 6: 10.
Wah Chan DK, Goh LG. The doctor patient relationship: a survey of attitudes and practices of doctors in Singapore. Bioethics 2000; 14(1): 58-76.
Kuzu N, Ergin A, Zencir M. Patients' awareness of their rights in developing countries. Public Health 2006; 120(4): 290-6.
Merakou M. Satisfying patients' rights: a hospital patient survey. Nursing Ethics 2001; 8(6): 499-9.
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. Iran J Educ Med Sci 2004; 4(1): 45-53. [in Persian]
Anonymous. The Patients Association, Survey of The UK Public Patients' rights Main Report, December 2005.http://www.patients-association.org.uk
/DBIMGS/file/The%20Public%20Perception%20of%20Patients%E2%80%99%20Rights%20Within%20The%20UK.pdf (accessed in 2011).
Anonymous. The EU Charter of Patients’ Rights - A civic assessment, Active Citizenship Network, 2011. http://www.activecitizenship.net/files/european_day/2011/european_conference/abstract.pdf (accessed in 2011)
Brezis M, Israel S, et al. Quality of informed consent for invasive procedures. Int J Qual Health Care 2008; 20(5): 352–7.
Humayun A, Fatima N, Naqqash S, et al, Patients' perception and actual practice of informed consent, privacy and confidentiality in general medical outpatient departments of two tertiary care hospitals of Lahore. BMC Med Ethics 2008; 9: 14.
Amir M, Rabbani MZ, Parvez MB. Informed consent in elective surgical procedures: “What do the patients think?” J Pak Med Assoc 2009; 59(10): 679-82.
Keatinge D, Bellchambers H, Bujack E, Cholowski K, Conway J, Neal P. Communication: principal barrier to nurse - consumer partnerships. Int J Nurs Pract 2002; 8(1): 16-22.
Basagaoglu I, Sari N. Patient attitude about ethical issues confronted during the clinical education of medical students, with emphasis on informed consent. www.ishim.net/ishimj/jishim4_7_8/Vol4No7/ibrahim_sari.doc, (accessed in 2011).
Beisecker AE, Beisecker TD. Patient information-seeking behaviors when communicating with doctors. Med Care 1990; 28(1): 19-28.
|Issue||Vol 5 (2012)|
|Patient’s rights, Medical ethics, Views, Iran.|
|Rights and permissions|
|This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.|