Patients’ Rights Assist.Prof.Dr. Mehmet KARATAS Dept. of History of Medicine & Ethics

Legal Basis of Patients’ Rights International Documents International Documents The Law on the Practice of Medicine and Medical Sciences The Law on the Practice of Medicine and Medical Sciences Medical Ethics Charter Medical Ethics Charter Obligations Act (power of attorney agreement, diagnosis) Patients’ Rights Directive Patients’ Rights Directive Regulations on Clinical Trials Regulations on Clinical Trials

Provided Patients Rights The basic human right to life Health Right Following a safe life Informing/ Consent/ Denial of the treatment Respect to personal life Privacy of patients information Freedom of thought and belief Protecting of patients honor

Patients’ Right Benefiting from health services equally Information on how to benefit from health services The right to change/choose the medical institute/hospital The right to change/choose health care professional Comply with the requirements of medical diagnosis/treatment/care right The right to medical care Medical procedures can’t endure without patients consent The right abort medical treatment Emergent/ Forensic/Elderly/Disabled patients have priority

Patients’ Rights Privacy/right to respect medical confidentiality The right to know current medical status The right to examine medical records The right to request correction of medical records The right to withhold personal medical information Informed consent in medical research Security The right to perform religious obligations The right to have visitors

WMA (World Medical Association) Lisbon Patient Bill of Rights (1981) Freedom to choose physician Freedom to oblige or neglect recommended treatment The right to withhold personal information The right to die with honor Religious representative help

WHO (World Health Organization) Amsterdam Declaration (1994) Observance of human rights and values in health care Care/Treatment Rights Informed/Consent Privacy

Patients’ Rights Directive The right to live in a state of complete well-being consisting of physical, emotional, and social safety The right to live and preserve the well being of a patient in every aspect Race, language, religion, creed, sex, political opinion, philosophical belief, economic and social situation can not be taken into account Except in medical necessities and in cases prescribed by law, physicians can not violate with patients human rights without consent Patients can not be subject to medical research without consent or permission by law Privacy of the patient can not be violated in any way or manner

AIM Protecting human rights in the provision of health services Especially protecting patients honor Medical interventions must be within the legal limits Complying with the ethical principals that doesnt persuade the patient

RESULT Improvement of Life Improvement of Life Increase in Expectancy Increase in Expectancy Ethical Principles Ethical Principles “Autonomy” “Beneficence” “Non malaficence” “Justice”

References F. Başak ÇAKMAK/Bilal GÜNENÇ, İnönü Üniversitesi Tıp Fakültesi, translation F. Başak ÇAKMAK/Bilal GÜNENÇ, İnönü Üniversitesi Tıp Fakültesi, translation Tolga GÜVEN, Marmara Üniversitesi Tıp Tarihi ve Etik AD ders notları Tolga GÜVEN, Marmara Üniversitesi Tıp Tarihi ve Etik AD ders notları Gürkan SERT, Hasta Hakları Gürkan SERT, Hasta Hakları Robert M VEATCH, Medical Ethics Robert M VEATCH, Medical Ethics Emine ATABEK, Mebrure DEĞER, Tıbbi Deontoloji Konuları Emine ATABEK, Mebrure DEĞER, Tıbbi Deontoloji Konuları Hasta Hakları Yönetmeliği, 1998 Hasta Hakları Yönetmeliği, 1998 Klinik Araştırmalar Hakkında Yönetmelik, 2011 Klinik Araştırmalar Hakkında Yönetmelik, 2011 Çağlar Boyu Tıp, Roche Yayınları Çağlar Boyu Tıp, Roche Yayınları