1. RIGHTS AND DUTIES Ildikó Bán M.D. 2007.

2. MEDICAL ETHICS & LAW Ethical Codex Common ethical normas/principles doctor-patient doctor-doctor research doctor-society doctor as a teacher Ethical committee The Law Precepts/regulations Medical responsibilty Highly dangerous action (physical, mental well being, health, life) Medical malpractice Indictable, punishable Criminal/civil right legal action/lawsuit

3. ETHICAL PRINCIPLES 1.AUTONOMY 1.self determination (thinking, will, action) 2.informed consent 2.„DO NOT HARM” 1.risk&benefit 2.minimaze the danger 3.BENEFICENCE 1.what is good for the patient 4.RIGHTFULL/FAIR 1.equal medical attendance 2.no discrimination(age, sex, colour, education, prejudice..) 3.capability 5.RESPONSIBILITY OF PATIENT 6.DOCTOR-DOCTOR/STAFF RELATION 1.mutual respect, appreciation 2.professional honour obligatory Can be done beyond your range Your limits Continous learning Other regulations

4. THE LAW Legal, codified relation between doctor and patient Provision=the medical attendace »Prevention »Early diagnosis »Therapy »Follw up »Rehabilitation »Processing medical records

5. DOCTOR’S SIDE

6. DUTY FOR GIVING MEDICAL ATTENDANCE in urgent need in that specific circumstance/situation in required way with the available tools with the following expected arrangements

7. RIGHT FOR THE FREE CHOICE AMONG THE DIAGNOSTIC AND THERAPEUTICAL METHODS This is the right of the physician –Evidence based –With the right personal and technical background –With consideration the risk/benefit –Consultation with other physicians –Informed consent is needed

8. RIGHT TO REFUSE TREATMENT Treatment can be denied –Urgent treatment of other patient –If it is not necessary –Physically it’s not possible –There is no proper technical background which is needed –The expected treatment is inconsistent with the doctor’s conscience, ethical or religious conviction –The patient’s behavior is insulting or threatening (except:if it comes from his disease) –If the patient does not cooperates

9. DUTY FOR GIVING INFORMATION It’s not replaceable with leaflets, handouts or prospectus Carefully Gradually Fit/adopt to the patient’s physical and mental status To emphasize the side effects and possible complications and their frequency To make sure that the patient understood you Follow up the patient or his/her relatives

10. DUTY FOR ADMINISTRARTION Patient documentation –True –Patient follow up –Could be controlled/checked up/supervised –Must be retrieval IT IS PROTECTION FOR THE DOCTOR!

11. DUTY FOR SECRECY/CONFIDENTIALITY Valid for the health status and other conditions as well With no time limit Not depending on the way you got the information Except from: exoneration from the authorities, or it’s endangers someone’s health (ethical problems)

12. R U STILL AWAKE?

13. PATIENT’S SIDE

14. THE ROLE/DUTIES OF THE PERSON/PATIENT The patient’s responsibility for his own health status Develop the sense of responsibility/ to be aware To inform the doctor »Previous diseases »Own and family hystory »Infectious diseases »If he has questions, sg. is not understandable To give respect for the medical staff To keep the regulations of the medical institute Based on the collaboration of the patient and the doctor

15. PATIENT’S RIGHTS Right to get medical attendance Right to obtain information Right to self determination Right to reject treatment or information Right to human dignity Right to confidentialiy HOW CAN PATIENTS EXCESISE THEIR RIGHT? »GETTING INFORMATION »LEGAL REPESENTATIVES »HOSPITAL REGULTIONS

16. RIGHT TO GET MEDICAL ATTENDANCE Proper medical attendance »Life threatening situation, irreversible impairment, pain – urgent situation »Regular treatment Continuously accessible With no discrimination Free choice for doctor

17. RIGHT TO HUMAN DIGNITY basic right for the patient Basic duty of the doctor RESPECT THE HUMAN DIGNITY Waiting time Intimacy Privacy - family, community

18. RIGHT TO OBTAIN INFORMATION Individual information Adopt to the patient Fit to the –Age –Qualification –Knowledge –Mental status –Circumstances… Diagnostical,theraputical procedures, alternatives, prognosis, consequences of denying the treatment..

19. RIGHT TO SELF DETERMINATION AUTONOMY Informed consent –Oral –Written –With behavior When which one is needed? –F.e.: rejecting the treatment – 2 testifier

20. RIGHT TO REJECT TREATMENT Patients in terminal state (passive euthanasia,NOT IN EVERY CASE!) Advanced directive Give information! Right to reject to get information »Dying, old patients »Documentation Exception: life threatening situation

21. RIGHT TO GET TO KNOW THE PATIENT’S RECORDS Copies, explanation of the results and the diagnosis Who can be informed? In case of death –Legal representatives –Close relative –Inheritor

22. RIGHT TO CONFIDENTIALITY Who can be informed? – declaration Information on the phone Information for relatives

23. Have a nice day and some rest!