One for India

 1. Click and sign petition to demand the Maharshtra govt approve its draft rules that include charter of patients' rights.

2. Click and sign petition towards ending violence in Lalgarh, West Bengal

Standard Charter of Patients' Rights

1. Right of access to Health care
All patients have a right to access health care appropriate to the level of the hospital. This care should be provided without any discrimination on the basis of economic status or ability to pay, gender, religion, caste/ethnicity, social background, language etc.

2. Right to information
All patients have the right to be adequately informed about the state of their health, including medical data, proposed medical procedure, risks and advantages of various alternative procedures and treatment options and the possible effects of the non use of medical treatment, and any likely costs involved. Only in exceptional circumstances shall information not be revealed to the patient, namely when there is sound reason to believe that such information could cause more harm rather than benefit to the patient. In this case designated nearest family member or guardian should be appropriately consulted with. This includes the right to reports and records, wherein the patient shall have the right to get all relevant investigation reports, written reports on the diagnosis, any procedures performed, the medical treatment and the state of his/her health on discharge from hospital.

3. Right to informed consent being sought
Health care providers and professionals must give the patient basic information related to a treatment or an operation to be undergone, including the associated risks and discomforts, side-effects and alternatives. In case of major procedures, this information must be given with enough advance time (24 hours notice, barring exceptions where not feasible due to medical urgency) to enable the patient to actively participate in the therapeutic choices regarding his or her state of health and in a language the patient can understand. In the case of a minor, the consent of a parent or guardian should be taken. Only in cases where a patient lacks the capacity to give or withhold consent, and where a qualified medical doctor determines that treatment is urgently necessary in order to prevent immediate or imminent harm, may procedures be performed without informed consent.

4. Right to participate in decision making

Patients have the right to participate in decision making regarding the course of their treatment. Patients have the right to be appropriately referred, or to seek a second opinion on request, from a health provider of one’s choice. Patients have the right to accept or refuse to take part in clinical trials or research concerning the use of new drugs, procedures or medical devices. Clinical trials and experimental treatment should never be carried out without informed written consent of the patient.

5. Right to respect and dignity

Each patient has the right to receive respectful care and communication at all times and under all circumstances, as recognition of his/her personal dignity.

6. Right to privacy and confidentiality

All the data and information related to an individual’s state of health, and to the medical/surgical treatments to which he or she is subjected, must be stored and used in such a manner to maintain the anonymity of the patient\informant. Confidential information shall be disclosed to any person designated by the patient only if the patient gives his/her consent. Personal privacy must be respected in the course of various procedures (diagnostic exams, specialist visits, medications, etc.), which must take place in an appropriate environment and in the presence of only those who absolutely need to be there (unless the patient has explicitly given consent or made a request). Patients shall be interviewed and examined in surroundings designed to ensure reasonable privacy; female patients shall have the right to be chaperoned by a female caregiver during physical examination or treatment involving any bodily exposure, except in cases of emergency where such conditions may not be possible.

7. Right to safety and healthy hospital environment

Each patient has the right to be free from harm caused by the poor functioning of health services, medical malpractice and errors, and the right of access to health services and treatments that meet safety and quality standards. Each patient has the right to a clean and healthy environment in the hospital, which minimizes the risk of hospital-related infections.

8. Right to make complaints and to seek redressal
Patients have the right to complain about any aspect of hospital service, and to have the complaint investigated by the Rogi Kalyan Samiti or other designated agency which includes community / consumer representatives. A complaint must be followed up by an inquiry involving the patient / relatives, followed by a complete written response by the Hospital authorities within a fixed period. Complaints of serious lapses, negligence or infringement of patients rights, if substantiated by inquiry, must be followed up with appropriate recompense and disciplinary action, which is communicated to the patient or relatives.
Every hospital should publicise prominently in Marathi, Hindi and possibly other language such as Gujarati or Tamil if predominantly spoken in the hospital operation area in addition to English at major locations in the hospital the information about the complaint procedure along with the name, address and telephone number of persons to be contacted.

I have read and understood the points presented in the demand and, by signing this e-petition , strongly support the spirit of each item laid down in the demand. Given the importance of this matter, I request your urgent intervention and am hopeful that you will undertake immediate steps to ensure that all hospitals adopt and comply with the Standard Charter of Patients' Rights.
 
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