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波兰新法规背景下的患者权利

Patient's rights in Poland against the background of new regulations.

作者信息

Rabiega-Przylecka Agnieszka

机构信息

University Of Lodz, Faculty of Law and Administration, ul. Kopcinskiego 8/12, 90-232 Lodz, Poland.

出版信息

Med Law. 2012 Mar;31(1):43-56.

Abstract

Patient rights are the specification of general human rights. The rights define the patient position in relation to health institutions or medical professions providing, broadly understood, health services. The protection system of patient rights outlined by international legal and ethical regulations is detailed to specific social, political and economic realities by internal legal systems of individual states. Imperfections of the Polish health care system in relation to achieving adequate protection of patient rights, resulting, inter alia, from the lack of comprehensive regulation of the matter of patient rights, led the legislature to introduce new regulations concerning this aspect to the Polish legal order. The new Act of 6 November 2008 on Patient Rights and the Patient Rights Ombudsman (binding from 5 March 2009) is the first universally binding legal act in the Polish legal system entirely dealing with the matter of patient rights. It regulates the rights of the patient and correlated with them obligations of health care providers (public and non-public) irrespectively of both the legal form providers, as well as the sources of funding of the benefits provided. In particular, the Act states: the patient right to health services, right to obtain information, right to confidentiality of patient-linked information, right to consent to obtain health services, right to respect privacy and dignity of the patients, right to medical records and objecting to the doctor's opinion or decision, right to respect private and family life, right to pastoral care. The new regulations--besides the specification of the catalogue of patient rights--reinforced the institutional protection of patient rights by establishing a new central public administrative body having jurisdiction to protect patient rights--the Patient Rights Ombudsman. Poland, like other European countries, makes an attempt to improve the protection of patient rights. The introduction of the Act entirely devoted to patient rights is undoubtedly an important step towards creating the optimum protection of the patient.

摘要

患者权利是一般人权的具体体现。这些权利界定了患者相对于提供广义健康服务的医疗机构或医疗行业的地位。国际法律和道德规范所概述的患者权利保护体系,由各个国家的国内法律体系根据具体的社会、政治和经济现实加以细化。波兰医疗体系在实现对患者权利的充分保护方面存在缺陷,尤其是由于缺乏对患者权利事项的全面规范,这促使立法机构在波兰法律秩序中引入了有关这方面的新规定。2008年11月6日关于患者权利和患者权利监察员的新法案(自2009年3月5日起具有约束力)是波兰法律体系中第一部全面规范患者权利事项的具有普遍约束力的法律。它规范了患者的权利以及与之相关的医疗服务提供者(公立和非公立)的义务,而不论提供者的法律形式以及所提供福利的资金来源。特别是,该法案规定了:患者获得健康服务的权利、获取信息的权利、与患者相关信息的保密权利、同意接受健康服务的权利、患者隐私和尊严受尊重的权利、获取病历以及对医生意见或决定提出异议的权利、私人和家庭生活受尊重的权利、获得宗教关怀的权利。这些新规定——除了明确患者权利目录之外——还通过设立一个有权保护患者权利的新的中央公共行政机构——患者权利监察员,加强了对患者权利的制度保护。波兰与其他欧洲国家一样,试图改善对患者权利的保护。引入这部完全致力于患者权利的法案无疑是朝着实现对患者的最佳保护迈出的重要一步

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