Krzych Lukasz J, Ratajczyk Dariusz
1st Dept. of Cardiac Surgery, University Hospital No. 7, Medical University of Silesia, Katowice, Poland; Silesian College of Computer and Biological Sciences, Chorzow, Poland.
J Forensic Leg Med. 2013 Oct;20(7):902-5. doi: 10.1016/j.jflm.2013.06.006. Epub 2013 Aug 15.
Knowledge of patients' rights is obligatory to create a partner-based relationship between the doctor and the patient. Therefore, we sought to evaluate the awareness of patients' rights by subjects admitted to a multidisciplinary university hospital in Poland.
This project was cross-sectional in design and conducted between 06.2012 and 09.2012. The study group comprised 275 persons aged 57.4 ± 15.3 years. A 21-item questionnaire based on legal regulations on patients' rights was applied.
Over 80% of respondents were aware of their right to choose a treating physician, refusal of the proposed treatment, the choice of the place where the patient is treated, the right of access to medical records, free meals, pastoral care, ability to provide to third parties information about the state of health, as well as giving information to particular persons by phone. The least awareness was shown in relation to the form of giving consent (42.9%) or refusal of consent (50.5%) to treatment and the doctors' right to refuse the presence of a person close to the patient during treatment (16.4%). Factors of significant impact on the findings were participants' age and education level.
Patients are characterized by a considerable awareness of their rights. From the point of view of health care system, the most important is knowledge of the laws related to the broad access to medical services, including choice of attending physician but also to obtain assistance in emergency situations of life and health care in each facility health, regardless of place of residence.
了解患者权利对于在医生和患者之间建立基于伙伴关系至关重要。因此,我们试图评估波兰一所多学科大学医院收治患者对患者权利的知晓情况。
本项目采用横断面设计,于2012年6月至2012年9月进行。研究组包括275名年龄在57.4±15.3岁的人员。应用了一份基于患者权利法律法规的21项问卷。
超过80%的受访者知晓他们选择主治医生的权利、拒绝所提议治疗的权利、选择患者接受治疗地点的权利、获取病历的权利、免费膳食、牧师关怀、向第三方提供健康状况信息的能力以及通过电话向特定人员提供信息的权利。在同意(42.9%)或拒绝同意(50.5%)治疗的形式以及医生拒绝患者家属在治疗期间在场的权利(16.4%)方面,知晓度最低。对研究结果有显著影响的因素是参与者的年龄和教育水平。
患者对自身权利有相当程度的知晓。从医疗保健系统的角度来看,最重要的是了解与广泛获取医疗服务相关的法律,包括选择主治医生,以及在每个医疗机构的生命和健康紧急情况下获得援助,无论居住地点如何。