Anbari Zohreh, Mohammadi Mehri, Taheri Magid
Education Development Center, Arak University of Medical Sciences, Arak, Iran.
Faculty of Medical Sciences, Arak University of Medical Sciences, Arak, Iran.
Iran J Nurs Midwifery Res. 2015 Mar-Apr;20(2):184-9.
Assessment of patients' views about the observance of their rights and obtaining feedback from them is an integral component of service quality and ensures healthcare ethics. The aim of this study was to assess patients' awareness of their rights and their satisfaction with observance of their rights, and provide effective strategies to improve the management of patients' rights in hospitals of Markazi Province, Iran in 2012.
This analytical study was conducted on 384 patients at 10 hospitals. Patients' awareness of the relevant hospital legislation was assessed by a structured interview, and then patients' satisfaction with observance of their rights was measured by a standardized questionnaire consisting of 10 principles approved by the Iran Ministry of Health of Iran in 2012. In this study, through Delphi technique, effective strategies have been provided to improve the management of patients' rights in the hospitals of Iran. Analysis of variance (ANOVA), t-test, and Z test were applied for data analysis.
Overall, 89% of the patients were unaware of the relevant hospital legislation and 28% of them were not satisfied with the observance of their rights (1.4 ± 0.6). A significant difference was observed between observance of patients' rights according to hospitals, language, and place of residence of the patients (P < 0.05), but there was no significant difference with respect to patients' rights according to sex, education, job, and duration of hospital stay (P > 0.05).
The Patient Bill of Rights of Iran needs further revision and modification. Moreover, extensive education of patients and healthcare processionals as the most structural strategies to promote professional ethics, reduce ethical conflict, and increase implementation of the law to respect patients' rights should be taken into deeper consideration.
评估患者对其权利遵守情况的看法并获取他们的反馈是服务质量的一个重要组成部分，也是医疗伦理的保障。本研究的目的是评估患者对其权利的认知以及他们对权利遵守情况的满意度，并为2012年伊朗马尔卡齐省医院改善患者权利管理提供有效策略。
本分析性研究在10家医院的384名患者中进行。通过结构化访谈评估患者对相关医院法规的认知，然后通过一份由伊朗卫生部于2012年批准的包含10项原则的标准化问卷来衡量患者对其权利遵守情况的满意度。在本研究中，通过德尔菲技术提供了改善伊朗医院患者权利管理的有效策略。采用方差分析（ANOVA）、t检验和Z检验进行数据分析。
总体而言，89%的患者不了解相关医院法规，其中28%的患者对其权利的遵守情况不满意（1.4±0.6）。根据医院、语言和患者居住地观察到患者权利遵守情况存在显著差异（P<0.05），但根据性别、教育程度、职业和住院时间，患者权利方面没有显著差异（P>0.05）。
伊朗的《患者权利法案》需要进一步修订和完善。此外，应更深入地考虑对患者和医疗专业人员进行广泛教育，这是促进职业道德、减少伦理冲突以及加强法律实施以尊重患者权利的最具结构性的策略。
