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通过医院评审促进患者权益。

Promoting patients' rights through hospital accreditation.

机构信息

Department of Nursing, University of Haifa, Haifa, Israel.

International Center for Health, Law and Ethics, Faculty of Law, University of Haifa, Haifa, Israel.

出版信息

Isr J Health Policy Res. 2020 Sep 21;9(1):47. doi: 10.1186/s13584-020-00405-1.

Abstract

BACKGROUND

Over the past decade, hospitals in many countries, including Israel, have undergone an accreditation process aimed at improving the quality of services provided. This process also refers to the protection and promotion of patients' rights. However, reviewing the criteria and content included in this category in the Israeli context reveals definitions and implications that differ from those presented by the law - specifically the Patient's Rights Act 1995. Moreover, the rights included in it are not necessarily equally represented in other legislation.

METHODS

This study seeks to examine the question of whether and to what extent the scope, contents, and definitions of patients' rights in the JCI Standards are similar to or different from patients' rights as they are addressed and protected in national legislation. The article provides a comparison and examination of the different regulatory frameworks of patients' rights, especially those in the accreditation of healthcare institution and legislation, analyzes the gaps between such frameworks, and suggests possible implications on our understanding of the concept of patients' rights.

RESULTS

The patients' right chapter in the accreditation process introduces and promotes the concepts of patient and family rights, increases the awareness and compliance of such concepts, and may create greater consistency in their introduction and application.

CONCLUSIONS

Discussion of the Israeli case not only demonstrates how regulatory frameworks are instrumental - for broader policy purposes, especially in the area of patients' rights and the rights of patients' families - but also calls for a more general examination of the concept of patients' rights in health policies and its contribution to the quality of health services. Reference to patients' rights in accreditation of healthcare institutions may promote and enhance this concept and contribute to the delivery of care, thereby complementing a lacuna in the law.

摘要

背景

在过去的十年中,包括以色列在内的许多国家的医院都经历了旨在提高所提供服务质量的认证过程。该过程还涉及保护和促进患者权利。然而,在以色列背景下审查这一类别的标准和内容所包含的定义和含义与法律(具体为 1995 年的《患者权利法》)所呈现的定义和含义不同。此外,其中包含的权利在其他立法中不一定得到平等体现。

方法

本研究旨在探讨 JCI 标准中患者权利的范围、内容和定义是否以及在何种程度上与国家立法中所涉及和保护的患者权利相似或不同。本文对患者权利的不同监管框架,特别是医疗保健机构认证和立法中的患者权利进行了比较和审查,分析了这些框架之间的差距,并对我们对患者权利概念的理解提出了可能的影响。

结果

认证过程中的患者权利章节介绍并促进了患者和家属权利的概念,提高了对这些概念的认识和遵守程度,并可能在引入和应用方面实现更大的一致性。

结论

对以色列案例的讨论不仅表明监管框架如何为更广泛的政策目的(特别是在患者权利和患者家属权利领域)提供工具,还呼吁更广泛地审查卫生政策中的患者权利概念及其对卫生服务质量的贡献。在医疗保健机构认证中提及患者权利可能会促进和增强这一概念,并有助于提供护理,从而弥补法律中的空白。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/702b/7504649/3c897e97d650/13584_2020_405_Fig1_HTML.jpg

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