Patients Charter

PATIENT’S
CHARTER
J O H N A S A M O A H - BO AT I N G
A S S I S TA N T L E C TU R ER
D EP T. O F P H Y S I O T H E R A P Y A N D S P O RTS S C I EN C E
PATIENT’S CHARTER
Introduction
•The Ghana Health Service is for all people living in Ghana
irrespective of age, sex, ethnic background, religion or political
affiliation
•The service requires collaboration between health workers,
patients/clients and society. Thus the attainment of optimal healthcare
is dependent on teamwork.
•Health facilities must therefore provide for and respect the rights and
responsibilities of clients, families, health workers and other healthcare
providers
PATIENT’S CHARTER
Introduction
•Health professionals must be sensitive to the patients’ socio-cultural
and religious backgrounds, age, gender, and other differences as well
as the needs of patients with disabilities
•The Ghana Health Service expects health care institutions to adopt the
PATIENT’S CHARTER to ensure service personnel as well as
patients/clients and their families understand their rights and
responsibilities
•In simple terms the charter is put in place to protect the Rights of the
patient in the Ghana’s health system.
PATIENT’S CHARTER
Patient’s Charter
It addresses:
• The right of the individual to an easily accessible, equitable and
comprehensive health care of the highest quality within the resources of the
country
• Respect for the patient as an individual with a right of choice in the decision
of his/her health care plans
• The Right to protection from discrimination based on culture, ethnicity,
language, religion, gender, age and type of illness or disability
• The responsibility of the patient/client for personal and communal health
through preventive, promotive, and simple, curative strategies
PATIENTS CHARTER
Patient Rights
•The patient has the right to quality basic health care irrespective of
his/her geographical location
•The patient is entitled to full information on his/her condition and
management and the possible risks involved except in emergency
situations when patients is unable to make a decision and the need for
treatment is urgent.
•The patient is entitled to know of alternative treatment(s) and other
health care providers within the Service if these may contribute to
improved outcomes
PATIENTS CHARTER
Patient Rights
•The patient has the right to know the identity of all his/her caregivers
and other persons who may handle him/her including students,
trainees, and ancillary workers
•The patient has the right to consent or decline to participate in a
proposed research study involving him or her after a full explanation
has been given. The participant may withdraw at any stage of the
research project
•The patient who declines to participate in or withdraw from a research
project is entitled to the most effective care
PATIENTS CHARTER
Patient Rights
•The patient has the right to privacy during consultation,
examination, and treatment. In cases where it is necessary to use the
patient or his/her case notes for teaching and conferences, the
consent of the patient must be sought.
•The patient is entitled to confidentiality of information obtained
about him or her and such information shall not be disclosed to a
third party without his/her consent or the person entitled to act on
his/her behalf except where such information is required by law or is
in public interest.
PATIENTS CHARTER
Patient Rights
•The patient is entitled to all relevant information regarding
policies and regulations of the facilities that he/she attends
•Procedures for complaint, disputes and conflict resolution shall
be explained to patients or their accredited represntatives
•Hospital charges, modes of payment and all forms of anticipated
expenditure shall be explained to the patients prior to treatment
•Exemptions facilities, if any shall be known to the patient
PATIENTS CHARTER
Patient’s Responsibilities
The patient should understand that he/she is responsible for his/her
own health and should therefore co-operate fully with healthcare
providers
The patient is responsible for:
•Providing full and accurate medical history for his/her diagnosis,
treatment, counselling and rehabilitation purposes
•Requesting additional information and or clarification regarding
his/her health or treatment, which may not have been well understood
PATIENTS CHARTER
•Complying with prescribed treatment, reporting adverse
effects and adhering to follow up requests
•Informing his/her healthcare providers of any anticipated
problems in following prescribed treatment or advice
•Obtaining all necessary information, which have a bearing
on his/her management and treatment including all financial
implications
PATIENTS CHARTER
•Acquiring knowledge, on preventive, promotive and simple
curative practices and where necessary to seeking early
professional help
•Maintaining safe and hygienic environment in order to promote
good health
•Respecting the rights of other patients/clients and health service
personnel
•Protecting the property of the health facility
PATIENTS CHARTER
•These rights and responsibilities shall be exercised by
accredited and recognized representatives on behave
of minors and patients who are unable to for whatever
reasons to make informed decisions by themselves
•In all healthcare activities the patients dignity and
interest must be paramount
INFORMED
CONSENT
INFORMED CONSENT
•Informed consent is an active, authorization of a specific
medical intervention or involvement in research by an
individual
•Patient must do more than;
Snap agreement
Yield to a treatment
Comply with a treatment plan
•For issues involving medical treatment, silence does not
equate to agreement.
INFORMED CONSENT
•Rather patients must actively authorize a specific
medical intervention
INFORMED CONSENT
Elements of Informed Consent
Threshold element
•Competence
Information element
•Disclosure of information
• understanding of information
Consent element
•Voluntariness
•Authorization
INFORMED CONSENT
Competence
•Presumption of the practice of obtaining informed consent
•Precondition of being able to authorize autonomously
•Functions as threshold concept to distinguish between capable and
incapable patients
•Mainly in medical contexts
•Physical and mental conditions could render patients incapable of
adequate decision-making
•Competence must be task specific
INFORMED CONSENT
Evaluating Competence
A competent patient has the ability to:
•understand one’s situation or similar situations
•understand disclosed information
•evidence a preference or choice
•give a rational reason
•give a risk/benefit-related reason
•reach a reasonable decision
INFORMED CONSENT
Disclosure of information
Essential to enable patients make vital decisions
i.e accept or refuse treatment
Information must include;
•all relevant facts
•physician’s own opinions and recommendations
•the purpose of seeking consent
INFORMED CONSENT
Intentional nondisclosure
•also called therapeutic privilege
•occurs when a physician withhold information based on sound
medical judgement
Most important element in the process off obtaining informed consent
Most patients are nervous and sometimes vulnerable which may
impair understanding
Exchange of information is key to effective understanding
INFORMED CONSENT
Intentional nondisclosure
•also called therapeutic privilege
•occurs when a physician withhold information based on sound
medical judgement
Most important element in the process off obtaining informed consent
Most patients are nervous and sometimes vulnerable which may
impair understanding
Exchange of information is key to effective understanding

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