St. Clare's Medical Center, Inc.

1838 Dian St., Brgy. Palanan, Makati City 1235 Philippines

Tel. Nos.: 8831-6512 to 14

PATIENTS BILL OF RIGHTS

Patients Bill of Rights with the expectation that it will contribute to more effective patient care and that it will be supported by the institution in behalf of its medical and nursing staff, employees and patients.

PREAMBLE

The relationship between physicians, their patients and broader society has undergone significant changes in recent times. While a physician should always act according to his/her conscience, and always in the best interests of the patient, equal effort must be made to guarantee patient autonomy and justice. The following Declaration represents some of the principal rights of the patient which the medical profession endorses and promotes. Physicians and other persons or bodies involved in the provision of health care have a joint responsibility to recognize and uphold these rights. Whenever legislation, government action or any other administration or institution denies patients these rights, physicians should pursue appropriate means to assure or to restore them.

PRINCIPLES

In the context of biomedical research involving human subjects including non-therapeutic biomedical research, the subject is entitled to the same rights and consideration as any patient in a normal therapeutic situation.

Right to Medical Care of Good Quality

Every person is entitled without discrimination to appropriate medical care.
Every patient has the right to be cared for by a physician whom he/she knows to be free to make clinical and ethical judgments without any outside interference.
The patient shall always be treated in accordance with his/her best interests. The treatment applied shall be in accordance with generally approved medical principles.
Quality assurance always should be a part of health care. Physicians, in particular, should accept responsibility for being guardians of the quality of medical services.
In circumstances where a choice must be made between potential patients for a particular treatment which is in limited supply, all such patients are entitled to a fair selection procedure for that treatment. That choice must be based on the medical criteria and made without discrimination.
The patient has the right of continuity of health care. The physician has an obligation to cooperate in the coordination of medically indicated care with other health care providers treating the patient. The physician may not discontinue treatment of a patient as long as further treatment is medically indicated, without giving the patient reasonable assistance and sufficient opportunity to make alternative arrangements for care.

Right to Freedom of Choice

The patient has the right to choose freely and change his/her physician and hospital or health service institution, regardless of whether they are based in the private or public sector.
The patient has the right to ask the opinion of another physician at any stage.

Right to Self-determination

The patient has the right to self-determination, to make free decisions regarding himself/herself. The Physician will inform the patient of the consequences of his/her decisions.
A mentally competent adult patient has the right to give or withhold consent to any diagnostic procedure or therapy. The patient has the right to the information necessary to make his/her decisions. The patient should understand clearly what is the purpose of any test or treatment, what the results would imply, and what would be the implications of withholding consent.
The patient has the right to refuse to participate in research or the teaching of medicine.

The Unconscious Patient

If the patient is unconscious or otherwise unable to express his/her, informed consent must be obtained whenever possible, from legally entitled representative where legally relevant.
If a legally entitled representative is not available, but a medical intervention is urgently needed, consent of the patient may be presumed, unless it is obvious and beyond any doubt on the basis of the patient’s previous firm expression or conviction that he/she would refuse consent to the intervention in that situation.

The Legally Incompetent Patient

If patient is a minor or otherwise legally incompetent the consent of a legally entitled representative, where legally relevant, is required. Nevertheless, the patient must be involved in the decision making to the fullest extent allowed by his/her capacity.
If the legally incompetent patient can make rational decisions, his/her decisions must be respected, and he/she has the right to forbid the disclosure of information to his/her legally entitled representative.
If the patient’s legally entitled representative, or a person authorized by the patient, forbids treatment which is, in the opinion of the physician, in the patient’s best interest, the physician should challenge this decision in the relevant legal or other institution. In case of emergency, the physician will act in the patient’s best interest.

Procedures Against the Patient's Will

Diagnostic procedures or treatment against the patient’s will can be carried out only in exceptional cases, if specifically permitted by law and conforming to the principles of medical ethics.

Right to Information

The patient has the right to receive information about himself/herself recorded in any of his/her medical records, and to be fully informed about his/her condition. However, confidential information in the patient’s records about a third party should not be given to the patient without the consent of that third party.
Exceptionally, information may be withheld from the patient when there is good reason to believe that this information would create a serious hazard to his/her life or health.
Information must be given in a way appropriate to the local culture and such a way that the patient can understand.
The patient has the right not to be informed on his/her explicit request, unless required for the protection of another person’s life.
The patient has the right to choose who, if anyone should be informed on his/her behalf.

Right To Confidentiality

All identifiable information about a patient’s health status, medical condition, diagnosis, prognosis and treatment and all other information of a personal kind must be kept confidential, even after death. Exceptionally, descendants may have a right of access to information what would inform them of their health risks.
Confidential information can only be disclosed if the patient gives explicit consent or if expressly provided for in the law. Information can be disclosed to other health care providers only on a strict “need to know” basis unless the patient has given explicit consent.
All identifiable patient data must be protected. The protection of the data must be appropriate to the manner of its storage. Human substances from which identifiable data can be derived must be likewise protected.

Right To Health Education

Every person has the right to health education that will assist him/her in making informed choices about personal health and about the available health services. The education should include information about healthy lifestyles and about methods of prevention and early detection of illness.
The personal responsibility of everybody for his/her own health should be stressed. Physicians have an obligation to participate actively in educational efforts.

Right To Dignity

The patient’s dignity and right to privacy shall be respected at all times in medical care and teaching, as shall his/her culture and values.
The patient is entitled to relief of his/her suffering according to the current state of knowledge.
The patient is entitled to humane terminal care and to be provided with all available assistance in making dying as dignified and comfortable as possible.

Right To Religious Assistance

The patient has the right to receive or to decline spiritual and moral comfort including the help of a minister of his/her chosen religion.

PATIENT'S RESPONSIBILITIES

Please know that we support you in meeting your responsibilities durign your stay such as:

1. Be honest with your health care provider.

- Provide accurate and complete medical information to your health care provider.
- Report any changes in your condition.

2. With your health care provider.

3. Comply with treatment plans you and your doctors worked on together to agree on a treatment plan.

- It makes sense to comply with the treatment plan.

4. Follow the instructions and advice of the health care team to the best of your ability.

5. Accept the consequences of your decisions if you refuse to follow recommended treatments and instructions.

6. Maintain healthy habits.

- Your health are affected by everything you interact with in the environment such as safe environment and safe availability of nutritious food, social surroundings, comfortable health care setting to maintain highest level of welllness you can achieve.

7. Making decisions responsibly.

- Your decision about our care are based on solid evidence and proven procedures.

8. Be considerate to other patients, staff and visitors.

- Being mindful of noise levels.

9. Avoid putting others at risk.

- You have an obligation not to harm others either through intentional or unintentional means.

- It is our responsibility to act in such a way that others are not infected or injured.

10. Insurance and Billing.

- Know the extent of your insurance coverage.

- Know your insurance requirements.

11. Meet your financial obligation.

12. Be respectful to the hospital personnel.

- It is the patient’s responsibility to show respect in return just as it’s a patient’s right to expect respect.

13. Share Information.

- Ask questions when something is not clear to your queries.

- Inform the staff when their answers are not understandable.

14. Follow other hospital rules and regulations.

- Visiting hours.

- No Smoking within the hospital premises.

- Presenting important valuables to hospital staff for safe keeping.

World medical Association Declaration on the Rights of the Patient
Adopted by St. Clare's Medical Center