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Patient's Charter

The Patient's Charter is an excerpt from five bills that passed earlier and the Constitution of the Republic of Poland. The Charter must be available for use in all hospitals, consulting units, and private practice of doctors, nurses and midwives.


The patient's rights emanating from the Constitution of the Republic of Poland itself:

1) Every individual has the right to protection of health - article 68, par. 1.
2) Every citizen has the right to equal access to public health care services financed through public expenditure as stipulated in the Constitution - article 68, par. 2.


The patient's rights in health care institutions as defined in the health care institution act of 1991:

1) Every patient referring to a health care institution has the right to receive immediate medical care when life or health is compromised, irrespective of the circumstances - article 7.
2) Patients referring to a health care institution have the right to:
- medical care which fully meets the currently accepted standards, and in case of limited possibilities access to adequate services according to reliable medical criteria - article 19 par.1.1, art.20 par. 1.1 and art. 26.
- healthcare services provided by authorized staff in a safe environment and using adequate equipment - article 19 par.1 and article 10.
- information about his/her health state - article 19 par. 1.2.
- give or withhold consent to treatment upon being informed properly - article 19 par. 1.3.
- treatment with dignity and consideration for privacy - article19 par. 1.4.
- access to health records or authorize another person to have such access - article 8 par.3.1.
- confidentiality for personal information in health records - article 18 par. 2.
- access to information on patient's rights - article 19 par.6.



In a hospital, sanatorium and another healthcare institution the patient has the right to:

1) pharmacological agents and medical materials - article 20 par.1.2 and art. 26.; room and nutrition adequate to medical condition - article 20 par.1.3 and art. 26.; religious service - article 19 par. 3.3.
2) additional nursing care provided by a relative or authorized person - article 19 par. 3.1.
3) personal or telephone contact and correspondence with people outside - article 19 par. 3.2.
4) name a person or an institution authorized to receive information on life-threatening health deterioration or death - article 20 par. 2 and art. 26.
5) give or withhold consent to be admitted to this particular healthcare institution - article 21 par. 1 and art. 26.
6) be discharged on demand and receive information on possible consequences of ceasing treatment in this particular healthcare institution - article 22 par. 1 and 3 and art. 26.
7) receive indispensable medical care and transport to alternative facility in the situation when despite professional judgment admission to this particular hospital cannot be made - article 21.
8) medical ambulance services in case of accident, injury, delivery, sudden illness or sudden life-threatening health deterioration - article 28.



The patient's rights as defined in the medical profession act of 1996

The patient has the right to:

1) receive evidence-based medical treatment using available means of prevention, diagnosis and therapy in compliance with professional ethics and due diligence - article 4.
2) receive medical care each time its delay would be life-threatening, cause severe body injury or serious health problem and in other urgent conditions - article 30
3) receive comprehensible information on health status, diagnosis, suggested and possible diagnostic procedures and treatment, predictable consequences of therapy or its withdrawal, therapeutic outcomes and prognosis - article 3 par. 1.
4) demand information on health status and prognosis when the treating doctor does not disclose everything believing he/she acts for patient benefit - article 31 par. 4.
5) decide who should be informed in compliance with article 31 par.3.3
6) demand to withhold the information in compliance with article 31 par.3.3
7) withhold consent to examination or an alternative health service - article 32 par. 1.
8) give or withhold consent to surgical operation or an alternative therapy or diagnostic procedure associated with increased risk; in order to make a decision the patient needs to be informed in compliance with article 34 par. 1 and 2.3.
9) be informed that surgery or therapy or diagnostic procedure had to be modified while being performed because of the new life-threatening circumstances - article 35 par. 2.
10) respect for privacy and dignity - article 36 par. 1.
11) give or withhold consent to the presence of other than the medical staff performing the procedure - article 36 par. 1 and 2.
12) ask the treating doctor for a second opinion from a specialist or medical consultation - article 37.
13) be advised early enough of the intention to abandon therapy and be provided genuine alternatives to treatment by another doctor or healthcare institution - article 38 par. 2.
14) confidentiality of medical information - article 40 par. 1.
15) be informed about adverse treatment effects if agreed to receive such information from the treating doctor - article 40 par. 2.4.
16) give or withhold consent to disclose data that would identify the patient - article 40 par. 4

Furthermore, the patient has the right to give or withhold consent to participate in a medical experiment upon being informed about its goals, means and conditions, expected benefits, risk and possibilities to withdraw from the experiment at any time - article 24 par. 1, art. 25 par. 1 and art. 27 par. 1.


The patient's rights as defined in the nurse and midwife act of 1996

The patient has the right to:

1) receive treatment from a licensed nurse and a licensed midwife using available means in compliance with professional ethics and due diligence - article 18.
2) receive medical aid from a licensed nurse and a licensed midwife each time the life of the patient is endangered or there is risk for severe body injury - article 19.
3) receive information from a nurse and a midwife about patient's rights - article 20 par. 1.
4) receive information from a nurse and a midwife about health status regarding nursing care - article 20 par. 2.
5) confidentiality of medical data obtained by a nurse and a midwife - article 21 par. 1.
6) give or withhold consent to disclose data that would identify the patient - article 21 par. 4.



The patient's rights as defined in the mental health act of 1994

The patient with psychic disorders, psychic disease or mental disorders has the right to:

1) free health services provided by public psychiatric care institutions - article 10 par. 1.
2) free medication and sanitary products, room and nutrition if staying in a public psychiatric hospital - article 10 par. 2.
3) receive treatment that is adequate not only for the reason of health objectives but also personal interest or good and striving for improvement and that is as harmless to the patient as possible - article 12.
4) communicate freely with relatives and other people if staying in a psychiatric hospital or care home - article 13.
5) apply for permission to leave the hospital temporarily without being formally discharged - article 14.
6) be warned about potential use of direct compulsion in compliance with article 18.
7) be advised about the intention to carry out a psychiatric examination without prior patient consent and justification for such decision; the psychiatric examination is permissible if the patient's conduct indicates that the disorders may endanger his/her life or health and life of other people or he/she is not able to satisfy the basic needs - article 21 par. 1 and 2.
8) give or withhold consent to be admitted to a psychiatric hospital except the situation when admission is permissible without prior patient consent - article 22 par. 1, article 23, 24 and 29.
9) be informed about reasons for admission to a psychiatric hospital without patient consent and about his/her rights in such situations - article 23 par. 3.
10) withhold prior consent to be admitted to a psychiatric hospital - article 28.
11) indispensible treatment in order to eliminate the reasons for admission without consent and information about planned therapy - article 33 par. 1 and 2.
12) be discharged from the psychiatric hospital if staying without consent and if the circumstances that caused admission have ceased to exist - article 35 par. 1.
13) continue hospital treatment as defined in paragraph 17 upon giving consent if the doctor judges that staying in the hospital is needed - article 35 par. 2.
14) ask in any form for discharge from the psychiatric hospital article 36 par. 1.
15) apply to the Family Court for being discharged from the psychiatric hospital upon refusal to be discharged as defined above - article 36 par. 3.
16) information about time and form of the application to the Family Court as defined above - article 36 par. 3.
17) apply for the appointment of a guardian if staying in a psychiatric hospital he/she needs assistance to handle all or specific personal matters - article 44 par. 1.
18) The patient has also the right to confidentiality of data disclosed during the process of treatment - article 50 par. 1.



The patient's rights as defined in the human tissue act of 1995:

I. The patient has the right to:

1) articulate and withdraw at any time a refusal to donate his/her cells, tissues and organs after death - article 54 and article 5 par. 1-4.
2) give voluntary consent to donate cells, tissues and organs while being alive for transplantation if having full capacity for legal actions - article 12 par. 1.
3) protection of personal data regarding donor/recipient of the transplant and confidentiality of the information - article 12 par. 1.


II. The potential recipient has the right to be put on the waiting list for transplantation of cells, tissues and organs and be selected for the procedure in compliance with relevant medical criteria - article 13.





Director
The John Paul II Hospital in Krakow

ul. Prądnicka 80 31-202 Kraków tel. 012 614 20 00 fax 012 614 22 66sekretariat@szpitaljp2.krakow.pl

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