1 / 12

Patients’ Rights in Poland

Patients’ Rights in Poland. Magda Bojarska Institute for Patient‘s Rights & Health Education Workshop on patients‘ rights in cross-border health care Budapest, February 2009. Institute for Patient‘s Rights & Health Education. Founded in 2004 by Father Arkadiusz Nowak Mission

dea
Download Presentation

Patients’ Rights in Poland

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Patients’ Rights in Poland Magda Bojarska Institute for Patient‘s Rights & Health Education Workshop on patients‘ rights in cross-border health care Budapest, February 2009

  2. Institute for Patient‘s Rights & Health Education • Founded in 2004 by Father Arkadiusz Nowak • Mission – promote patiens’ rights, - integrate patient movement • Activities: • Webportal directed to patients – www.prawapacjenta.eu • Legal advise for patients • Conferences, public debates, advocacy of patients’ rights • Public actions & campaigns • Project „Patients’ Academy” – 2-years educational programme for 120 leaders of patient associations (sponsored by EFPIA & PhRMA)

  3. Patients’ Rights in Poland Polish Constitution: Art. 68 - Everyone has a right to protection of health and a right of equal access to health services financed from public sources; Art. 38 – Life of a person is protected by law; Art. 18 and art. 40 – Privacy and dignity of a person is protected by law; Art. 51 – Personal data of a person are protected by law;

  4. Polish legislation related to Patients’ Rights • Act on Health Care establishments • Act on Health Care services refunded with public funds • Acts on Doctor’s and Nurse’s profession • Laws on Doctors’ and Nurses’ Chambers

  5. Charter of Patients’ Rights • Adopted by the government in 1998 • Based on international and Polish legislation • Does not have legal power of a law, it is only a cathalogue of patients’ rights • Contains 11 articles.

  6. Charter of Patients’ Rights A patient is explicitly entitled to: - equal access to the health services financed from public sources; - proper and clear information on own health status, necessary diagnostic and treatment procedures, health risks and prognosis - consent or refuse treatment - access to own medical record & documentation - respect of physical and mental integrity - confidentiality of all health data and personal data - contact and care of close / relatives - religious support / pastoral care - die in peace and respect - complaint and compensation

  7. Problems • Theright to equalaccess to the health services financedwith public funds - granted • Theright to receiveinmediatetreatmentinsituation of serious life or health thread - granted • Theright to choiceamongavailabletreatmentmethods – limited by the State budget • Theright to freechoice of service provider – formallygranted • Theright to choosemoreexpensivetreatmentordiagnosticmethod and coverthedifference – not granted • Maximumwaiting time for health services „guaranteed” – „lists of patientswaiting” depending on localcapacities • Theright of secondopinion – conditioned by doctor’sassent

  8. Medical documentation • Access have: - Doctors, nurses and othermedicalprofessionals (includingadministrativestaff) - Patient & the person authorised • In case of death – a proxy - a person authorised by a patient / closeones/ relatives – not formallyregulated New law on patientrights & patients’ rights ombudsman – limitstheright of access to medicaldocumentationincase of death of a patientonly to personsformallyauthorised by a patient (not yetinforce) • Medicaldocumentationshould betranslated to Polish – the law on thePolishlanguage

  9. Enforcement of patients’ rights • The law on patients’ rights & patients’ rights ombudsman – enacted by theParliamentin 2008 - vetoed by thePresident (togetherwiththewholebunch of health care-relatedactsproposed by thegovernment) • will hopefully be votedagainin 2009 and enforcedin 2010 • Institute for Patient’sRightsactivelyparticipatedinlegislativeprocess The law: Enforcespatients’ rights and introducesnew body responsible for patients’ rightsimplementation and observation – thePatients’ Rights Ombudsman. Atpresent – PR advocatesinhospitals – paid by NFZ - PR Office attheMinistry

  10. Quality standards in HC • Quality standards are regulated only in anestesiology • Internal system of quality management in HC – TQM • External system – ISO 9000 • Acreditation by the Centre for Monitoring of HC Quality

  11. Cross border HC • National HC Fund (NFZ) refunds cost of medical services for Polish citizens only in case of emergency. • The cost of planned procedures or diagnostics is covered by NFZ only if these procedures are not available in Poland. • The Supreme Administrative court issued a ruling that an excessive pending time for treatment can be treated as „unavailability” of this treatment in Poland.

  12. THANK YOU!

More Related