1. GRUNDTVIG PROJECT BASIC SKILLS AT THE WORK PLACE PATIENT’S RIGHTS AND RESPONSIBILITIES AFYON KOCATEPE UNIVERSITY AHMET NECDET SEZER RESEARCH AND PRACTICE HOSPITAL PATIENT’S RIGHTS DEPARTMENT
"Bu proje T.C. Avrupa Birliği Bakanlığı, AB Eğitim ve Gençlik Programları Merkezi Başkanlığınca (Türkiye Ulusal Ajansı, yürütülen Erasmus+ Programı (Hayatboyu Öğrenme veya Gençlik Programı) kapsamında ve Avrupa Komisyonu'ndan sağlanan hibeyle gerçekleştirilmiştir. Ancak burada yer alan görüşlerden Türkiye Ulusal Ajansı veya Avrupa Komisyonu sorumlu tutulamaz."

2. SUBJECT CONTENT THE HISTORICAL DEVELOPMENT OF PATIENT’S RIGHTS
THE AFFAIRS BETWEEN PATIENTS AND HEALTH WORKERS
PATIENT’S RIGHTS APPLICATIONS OF THE MINISTERY OF HEALTH
THE PATIENT’S RIGHT DEPARTMENT OF OUR HOSPITAL

3. WHAT DOES “RIGHT” MEAN?
“RIGHT” IS “THE LEGAL PROTECTION OF A PERSON’S INTERERST FROM WHICH THE PERSON HAS THE AUTHORITY TO BENEFIT.

4. HUMAN RIGHTS
IN WEST, HUMAN RIGHTS FIRST CAME INTO QUESTION IN 1215 IN ENGLAND.
UNIVERSAL DECLARATION OF HUMAN RIGHTS IN FRANCE (1789)
AMERICAN DECLARATION OF THE RIGHTS AND DUTIES OF MAN (1791)
THE UNIVERSAL DECLARATION OF HUMAN RIGHTS (1948)

5. THE CLASSIFICATION OF HUMAN RIGHTS

6. WHAT DOES PATIENT’S RIGHTS MEAN?
The legally protected rights of people who are in need of healthcare service. They have these rights just because they are human beings.

7. THE HISTORCAL DEVELOPMENT OF PATIENT’S RIGHTS
PHYSICIANS, JURISTS, CLERGY AND MILITARY INSTITUTIONS HAVE ALWAYS BEEN AUTHORITY IN SOCIETY AND THEIR WISDOM HAVE BEEN RESPECTED HIGHLY.
AS A RESULT, PATIENTS GENERALLY ACCEPTED A PHYSICIANS DECISIONS WITHOUT QUESTIONING THEM.

8. PATIENT’S RIGHTS IN THE WORLD
TODAY, CONCEPTS SUCH AS EQUALITY, INDIVIDUALISM AND DEMOCRACY STARTED TO EVOKE REACTIONS TO PHYSICIAN-PATIENT AFFAIRS.
PATIENTS STARTED TO DEMAND BALANCED PATIENT-PHYSICIAN AFFAIRS AND THE SOCIAL EXPRESSION OF THIS DEMAND IS CALLED “PATIENT’S RIGHTS”.

9. PATIENT’S RIGHTS IN THE WORLD
NUREMBERG LAWS (1935)
Declaration of Helsinki (1964)
LISBON DECLARATION (1981)
AMSTERDAM Declaration (1994)
BALI DECLARATION (1995)
WARSAW MEETING (1996)
THE COUNCIL OF THE EUROPEAN CONVENTION ON HUMAN RIGHTS AND BIOMEDICINE(1997)
EUROPEAN ASSOCIATION (2002)

10. PATIENT’S RIGHTS IN TURKEY
IT IS OBVIOUS THAT SOME LEGAL ARRANGEMENTS HAVE BEEN PERFORMED TO REGULATE HEALTHCARE SERVICE SINCE THE ESTABLISHMENT OF TURKISH REPUBLIC.
THESE ARRANGEMENTS INCLUDED THE FIRST APPLICATIONS OF PATIENT’S RIGHTS WITHIN THE SCOPE OF HUMAN RIGHTS.

11. THE LEGAL ARRANGEMENTS RELATED TO PATIENT’S RIGHTS IN TURKEY
REGULATION OF MEDICAL DEONTOLOGY(1960),
THE CONSTITUTION OF TURKISH REPUBLIC(1982),
THE LEGISLATION OF PATIENT’S RIGHTS(1998),
APPLICATION INSTRUCTIONS FOR PATIENT RIGHTS(2005)

12. PATIENT’S RIGHTS
THE RIGHT TO BENEFIT FROM HEALTH CARE SERVICE WITHIN THE FRAMEWORK OF JUSTICE AND EQUITY
THE RIGHT TO REQUEST INFORMATION
THE RIGHT TO CHOOSE AND CHANGE THE HEALTH CENTER. (ONLY IF THERE IS NO FATAL RISK FOR THE PATIENT WITHIN THIS POCESS)
THE RIGHT TO KNOW, CHOOSE AND CHANGE THE STAFF.
THE RIGHT FOR PRIVACY

13. PATIENT’S RIGHTS
THE RIGHT NOT TO UNDERGO ANY MEDICAL OPERATION INVOLUNTARILY.
THE RIGHT TO HAVE THEIR INFORMATION KEPT SECRET.
THE RIGHT TO REJECT AND TERMINATE TREATMENT.
THE RIGHT TO RECEIVE MEDICAL ATTENTION,
THE RIGHT TO LOOK THROUGH THE RECORDINGS,

14. PATIENT’S RIGHTS THE RIGHT TO REQUEST THE CORRECTION OF RECORDINGS,
THE RIGHT TO RECEIVE SERVICE IN A SAFE ENVIRONMENT,
THE RIGHT TO REQUEST THE ORDER OF PRIORITY DEFINED,

15. PATIENT’S RIGHTS
THE RIGHT TO CARRY OUT RELIGIOUS PRACTICE AND BENEFIT FROM RELIGIOUS SERVICE.
THE RIGHT TO BE RESPECTED AND TO RECEIVE VISITORS.
THE RIGHT TO HAVE AN OVERNIGHT COMPANION FOR INPATIENTS.
THE RIGHT TO APPLY, COMPLAIN AND SUE.

16. PATİENT RIGHTS
THE RIGHT TO RECEIVE MEDICALLY APPROPRIATE DIAGNOSE, TREATMENT AND CARE.
THE PROHIBITION AGAINST INTERVENTION WITHOUT ANY MEDICAL NECESSITY.
PROHIBITION AGAINST EUTHENASIA.

17. WHAT THE PATIENT IS RESPONSIBLE FOR?
THE DUTY AND OBLIGATIONS OF A PATIENT BEFORE AND AFTER REFERRING IN A HEALTCARE CENTER

18. 1. GENERAL RESPONSIBILITIES
PATIENTS HAVE TO TAKE CARE OF THEIR HEALTH AND FOLLOW THE ADVICES FOR A HEALTY LIFE.
PATIENTS HAVE TO TAKE CARE OF THEMSELVES IN SIMPLE CASES.

19. 2. SOCIAL INSURANCE
PATIENTS HAVE TO INFORM ABOUT CHANGES IN THEIR HEALTH CONDITION, SOCIAL INSURANCE STATUE AND PERSONAL INFORMATION.
PATIENTS HAVE TO MAINTAIN THEIR SOCIAL INSURANCE.

20. 3. TO INFORM HEALTH WORKERS
PATIENTS HAVE TO INFORM ABOUT THEIR COMPLAINTS, DISEASES THEY HAVE SUFFERED FROM, THE MEDICAL OPERATIONS THEY HAVE UNDERGONE, THE MEDICINE THEY USE CURRENTLY AND ANY OTHER INFORMATION RELATED TO THEIR HEALTH PRECISELY.

21. TO INFORM HELATH WORKERS
THE PATIENT IS EXPECTED TO COOPERATE WITH THE HEALTH WORKERS THROUGHOUT THE PROCES OF DIAGNOSE AND TREATMENT.
PATIENTS HAVE TO MEET THE DAMAGE THEY CAUSED TO THE BELONGINGS OF THE HEALTH CENTER.

22. 4. OBEYING THE RULES OF THE HOSPITAL
PATIENTS HAVE TO FOLLOW THE ORDER OF REFERRAL
PATIENTS HAVE TO BE ON TIME FOR THEIR APPOINMETNS

23. FOLLOWING THE ADVICES FOR THEIR TREATMENT
PATIENTS SHOULD LISTEN CAREFULLY ABOUT THEIR TREATMENT AND THEY SHOULD ASK ABOUT ANYTHING THEY COUDN’T GET PROPERLY.
PATIENTS SHOULD INFORM THE HEALTH WORKERS IF THEY ARE NOT ABLE TO FOLLOW THE ADVICES FOR SOME REASON.

24. FOLLOWING THE ADVICES FOR THEIR TREATMENT
PATIENTS SHOULD EXPRESS IF THEY UNDERSTOOD THE PLAN THE WILL FOLLOW AFTER THE TREATMENT PROPERLY.
PATIENTS ARE RESPONSIBLE FOR THE RESULTS IF THEY DON’T FOLLOW THE ADVICES ORIF THEY REJECT TREATMENT.

25. THE LEGAL ASPECT OF CAUSING DEATH BY NEGLIGENCE
THE PUNISHMENT OF CAUSING DEATH BY NEGLIGENCE IS 3-6 YEARS’ SENTENCE AND ALSO HEAVY FINES.
HOWEVER, THE PUNISHMENT CAN CHANGE DEPENDING ON SOME FACTORS.

26. LEGAL ASPECT OF CAUSING INJURY BY NEGLECT
THE PUNISMENT OF CAUSING INJURY BY NEGLECT IS 3 MONTHS’ TO A YEAR’S SENTENCE.
IT’S IMPORTANT FOR CIVIL SERVANTS NOT TO STAY IN PRISON MORE THAN 6 MONTHS AS THEY CAN NOT CONTINUE THEIR WORK ANYMORE IN THIS CASE.

27. WHAT IS COMMUNICATION?
COMMUNICATION IS EXPRESSING AND SHARING IDEA, INFORMATION AND EMOTION BY USING SYMBOLS AS LETTERS OR IMAGES.
THE AIM OF EFFECTIVE COMMUNICATION IS; TO CONVEY OUR MESSAGE AS WE WANT IT TO BE UNDERSTOOD, TO ACHIEVE BEHAVIOR CHANGE AND CREATING A COMMON UNDERSTANDING.

28. FOR EFFECTIVE COMMUNICATION;
CHOOSING THE APPROPRIATE LANGUAGE
CONVEYING CLEAR AND EXACT MESSAGE
RESPECTING, INSPIRING CONFIDENCE
MAKING EYE CONTACT
PAYING ATTENTION TO BODY LANGUAGE
LEARNING TO ISTEN
MAKING EMPHATY

29. WHAT IS EMPHATY?
PUTTING YOURSELF IN SOMEBODY ELSE’S SHOES TO UNDERSTAND THEIR FEELINGS
YOUR ABILITY TO UNDERSTAND OTHERS’ INTENSITY OF EMOTIONS

30. WHAT EMPHATY IS NOT?
EMPHATY IS NOT IDENTIFYING WITH OR RESEMBLING TO OR SYMPATHIZING WITH OTHERS; IT’S THE EFFORT TO CATCH THEIR POINT OF VIEW.

31. THE PATIENT-HEALTH WORKER AFFAIRS
THE MATTER IS LOVE.
IT’S FOCUSING ON THE PATIENT RATHER THAN THE PROBLEM.
IT’S TREATING A PATIENT SUFFERING FROM ASTHMA RATHER THAN TREATING ASTHMA.
IT’S IMPORTANT TO BE FRIENDLY TOWARDS THE PATIENT.

32. PATIENT’S RIGHTS APPLICATIONS OF THE MINISRETY OF HEALTH

33. PATIENT’S RIGHTS DEPARTMENT OF THE MINISRTRY
PATIENT’S RIGHTS COORDINATION UNITS
THE HOSPITAL COMMITTEE OF PATIENT’S RIGHTS
HOSPITAL PATIENT’S RIGHT UNIT

34. THE AIM OF ESTABLISHING PATIENT’S RIGHTS UNITS
THESE UNITS ARE ESTABLISHED- WITHIN ALL PUBLIC HOSPITALS IN PROVINCES AND WITHIN COUNTY HOSPITALS WITH A CAPACITY OF AT LEAST 100 BEDS- FOR THE AIM OF PLANNING, ASSESSMENT, APPLICATION AND IMPROVEMENT OF PATIENT’S RIGHTS.
THE COMMITTEE IS OF 8 PERSONS, ONE OF WHOM IS THE CHAIRMAN.

35. PATIENT’S RIGHTS COMMITTEE AND UNIT WERE ESTABLISHED ON THE 26TH OF OCTOBER.

36. THE AIM OF THE ESTABLISHMENT OF PATIENT’S RIGHTS UNIT IN OUR HOSPITAL
TO SOLVE THE PROBLEMS OF PATIENTS MORE EFFECTIVELY AND IN A SHORTER TIME.
TO ENABLE THE STAFF, WHO WERE FORMERLY DEALING WITH SUCH PROBLEMS, DO THEIR PRIMARY WORK.
TO MAINTAIN THE PLANNING, ASSESSMENT, APPLICATION AND IMPROVEMENT OF PATIENT’S RIGHTS.

37. THE ORGANIZATION OF OUR PATIENT’S RIGHTS UNIT
THE PATIENT’S RIGHTS COMMITTEE
THE MANAGER OF THE PATIENT’S RIGHTS UNIT
MUSTAFA KÜÇÜKİLHAN
PERSONNEL OF THE PATIENT’S RIGHTS UNIT
PELİN DEMİRAL

38. THE COMMITTEE OF PATIENT’S RIGHTS
MEMBERS OF THE COMMITTEE
CHAIRMAN: HEAD PHYSICIAN
MANAGER: ASSISTANT OF THE HEAD PHYSICIAN
THE DIRECTOR OF THE HOSPITAL
THE HEAD NURSE
MANAGER OF THE PATIENT’S RIGHTS UNIT,
UNIT MANAGER OF THE PERSONNEL OF WHICH THE PARIENT COMPLAINS,
THE ADVOCATE OF THE PATIENT IF THEY HAVE ONE. (THE ADVOCATE HAS TO HAVE THE POWER OF ATTORNEY. MOREOVER THE RELATIVES OF THE PATIENT CAN EXPRESS THEIR OPINION ABOUT THE CASE BUT THEY CAN NOT VOTE OR ATTEND THE MEETING DURING VOTING.)

39. THE DUTIES AND AUTHORITY OF THE CHAIRMAN
TO MAINTAIN THE MEETINGS.
TO ENABLE GATHERING INFORMATION ABOUT THE PERSONNEL MENTIONED.
TO FOLLOW THE APPLICATION OF THE COMMITTEE’S ADVICE.

40. THE DUTIES AND AUTHORITY OF THE CHAIRMAN
TO SERVE AS A CONSULTANT AND EDUCATOR FOR THE HEALTH WORKERS COMING FROM OTHER HEALTHCARE CENTERS
TO ENABLE THE SERVICES OF THE COMMITTEE MAINTAINED COMPLYING WITH THE STANDARS OF PATIENT’S RIGHTS.

41. THE DUTIES AND AUTHORITY OF THE MANAGER OF PATIENT’S RIGHTS UNIT
TO CARRY OUT THE COUNSELLING AND ADVOCACY OF ALL PATIENTS.
TO ACCEPT, ASSESS THE APPLICATIONS AND TO INFORM THE PATIENTS ABOUT THE RESULTS OF THEIR APPLICATION.
TO SOLVE THE PROBLEMS THEMSELVES IF POSSIBLE OR TO BRING IT TO THE COMMITTEE.
TO REQUEST INFORMATION FROM THE PERSONNEL WHO IS SUBJECTED TO COMPLAINTS.

42. THE DUTIES AND AUTHORITY OF THE MANAGER OF PATIENT’S RIGHTS UNIT
TO PERFORM STUDIES TO IMPROVE PATIENT’S RIGHTS AND SUBMITTING THE RESULTS TO THE COMMITTEE.
TO ARRANGE THE EDUCATIONAL PROGRAMS IN TERMS OF SUBJECT, THE PERSONNEL TO BE INVOLVED IN AND THE TIME OF THE PROGRAM.
TO EXCHANGE INFORMATION WITH THE COORDINATOR OF THE PROVINCE ABOUT PATIENT’S RIGHTS.
TO DEVELOP A REWARD SYSTEM FOR THE PERSONNEL ATTANDING TO THE EDUCATION PROGRAMS.

43. THE DUTIES AND AUTHORITY OF THE MANAGER OF PATIENT’S RIGHTS UNIT
TO PREPARE, ORGANIZE AND MAINTAIN THE EDUCATIONAL PROGRAMS AND TO DEVELOP EDUCATIONAL MATERIAL.
TO ATTEND THE STUDIES TO ASSESS AND REVIEW THE FORMS.
TO CARRY OUT PATIENT-CENTERED STUDIES; TO START APPPLICATIONS INTENDING TO PLEASE PATIENTS AND TO INVOLVE PATIENTS IN THE DECISION MAKING PROCESS.
TO PROVIDE PRIVACY IN ALL THE PROCESSES.

44. THE DUTIES AND AUTHORITY OF THE PERSONNEL OF THE UNIT
TO ENABLE DATA INPUT
TO PREPARE THE FOLDERS TO BE EXAMINED AT THE COMMITTEE.
TO KEEP THE NECESSARRY RECORDINGS AND STATISTICS RELATED TO THE PATIENT’S RIGHTS UNIT.
TO KEEP THE PERSONEL INFORMATION OF THE PERSON ON THE FORM SECRET, EXCEPT FOR THE NAME. TO TAKE AND DELIVER THE FORMS BY TAKING AUTHORISED SIGNATURE.

45. THE DUTIES AND AUTHORITY OF THE PERSONNEL OF THE UNIT
TO RECORD THE DOCUMENTS RELATED TO THE UNIT.
TO DELIVER THE DOCUMENTS RELATED TO THE CASE THAT WILL BE DEALTH WITH IN THE COMMITTEE TO MEMBERS.
TO INFORM THE CONCERNED ABOUT THE DECISIONS MADE AT THE COMMITTEE AND ABOUT THE NEXT STEPS OF THE PROCESS OFFICIALLY IN 3 WORKING DAYS.

46. BİRİM PERSONELİNİN GÖREV VE SORUMLULUKLARI
TO SEND SAMPLES OF THE SUGGESTIONS, REQUESTS AND APPLICATIONS WITHIN THE DECISIONS OF THE COMMITTEE SUGGESTION FORMS TO THE ADMINISTRATION AND TO THE COORDINATOR OF THE PROVINCE.
TO ATTEND THE RESEARCHES AND SEMINARS RELATED TO THE PATIENT’S RIGHTS APPLICATIONS.
TO ENABLE AN ENOUGH NUMBER OF INFORMATIVE SIGNBOARDS, BROCHURES, BOOKLETS, POSTERS AND ETC. AVAILABLE FOR THE PATIENTS, PERSONNEL AND VISITORS.

47. THANK YOU FOR YOUR PARTICIPATION