1. Matsievskaya Larissa Leonardovna Karaganda 2014 Karaganda State Medical University Department foundations of psychology and communicative skills

2. Code of the Republic of Kazakhstan "On people's health and the health care system" From 18.09.2009, № 193 - IV)  Article 89. Rights of children.  Article 91. Rights of patients  Article 92. Responsibilities of Patients  Article 93. The right to refuse medical treatment  Article 94. Provision of medical care without the consent of the citizens  Article 95. Medical secrecy  Article 96. Rights and obligations of citizens in the area of reproductive rights

3. Patient Rights Article 91. Rights of patients 1. In addition to the rights specified in Article 88 of this Code, the patient has the following rights: 1) be treated with dignity in the process of diagnosis, treatment and care, respect for their cultural and personal values; 2) aid in the order determined solely on the basis of medical criteria, without the influence of any discriminatory factors; 3) selection, replacement doctor or medical institution; 4) support from family, relatives and friends, as well as ministers of religious organizations; 5) The relief of suffering to the extent that it allows the current level of medical technology; 6) obtaining an independent opinion on the state of their health and conduct a consultation; 7) other rights under the laws of the Republic of Kazakhstan.

4. 1. The patient has the right to receive information about their rights and responsibilities, the services provided, the cost of fee-based services, as well as on the order of their submission. Information about the rights of the patient should be placed in areas of visual agitation medical organizations. 2. If you receive a medical patient organizations should be represented information about the names and professional status of those who will render him medical services, as well as the internal rules of the medical organization. 3. Medical assistance should be provided after obtaining informed oral or written voluntary consent. 4. Upon receipt of care a patient has the right to be fully informed about their health status, including information about the risks and benefits of proposed and alternative treatments, information about the possible consequences of refusing treatment, information on diagnosis, prognosis and treatment measures in the plan available to the patient form, as well as an explanation of the reasons for his discharge home or transfer to another medical organization.

5. 5. The patient may appoint a person, who should provide information about the state of his health. Failure of patient information is issued in writing and included in the medical records. 6. Information can be hidden from the patient only in cases where there are reasonable grounds to believe that the provision of medical information not only not benefit, but the cause serious harm to the patient. In this case, the information is reported to the wife (husband), the patient's next of kin or legal representative. 7. Patients receiving medical care in a clinical database of educational institutions in the areas of health, have the right to refuse to participate in the learning process, as well as the presence of third persons during treatment and diagnostic procedures. 8. Protection of patients' rights carried out by bodies, health institutions, and public organizations within their jurisdiction. 9. Upon receipt of care a patient has the right to comprehensive information about prescribed medicines. 10. Citizens who marry, have a right to health and medical genetic examination.

6. Article 94. Provision of medical care without the consent of the citizens 1. Medical care without the consent of the citizens is allowed in respect of persons: 1) are in shock, coma, does not allow us to express their will; 2) suffering from diseases that are a danger to others; 3) severe mental disorders (diseases); 4) mental disorders (diseases) and committed socially dangerous acts. 2. Consent to medical care for minors and citizens declared incompetent by a court, given their legal representatives. In the absence of the legal representatives of the decision on the provision of medical care takes a consultation, and if it is impossible to assemble a council - a medical professional immediately with subsequent notification of the medical officers of the organization and legal representatives. 3. Medical care without the consent of the citizens continues to extinction grounds provided 1 of this Article.

7. Clinical examples of health care without the consent of the citizens Aggressive patient with a mental disorder that threatens the citizens on the street, in the apartment of relatives Sick with shizofreniey- hears "voices", expresses the dangerous delusions Cholera patients A patient with Ebola, the confirmed virological...

8. Thank you!