Exploring patient participation in reducing health-care-related safety risks
Exploring patient participation in reducing health-care-related safety risks
Exploring patient participation in reducing health-care-related safety risks
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<strong>Explor<strong>in</strong>g</strong> <strong>patient</strong> <strong>participation</strong> <strong>in</strong> reduc<strong>in</strong>g <strong>health</strong>-<strong>care</strong>-<strong>related</strong> <strong>safety</strong> <strong>risks</strong><br />
100<br />
Table 6 .1 . Key legislation and regulatory documents <strong>related</strong> to <strong>health</strong> literacy and the right to<br />
<strong>safety</strong><br />
Right to … <strong>in</strong>formation<br />
about own <strong>health</strong><br />
Convention on<br />
Human Rights<br />
and Biomedic<strong>in</strong>e<br />
European<br />
Charter of<br />
Patients’ Rights<br />
Basic Law on<br />
Health,<br />
Law No. 48/90<br />
of 24 August<br />
1990<br />
Portuguese<br />
Penal Code,<br />
DL No. 48/95 of<br />
15 March 1995<br />
Other national<br />
legal documents<br />
Charter of<br />
Patients’ Rights<br />
and Duties<br />
Chapter III, Article<br />
10<br />
<strong>in</strong>formed consent compla<strong>in</strong>t and<br />
compensation<br />
Chapter II, articles 5 and 8 Chapter VIII,<br />
articles 23 and<br />
24<br />
Article 3 Article 4 Article 13<br />
(Compla<strong>in</strong>t)<br />
Article XIV –<br />
Consumers’<br />
statute<br />
Article 1.150<br />
(Medicosurgical<br />
<strong>in</strong>terventions and<br />
treatment) and<br />
Article 1.157 (Duty<br />
of clarification)<br />
Law No. 12/2005<br />
of 26 January<br />
2005 (Health<br />
<strong>in</strong>formation and<br />
personal genetic<br />
<strong>in</strong>formation)<br />
Bill No. 788/X of<br />
2009 (Right to<br />
be <strong>in</strong>formed and<br />
<strong>in</strong>formed consent)<br />
Article 6<br />
(Information)<br />
Article 10 (Access<br />
to data)<br />
Article XIV – Consumers’<br />
statute<br />
Article 1.150 and Article 1.156<br />
(Medicosurgical <strong>in</strong>terventions<br />
and treatment without consent)<br />
and Article 1.157<br />
Law No. 46/2004 of 19<br />
August 2004 (Cl<strong>in</strong>ical trials for<br />
medic<strong>in</strong>es: Article 6, No. 1,<br />
paragraph d)<br />
Law No. 12/2005 of 26<br />
January 2005 (Personal<br />
genetic <strong>in</strong>formation and <strong>health</strong><br />
<strong>in</strong>formation: Article 19, No. 5)<br />
Law No. 32/2006 of 26<br />
July 2006 (Aided medical<br />
procreation: Article 14, No. 2)<br />
Law No. 22/2007 of 29 June<br />
2007 (Harvest and transplant<br />
of human organs and tissues:<br />
Article 8, No. 6)<br />
Bill No. 788/X of 2009 (Right<br />
to be <strong>in</strong>formed and <strong>in</strong>formed<br />
consent)<br />
Article 14<br />
(Compensation)<br />
Article XIV –<br />
Consumers’<br />
statute<br />
Article 8 Article 12<br />
(Compla<strong>in</strong>t)<br />
<strong>safety</strong><br />
Chapter I, articles 1,<br />
2 and 4<br />
Article 8 (Observance<br />
of quality standards),<br />
Article 9 (Safety)<br />
Article XIV –<br />
Consumers’ statute<br />
Article 1.156 Articles<br />
1.144–1.150 (Crimes<br />
aga<strong>in</strong>st physical<br />
<strong>in</strong>tegrity)<br />
Dispatch No.<br />
256/2006: Transfer<br />
of National Infection<br />
Control Programme<br />
to the DGS<br />
Dispatch No.<br />
14178/2007:<br />
Approves the National<br />
Programme of Health<br />
Care-associated<br />
Infection Prevention<br />
and Control<br />
Dispatch No.<br />
18052/2007: Rules<br />
on the <strong>in</strong>fection<br />
control commissions<br />
Article 1 (Right to<br />
human dignity)<br />
Article 3 (Right to be<br />
treated <strong>in</strong> a proper<br />
way)<br />
Despite all this, Portugal took last place <strong>in</strong> the subdiscipl<strong>in</strong>e “Patients’ rights” with<strong>in</strong><br />
the Euro Health Consumer Index <strong>in</strong> 2009 (54), achiev<strong>in</strong>g a score equivalent to “not so<br />
good/not available” <strong>in</strong> seven of the n<strong>in</strong>e <strong>in</strong>dicators. The low score <strong>in</strong> the subdiscipl<strong>in</strong>e<br />
“Information” (24th position) prompted reconsideration of national <strong>in</strong>formation<br />
legislation (55). One of the ma<strong>in</strong> recommendations from the evaluation carried out by<br />
WHO of the national <strong>health</strong> plan for 2004–2010 was that “<strong>health</strong> system stakeholders<br />
should be engaged early, broadly and consistently <strong>in</strong> the development of the next plan,<br />
and communication should be fostered” (56).