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Implementation of the Patient Rights' Act

Country: 
Slowenien
Partner Institute: 
Institute of Public Health of the Republic of Slovenia, Ljubljana
Survey no: 
(15) 2010
Author(s): 
Tit Albreht
Health Policy Issues: 
Neue Technologien, Arzneimittelpolitik, Organisation/Integration des Systems, Qualitätsverbesserung, Zugang, Patientenbelange
Others: 
Patient rights
Reform formerly reported in: 
Patient Rights' Act
Current Process Stages
Idee Pilotprojekt Strategiepapier Gesetzgebung Umsetzung Evaluation Veränderung/Richtungswechsel
Implemented in this survey? nein nein nein ja ja nein nein

Abstract

Patients' Rights Act was an important piece of legislation with which Slovenia finally regulated this important area. After a long public and parliamentary discussion the act was passed and was also well accepted soon after its adoption.The most important achievements are in: defining complaint pathways, introducing a no-fault procedure, influence patient integrity protection in all other legislation. Soon after its adoption a process of adapting all relevant legislation to this new act started.

Neue Entwicklungen

The new Patient Rights' Act introduced a new philosophy into health care. This relates to three most important issues - patient integrity protection, complaint pathway definitions, and no-fault procedures. All of these were critical points which the Ombudsman often stressed in his yearly reports. About half of all complaints that are filed at the Ombudsman's office were related to health care.

The Act discusses the following rights of patients:

  1. the right to access to health care and to have preventive services ensured
  2. the right to equal access and treatment in health care
  3. the right to free choice of physicians and health care providers
  4. the right to a suitable, quality and safe health care
  5. the right to have patient's time respected
  6. the right to being informed and to participate
  7. the right to independently decide on own treatment
  8. the right to have the advance will respected
  9. special determination of rights of those patients, who are not capable of taking decisions about themselves by themselves
  10. the right to obtain a second opinion
  11. the right to be informed about the entire medical documentation set
  12. the right to have privacy respected and the right to personal data protection
  13. the right to have breeches of patient rights discussed and upgraded ...
  14. the right to have breeches of patient rights decided upon
  15. the right to free help and assistance in the execution of patient rights

Finally, a detailed process at different levels was elaborated to facilitate a multi-level adapted complaints' procedure.

 Suchhilfe

Characteristics of this policy

Innovationsgrad traditionell recht innovativ innovativ
Kontroversität unumstritten unumstritten kontrovers
Strukturelle Wirkung marginal recht fundamental fundamental
Medienpräsenz sehr gering sehr hoch sehr hoch
Übertragbarkeit sehr systemabhängig recht systemneutral systemneutral
current current   previous previous

Purpose and process analysis

Current Process Stages

Idee Pilotprojekt Strategiepapier Gesetzgebung Umsetzung Evaluation Veränderung/Richtungswechsel
Implemented in this survey? nein nein nein ja ja nein nein

Initiators of idea/main actors

  • Regierung

Stakeholder positions

There was a high level of consensus regarding this act which facilitated both its adoption and its implementation. The basic ideas of the new Patient Rights' Act (PRA) have been implemented. An important outstanding piece of legislation is the Health Records' Act which needs to be adapted according to the Patient Rights' Act. On the other hand, there was the direct application of the requirements of this act, particularly with the patient's right to have his/her time respected, into the system to support the monitoring of waiting lists. Overall, there was a high level of agreement over the positive aspects of the new PRA, especially in view of the most important rights with which it empowers patients.

Actors and positions

Description of actors and their positions
Regierung
Patient organisationssehr unterstützendsehr unterstützend stark dagegen
Professional associationssehr unterstützendunterstützend stark dagegen
Ombudsmansehr unterstützendsehr unterstützend stark dagegen
current current   previous previous

Actors and influence

Description of actors and their influence

Regierung
Patient organisationssehr großgroß kein
Professional associationssehr großgroß kein
Ombudsmansehr großsehr groß kein
current current   previous previous
Patient organisationsOmbudsmanProfessional associations

Positions and Influences at a glance

Graphical actors vs. influence map representing the above actors vs. influences table.

Adoption and implementation

Government - Ministry of Health - instituting regional representatives for patient rights' protection. The process was defined by the act. Previously patient rights were regulated only at the national level with little influence at lower administrative levels. The implementation at this level was carried out well and all regions now have regional representatives for patient rights' protection.

There were two other regulatory measures undertaken, which are prescribed by this act. One is the new complaints' procedure with health care providers and the other is the mediation procedure. The highest level of the complaints' procedure is the presentation of the case in front of a special national commission. This is reserved for those cases where the previous procedures - within the health care provider and through mediation - had failed.

 

Expected outcome

Impact of this policy

Qualität kaum Einfluss neutral starker Einfluss
Gerechtigkeit System weniger gerecht System gerechter System gerechter
Kosteneffizienz sehr gering neutral sehr hoch
current current   previous previous

References

Sources of Information

1. Patient Rights' Act (in Slovene). Official Gazette of the Republic of Slovenia 2008 Feb 11;43: 1045-1061. 

Reform formerly reported in

Patient Rights' Act
Process Stages: Gesetzgebung

Author/s and/or contributors to this survey

Tit Albreht

Empfohlene Zitierweise für diesen Online-Artikel:

Tit Albreht. "Implementation of the Patient Rights' Act". Health Policy Monitor, April 2010. Available at http://www.hpm.org/survey/si/a15/1