COGNIZANCE REGARDING PATIENTS’ RIGHTS TO HEALTH: PERSPECTIVES OF DOCTORS WORKING IN A PUBLIC SECTOR TERTIARY LEVEL HOSPITAL
Main Article Content
Keywords
: Cognizance, Observance, Patients’ rights, Health, Doctors, Perspectives.
Abstract
Objective: To assess cognizance and observance of rights of patients among doctors and their association with socio-demographic profile of doctors.
Study Design: Cross sectional study.
Setting: Medical & surgical wards of Liaquat University Hospital Hyderabad and Jamshoro Sindh Pakistan.
Period: 1st December 2021 to 28th February 2022.
Material & Methods: Data was collected on 417 consenting doctors working in designated wards; the relevant data was collected on a validated questionnaire with a pre-tested validity of 0.74. A 4-point Likert scale was used to seek doctors’ perspectives on 20 most important aspects of patients’ rights. Data was analyzed in SPSS version 26.0 for windows. The cumulative mean ± standard deviation for cognizance regarding patients’ rights among doctors were calculated. The observance of patients’ rights was classified into 4 components as per standard classification. The chi-square, t-test & one-way ANOVA test were applied to analyze required associations at p-value 0.05 taken as cut-off for significant results.
Results: Female preponderance (52.04%), house officers & internees (50.84%) were recorded. All aspects of socio-demographic fabric reveal statistically significant associations with their cognizance towards patients’ rights (p= 0.004 for gender, p = 0.000 for marital status, p = 0.005 for educational status and p = 0.002 for designation); while regarding observance of patients’ rights, significant results were obtained for gender of the doctors as well as for level of education (p = 0.01 & 0.005, respectively).
Conclusion: There is a significant difference between the levels of cognizance & observance regarding patients ‘rights among doctors.
References
2. Mohammed ES, Seedhom AE, Ghazawy ER. Awareness and practice of patient rights from a patient perspective: an insight from Upper Egypt. International Journal for Quality in Health Care. 2018;30(2):145-51.
3. Menon N. The Growing Need for Legally Adopting the Patients' Rights Charter in India. Supremo Amicus. 2020;18:609.
4. Oruc MA, Yazicioglu B, Oruc M. Knowledge levels of physicians in samsun about Patients' rights. Medicine. 2022;11(1):233-8
5. Gordon HS, Solanki P, Bokhour BG, Gopal RK. “I’m not feeling like I’m part of the conversation” patients’ perspectives on communicating in clinical video telehealth visits. Journal of general internal medicine. 2020 Jun;35:1751-8.
6. Fernholm R, Holzmann MJ, Malm-Willadsen K, Härenstam KP, Carlsson AC, Nilsson GH, et al. Patient and provider perspectives on reducing risk of harm in primary health care: a qualitative questionnaire study in Sweden. Scandinavian journal of primary health care. 2020;38(1):66-74.
7. Dehghan M, Mehdipour-Rabori R, Rayani M, Zakeri MA, Mobasher M, Iranmanesh M, et al. Comparison of the importance and observance of the patient's bill of rights from the perspectives of patients and personnel of hospitals in Kerman. Journal of medical ethics and history of medicine. 2020;13.
8. Heidari A, Ahmadpour Z, GharehBoughlou Z. Patients and nurses awareness of patient‘s rights: A comparative study. Health, Spirituality and Medical Ethics. 2014;1(1):2-8.
9. Al-Muammar SA, Gari DM. Doctors' knowledge of patients' rights at King Fahd Hospital of the University. Journal of Family & Community Medicine. 2017;24(2):106.
10. Mohammadi M, Larijani B, Razavi SHE, Fotouhi A, Ghaderi A, Madani SJ, et al. Do patients know that physicians should be confidential? study on patients‘ awareness of privacy and confidentiality. Journal of medical ethics and history of medicine. 2018;11.
11. Zoheb Rafique, Urooj Bhatti. Practice of Informed Consent, Confidentiality and Privacy by Physicians at a Tertiary Care Teaching Hospital. Bangladesh Journal of Bioethics. 2014; 5(3):1-5
12. Du L, Xu J, Chen X, Zhu X, Zhang Y, Wu R, Ji H, Zhou L. Rebuild doctor–patient trust in medical service delivery in China. Scientific reports. 2020 Dec 15;10(1):21956.
13. Wake AD, Tuji TS, Gonfa BK, Waldekidan ET, Beshaw ED, Mohamed MA, et al. Knowledge, attitude, practice and associated factors towards patient safety among nurses working at Asella Referral and Teaching Hospital, Ethiopia: A cross-sectional study. Plos one. 2021;16(7):e0254122
14. Kagoya HR, Ekirapa-Kiracho E, Ssempebwa JC, Kibuule D, Mitonga-Kabwebwe H. Awareness of, responsiveness to and practice of patients' rights at Uganda's national referral hospital. African journal of primary health care and family medicine. 2013;5(1):1-7.
15. Zeina HAA, El Nouman AA, Zayed MA, Hifnawy T, El Shabrawy EM, El Tahlawy E. Patients' rights: a hospital survey in South Egypt. Journal of Empirical Research on Human Research Ethics. 2013;8(3):46-52.
16. Adejumo O, Abolarin O. Awareness and Knowledge of Patients' Bill of Right among Physicians and Patients in a Tertiary Hospital in Southwest Nigeria. West African Journal of Medicine. 2020;37(6):606-11.
17. Zincir H, Kaya Z. Knowledge levels of the health care employees working at the primary health institutions about patient rights. Journal of Human Sciences. 2009;6(1):877-85.
18. Khiavi F, Dashti R, Kishizadeh Z. Patient right bill observance rate in training hospitals affiliated to Ahvaz Jundishapur University of Medical Sciences from nurses‘ point of view. Global Journal of Health Science. 2016;9(4):134.
19. Sookhak F, Bazrafshan MR, Ahmadi A, Kavi E. Nurses' level of awareness and observance of patients' rights. Journal of Client-Centered Nursing Care. 2019;5(3):167-74.
20. Ko DG, Mai F, Shan Z, Zhang D. Operational efficiency and patient‐centered health care: A view from online physician reviews. Journal of Operations Management. 2019 Jun;65(4):353-79
21. Zoheb Rafique. Animal Rights and Use of Animals in Biomedical Research. Bangladesh Journal of Bioethics. 2015; 6(1):11-14
22. Sabzevari A, Kiani MA, Saeidi M, Jafari SA, Kianifar H, Ahanchian H, et al. Evaluation of patients‘ rights observance according to patients‘ rights charter in educational hospitals affiliated to Mashhad University of Medical Sciences: Medical staffs‘ views. Electronic Physician. 2016;8(10):3102.
23. Lee GB, Chiu AM. Assessment and feedback methods in competency-based medical education. Annals of Allergy, Asthma & Immunology. 2022 Mar 1;128(3):256-62.
24. Brasel KJ, Klingensmith ME, Englander R, Grambau M, Buyske J, Sarosi G, Minter R. Entrustable professional activities in general surgery: development and implementation. Journal of surgical education. 2019 Sep 1;76(5):1174-86.
25. Zoheb Rafique. Public Health Research Ethics and Clinical Research Ethics. How we differentiate? Bangladesh Journal of Bioethics. 2018; 9(2):22-25.
26. Zoheb Rafique. Ethical Justification of Conducting Research Trials in Lower and Middle Income Countries Including Pakistan: The Responsibilities of Research Enterprises. Bangladesh Journal of Bioethics. 2015; 6(3):25-29