Evaluation of the Observance of the Charter of Patients’ Rights by General Dentists
akhlāq-i pizishkī i.e., Medical Ethics,
Vol. 15 No. 46 (1400),
7 June 2021
,
Page 1-13
https://doi.org/10.22037/mej.v15i46.35011
Abstract
Background and Aim: In order to ensure that the quality of health care improves, the observance of medical ethics and patients’ rights is inevitable. The present study was conducted to determine how much dentists practicing in Khorramabad, Iran, in 2020 complied with the Charter of Patients’ Rights.
Materials and Methods: This was a descriptive-analytical study that was performed on 70 general dentists in Khorramabad from March 2019 to March 2020. The participants were selected by the census sampling method. Data were collected using the Patients’ Rights Questionnaire designed based on ethical codes approved by the American Dental Association (ADA). Data were analyzed using SPSS 20 at a significance level of 0.05.
Findings: The mean age was 34.58±7.21 in women and 38.84±9.82 in men. The awareness level of the dentists regarding the Charter of Patients’ Rights was 47±0.12.The highest score was related to explaining and clarifying the charged expenses with 71.4%. The lowest scores were related to providing expert testimony about the illegal practices of a colleague with 22.9% and explaining the treatment method to patients with 25.7%. Work experience had a weak correlation with awareness levels (r=0.2, p=0.095). There was no significant difference between men and women in terms of awareness levels (p=0.139).
Ethical Considerations: This article is the result of a research project with the ethical code IR.LUMS.REC.1397.190. Adequate explanations about the objectives of the research were given to the subjects. They were assured that all information collected in this study was confidential.
Conclusion: The awareness level of general dentists who were examined, about the observance of the principles of professional ethics was below average. Therefore, it is necessary for medical universities to pay more attention to aspects of patients’ rights that are less observed by dentists. It is obvious that observing the principles of professional ethics will increasingly gain patients’ trust and as a result, will promote the health level of the society.
Cite this article as: Qaruni K, Yaghoubipour F, Qaruni B, Bakhtiar M, Bakhtiar K, Birjandi M, Bastami F. Evaluation of the Observance of the Charter of Patients’ Rights by General Dentists. Faṣlnāmah-i akhlāq-i pizishkī i.e., Quarterly Journal of Medical Ethics. 2021; 15(46): e11.
- Patients’ Rights Charter; Dentists; Knowledge
How to Cite
References
Eteraf Oskouei M, Tabrizi JS, Gharibi F, Asghari Jafarabadi M. Patient's rights protection through an education-based intervention. Iran J Medical Law 2013; 7(25): 13-27.
Amini A, Tabrizi JS, Shaghaghi A, Narimani MR. The status of observing patient rights charter in outpatient clinics of Tabriz University of Medical Sciences: Perspectives of health service clients. Iran J Med Educ 2013; 13(7): 611-622. [Persian]
Dehghan M, Mehdipour-Rabori R, Rayani M, Zakeri MA, Mobasher M, Iranmanesh M, Rezai N. Comparison of the importance and observance of the patient's bill of rights from the perspectives of patients and personnel of hospitals in Kerman. J Med Ethics Hist Med 2020; 13(5): 1-14.
Bahrani F, Farzin M, Nozari L. Shiraz dentists’ knowledge of professional ethics. IJME 2012; 5(6): 69-80. [Persian]
Zali A. The Role of Medical Ethics in Comprehensive Healthcare System. Med Ethics J 2016; 2(5): 45-64. [Persian]
Hurst SA, Perrier A, Pegoraro R, Reiter-Theil S, Forde R, Slowther AM, et al. Ethical difficulties in clinical practice: experiences of European doctors. Med Ethics J 2007; 33(1): 51-57.
Rad M, Esna Ashari P. Patients and physicians awareness of patients’ rights and its implementation at Beheshti hospital in Isfahan. Iran J Med Educ 2004; 4(1): 45-53.
Ansari S, Abeid P, Namvar F, Dorakvand M, Rokhafrooz D. Respect to the bill of patients’ rights in the educational hospitals in Ahvaz, Iran. Middle East J Sci Res 2013; 13(4): 440-444.
Ansari S, Abeid P,Namvar F, Dorakvand M, Rokhafrooz D. Respect to the bill of patients’ rights in the educational hospitals in Ahvaz, Iran. Middle East J Sci Res 2013; 13(4): 440-444.
Nash DA. Ethics in dentistry: Review and critique of Principles of Ethics and Code of Professional Conduct. J Am Dent Assoc 1984; 109(4): 597-603.
Jamali Z, Ataran R. Knowledge study of general denitists of Tabriz regarding patients rights in 2012. Thesis. Tabriz: Tabriz Uni Med Sciences; 2012.
Davati A, Seidmortaz SS, Azimi A, Arbab Soleimani S. A study on the knowledge of general practitioners about the charter of patientsâ rights. Daneshvar Med J 2011; 18(91): 81-88.
Salimi GH-A, Yarmohammadian MH, Balouchestani Asl M. Knowledge and observation of patients’ rights by Tamin Ejtemaee Medical Centers’ staff. Health Info Manag 2007; 3(2): 63-72.
Mohajjel-Aghdam A, Hassankhani H, Zamanzadeh V, Khameneh S, Moghaddam S. Knowledge and performance about nursing ethic codes from nurses' and patients' perspective in Tabriz Teaching Hospitals, Iran. J Caring Sci 2013; 2(3): 219-227.
Joolaee S, Nikbakht-Nasrabadi A, Parsa-Yekta Z, Tschudin V, Mansouri I. An Iranian perspective on patients' rights. Nurs Ethics 2006; 13(5): 488-502.
Bazmi S, Kiani M, Hashemi Nazari SS, Kakavand M, Mahmoodzade R. Assessment of patients’ awareness of their rights in teaching hospitals in Iran. Med Sci Law 2016; 56(3): 178-183.
Ducinskiene D, Vladickiene J, Kalediene R, Haapala I. Awareness and practice of patient's rights law in Lithuania. BMC Int Health Hum Rights 2006; 6(10): 1-6.
Mohammed ES, Seedhom AE, Ghazawy ER. Awareness and practice of patient rights from a patient perspective: An insight from Upper Egypt. Int J Qual Health Care 2018; 30(2): 145-151.
De la Peña XL. Medical attitude and legal concepts about some patient rights. Rev Invest Clin 1995; 47(1): 5-12.
Cohen J, Ezer T. Human Rights in Patient Care: A Theoretical and Practice Framework. Health & Hum Rts 2013; 15(2): 7-19.
Straumanis JP. Disclosure of medical error: is it worth the risk? Pediatr Crit Care Med 2007; 8(2): S38-S43.
Popkess A, Poirier TI, Wilhelm M, Durbin C, Ronald KE, Pailden J, et al. Interprofessional error disclosure simulation for health professional students. Clin Simul Nurs 2017; 13(11): 573-582.
Etchegaray JM, Ottosen MJ, Burress L, Sage WM, Bell SK, Gallagher TH, et al. Structuring patient and family involvement in medical error event disclosure and analysis. Health Aff 2014; 33(1): 46-52.
Haberland CM, Allen CM, Beck FM. Referral patterns, lesion prevalence, and patient care parameters in a clinical oral pathology practice. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1999; 87(5): 583-588.
Sadeghi M, Hakimi H. Iranian dental students’ knowledge of and attitudes towards HIV/AIDS patients. J Dent Educ 2009; 73(6): 740-745.
Kazemnezhad SM, Hesamzadeh A. Implementation of patients' bills of rights by physicians and nurses from their colleagues’ points of view in educational hospitals of Mazandaran university of medical sciences. J Mazandaran Univ Med 2013; 22(97): 216-223. [Persian]
Garbin CS, Garbin AI, Saliba N, Lima DC, Macedo AP. Analysis of the ethical aspects of professional confidentiality in dental practice. J appl Oral Sci 2008; 16(1): 75-80.
Kangasniemi M, Vaismoradi M, Jasper M, Turunen H. Ethical issues in patient safety: Implications for nursing management. Nurs Ethics 2013; 20(8): 904-916.
Zahedi F, Sanjari M, Aala M, Peymani M, Aramesh K, Parsapour A, et al. The code of ethics for nurses. Iran J Public Health 2013; 42(Supple1): 1-8.
Zamani-Alavijeh F, Araban M, Harandy Fasihi T, Bastami F, Almasian M. Sources of health care providers’ self-efficacy to deliver health education: A qualitative study. BMC Med Educ 2019; 19(16): 1-9.
Mechanic D, Schlesinger M. The impact of managed care on patients' trust in medical care and their physicians. JAMA 1996; 275(21): 1693-1697.
Charles SC, Lazarus JA. Topic in Review: Reframing the professional ethic: The Council of Medical Specialty Societies consensus statement on the ethic of medicine. West J Med 2000; 173(3): 198-201.
Davoudi M, Afrazandeh SS, Yazdanparast E, Ghorbani SH, Sadeghian AH, Jebreili K. The Effects of Professional Ethics Workshop on Nursing Students’ Perspective of Caring Behaviors. Med Ethics J 2020; 14(45): 1-13. [Persian]
Zareban I, Araban M, Almasian M, Ahmadi B, Bastami F. Exploring the Perceived Capabilities of Health Professionals in Providing Health Education and Counseling to Their Clients: A Qualitative Study. Med Surg Nurs J 2019; 7(4): 1-10.
Kadivar M, Manookian A, Asghari F, Niknafs N, Okazi A, Zarvani A. Ethical and legal aspects of patient’s safety: a clinical case report. J Med Ethics Hist Med 2017; 10(15): 1-5.
Safari Y, Yoosefpour N. Dataset for assessing the professional ethics of teaching by medical teachers from the perspective of students in Kermanshah University of Medical Sciences, Iran (2017). Data Brief 2018; 20(2018): 1955-1959.
- Abstract Viewed: 509 times