The Charter of Client Rights and Responsibilities in relation to health and healthcare is a social contract between citizens and the healthcare system. It defines what people expect from the healthcare system (rights) and also how we commit to it as active individuals (responsibilities). The principles on which the Charter is based are the recognition of the dignity of the person, freedom and autonomy, equality, access to health information and knowledge, and civic engagement.
What are the client's duties?
1. You should look after your health and take responsibility for it
This duty must be particularly insisted upon when risks or harm to the health of other people can be derived.
Citizens have a duty to look after their health and take active responsibility for it. Life in the community implies that this duty is enforceable, particularly in cases where risks or harm to the health of other people could arise. Health has an individual aspect and an aspect social that establish the corresponding areas of individual and collective responsibility.
2. To make use of resources, benefits, and rights in accordance with their health needs
To make use of resources, benefits and rights in accordance with their health needs and based on the availability of the healthcare system, in order to facilitate access for all citizens to healthcare on terms of effective equality.
L’actual sistema sanitari es basa, entre altres principis, en l’equitat en l’accés als serveis i prestacions. L’aprofundiment i compliment efectiu del principi d’equitat exigeix, de forma progressiva, que la utilització dels recursos s’orienti a la satisfacció de les necessitats de salut, de tal forma que l’esmentada utilització dels recursos sigui tan eficient com es pugui, evitant les conductes poc diligents, irresponsables o abusives. Així mateix, el ciutadà té el deure de complir les normes que regulen l’accés als drets que es reconeixen.
3. Obligation to comply with general health regulations
The citizen has a duty to comply with general health regulations applicable to the entire population, as well as specific ones determined by health services, without prejudice to the exercise of the right to free choice among therapeutic options I refuse to receive proposed medical treatments or healthcare interventions, in accordance with the terms established by law.
4. Must respect and comply with the sanitary measures adopted for risk prevention
You must respect and comply with the health measures adopted for the prevention of risks, the protection of health or the fight against threats to public health, such as tobacco, alcoholism and traffic accidents, or communicable diseases susceptible of being prevented through vaccinations or other preventive measures, as well as collaborate in the achievement of their aims.
Health is a value for both the individual and the society of which citizens are a part. that public authorities must recognise and promote, as well as establish the necessary legal standards, responsibilities and public actions to guarantee respect for and a high level of protection. Within advanced societies, both the prevention of health and public health risks, and actions relating to the protection and promotion of health, require citizens to adopt an active conduct in relation to these areas of action, and that measures be established whose compliance is enforceable in consideration of community health objectives.
5. Duty to be responsible for the proper use of healthcare benefits offered by the healthcare system
You should be responsible for the appropriate use of the healthcare benefits offered by the healthcare system, primarily pharmaceutical, complementary, incapacity for work and social welfare benefits.
The correct and appropriate use of the resources, services, and benefits offered by the healthcare system is a duty of all individuals. In a context of limited resources, the requirement that resources are used correctly and appropriately according to needs responds to a principle of justice that must contribute to the effective equity of the healthcare system and to its future sustainability. The responsible use of the healthcare system's resources, services, and benefits, which is based on both social solidarity and economic efficiency in resource allocation, must be a goal for everyone.
6. To use and enjoy the health facilities and services responsibly, in accordance with the corresponding regulations
Citizens must behave respectfully and to make appropriate use of health services and facilities to ensure its correct preservation and operation, taking into account general usage rules and those established by healthcare centres and services.
7. You must maintain due respect for the established standards in each centre, as well as for the personal and professional dignity of the staff who provide services there.
Citizens must respect and cooperate in complying with the rules and instructions established by health services and institutions. People's habits, customs, and lifestyles must be compatible with and respect the rules and instructions established by the health services and centres necessary for their proper functioning and organisation. Likewise, to maintain respectful and dignified treatment with the staff of health centres and institutions, other patients, and family members or companions.
8. Duty to provide, in a loyal and truthful manner, identification data and data relating to their physical condition or health.
Make it easier, Loyally and surely, personal identification data and data relating to your physical condition or health which are necessary for the care process or for duly justified reasons of general interest.
Within the limits required by respect for the right to privacy and the confidentiality of personal data, individuals have a duty to provide, loyally and truthfully, the data they possess concerning family history, personal history, physical condition, and all others necessary for a correct care process or that are necessary for reasons of general interest duly motivated.
9. You must sign the relevant documents
In the event of refusal of proposed medical procedures, especially in the case of diagnostic tests, preventive actions, and treatments of particular relevance to the patient's health. This document will clearly state that the patient has been sufficiently informed of the potential consequences and that they refuse the suggested procedures.
In exercising their autonomy, a patient, once they have the necessary information to give their consent, may refuse a diagnostic test, a preventive measure, a treatment, and even request hospital discharge. Once they have received adequate and sufficient information that makes clear the consequences and risks that may arise from their decision, the patient has an obligation to leave constància per escrit de l’opció presa diferent de la pauta assistencial proposada.
10. The patient has a duty to accept discharge once the care process that the centre or unit can offer has been completed.
Si per diferents raons existís divergència de criteri per part del pacient, s’esgotaran les vies de diàleg i tolerància raonables whenever the situation so requires, the centre or unit shall seek the necessary resources for adequate care.
Once the care process that the centre or unit can offer you has been completed, taking into account the complexity of care and the different hospital levels of the system, the patient has a duty to accept discharge. Whenever the situation requires it, the centre or unit must seek resources for a appropriate care.
