Patient Rights

Metro Pavía Health System affiliated hospitals’ norms and procedures recognize and support inpatient rights. These are:

Patient Rights

Our affiliated hospitals’ norms and procedures recognize and support inpatient rights. These are:

  • Reasonable access to care for the patient.
  • Considerate medical care that respects patients’ values and beliefs.
  • Informing and integrating patients about decisions regarding their medical care.
  • Being able to participate in ethical decisions that may emerge regarding their medical care.
  • Individual privacy and information confidentiality.
  • Being able to choose a representative that can make decisions in the event that the patient is incapable of understanding the treatment and procedure that is being offered. This representative will be able to communicate their wishes in regards to the treatment the patient will receive.
  • When the Hospital cannot meet the needs for a patient’s care, the patient may be transferred to another hospital if it is medically allowed by their condition. This transfer must be carried out after the patient has received all the necessary information and explanations that may clear up any doubts. Also, transfer alternatives must be explained to the patient. The other institution must accept the transfer.
  • Patient care must take into consideration psychosocial, spiritual, and cultural variables that may influence a patient’s perception on illness.
  • Care for a dying patient must be aimed at making the patient comfortable, also respecting the patient’s dignity while treating primary and secondary symptoms that may respond to a treatment, according to the wishes of the patient or a representative. The care will take into consideration the psychosocial and spiritual needs associated with the death and sympathy of a patient and their families.
  • A patient’s right to consent or refuse medical treatment insomuch it is allowed by the law. Also, to be informed of the medical consequences of refusing treatment.
  • A patient’s right to collaborate with their doctor regarding medical care decisions.
  • The patient’s right to establish guidelines regarding their future, medical treatment (living will), and to naming a person responsible for seeing to that their wishes and rights are satisfied to the extent permitted by law.
  • The right to medical care will not be conditional to the existence of a living will.
  • In case of a living will, it must be documented in the patient’s record, and the patient or their representative must frequently review it.
  • The patient has a right to receive a clear and precise explanation of their condition and of the treatment it requires, as well as the benefits and consequences of it. The patient must also be informed of the problems regarding their convalescence, recovery, and chances of success with said treatment. This information must include identifying the doctor who will care for the patient during treatment, as well as identification of their professional status. This also applies to consultants.
  • The patient or their representative have the right to participate in the discussion of ethical problems related to their medical care as well as actively participating in the forum where this is discussed.
  • The patient has a right to know about any experimental or educational activity in which the person is involved as a patient. The patient has a right to refuse participation in said activity.
  • The patient has a right to request a transfer to another room if another patient or visitor in the same room bothers them in a significant manner, as long as another room is available and is in the same condition.
  • In case the patient is incompetent according to law, or the patient does not understand medical recommendations, or is incapable of communicating their wishes regarding treatment, their guardian, tutor, closest relative, or individual legally authorized to make decisions will have the right to carry out the wishes that were previously established by the patient.
  • Refuse to speak or see any person that is officially related to the hospital, including visitors and people that are directly associated with the hospital, but are in no way directly related to their medical care.
  • To use personal clothing and symbols of religious or other natures provided they do not interfere with their diagnosis and treatment.
  • Be interviewed and examined in areas that offer privacy. This includes the right to being accompanied by a person of the same sex during certain stages of physical examination, treatment, and procedure carried out by a medical professional of the opposite sex and the right to remain undressed only for the amount of time it is absolutely necessary for the procedures the patient will submit to.
  • In case of emergency or special procedure, the patient has a right to privacy. This includes being accompanied solely by the general practitioner (GP), nurse, or specialized personnel that are a part of the emergency or procedure.
  • That the decision in their case or consultation is made in a direct manner, without the presence of people that are not involved in the case, unless the patient or a representative so authorizes it.
  • The expectation that all communication or information regarding their case, including payment sources, is managed confidentially.
  • That they are protected when their personal security is threatened.
  • Expecting the hospital to provide security in their hospital practices and environment.
  • Communicating with people outside of the hospital through visits, or through verbal or written form. If they do not master the local language, they have a right to an interpreter.
  • Demanding specialist consultations whose fees will be paid by the patient.
  • If hospitalized, when released, the patient has the right to receive follow-up medical treatment if required by the case.
  • Requesting and receiving a detailed explanation regarding their hospital bill, no matter what their payment source is.
  • Being informed of the hospital’s norms that regulate or govern their behavior as a patient, and about all the mechanisms established in the hospital for the management of complaints presented by patients.
  • Requesting restrictions regarding the disclosure of information to others.
  • Requesting alternative communications media containing protected information.
  • Inspecting and receiving a copy of their medical record.
  • Requesting amendments, corrections, or changes to their medical record.
  • Receiving a report on who, when, and why has accessed your information for the past six years.

Pediatric Patient Rights

  1. Pediatric patients have the right to personalized care.
  2. They have the right to be provided with the necessary physical facilities, modern equipment, medication, and materials in order to receive the best medical attention and care that their condition deserves.
  3. Attention to pediatric patients must be quick, particularly in emergency cases, without long wait times or deferrals.
  4. Children have the right to be treated with equality, without privileges, preferences, or discrimination toward their illness, age, race, religion, or socio-economical condition.
  5. When caring for pediatric patients, confidentiality and privacy must be kept during consultations and hospitalization.
  6. Pediatric patient information given to parents or tutors must be clear, complete, truthful, understandable, and, when appropriate, informed consent should be sought.
  7. The pediatric patient has the right to being accompanied during care, consultation, procedure, hospitalization, and transfer processes.
  8. Care should be taken to avoid pain.
  9. Patient security must be guaranteed: avoid falls, hospital infections, kidnappings and other grievous occurrences.
  10. The right to a clinical record registering clinical history, development, study results, procedures, and prognosis.
  11. The person in charge of the pediatric patient has the right to be informed if the Hospital proposes carrying out any kind of scientific investigation for which the patient’s participation is asked for and that may have any health risks. The person in charge must provide their consent for these procedures.
  12. The person in charge of the patient has the right to know the name of the person responsible for ordering and administrating medical treatment.
  13. The person in charge of the patient has the right to deny any interviews, interrogations, observations, or pictures of the minor carried out by agencies unrelated to the hospital for promotional means.
  14. If requested, parents or tutors have a right to a second opinion, a summary, and a copy of the minor’s medical record.
  15. The person in charge of the pediatric patient has the right to be oriented about the care that the minor must receive at home or other medical establishments that the minor may be referred to continue treatment upon release.
  16. The person in charge of the pediatric patient has the right to the hospital’s providing interpreters to ease communication.

Mental Health Patient Rights Charter

As a patient, you are entitled to the following rights, as established in Chapter III of the Letter of Rights for Adults Receiving Mental Health Services in Act 408 of October 2, 2000, known as the Mental Health Act of Puerto Rico:

  • To be treated with respect and dignity.
  • To treatment.
  • To a humane, adequate, and adjusted environment.
  • To be evaluated for the purpose of developing a treatment plan.
  • To be informed of the treatment plan and participate in it.
  • To be periodically evaluated, be informed of your condition, progress, and changes.
  • To be informed of a treatment’s possible negative side effects.
  • To refuse medication, provided that you are capable of making this decision.
  • To discuss the reasons for refusing medication and to be oriented with a psychiatrist.
  • To a treatment that imposes the least restriction and socio-physical isolation.
  • To be informed and consulted about all kinds of therapy, medications, unusual treatment models, and/or risky treatments.
  • To professional help consultations.
  • To confidentiality.
  • To receive spiritual aid.
  • To receive visitors in case of involuntary admission.
  • To be held in involuntary admission no longer than the period specified.
  • To hire a lawyer.
  • To an independent expert for evaluation.
  • To communicate with others.
  • To freedom of communication.
  • To possess and use personal effects and money.
  • To present complaints or grievances regarding violation of the rights described in this law.