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Universal Screening for Prevention of Reading, Writing, and Math Disabilities in Spanish
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Do Spaniards know their rights as patients?

José Joaquín Mira1, Susana Lorenzo, Mercedes Guilabert

  • 1Department of Health Psychology, Universidad Miguel Herna´ndez, Elche, Spain. jose.mira@umh.es

International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care
|June 6, 2012
PubMed
Summary

Patient knowledge of their rights in Spain is limited, hindering their ability to assert them. Younger, more active patients demonstrate better awareness of their rights and decision-making capacity.

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Area of Science:

  • Health Law and Policy
  • Patient Rights and Advocacy
  • Medical Sociology

Background:

  • Spain enacted legislation in 2002 to enhance patient rights and decision-making capacity.
  • Despite legal advancements, patient awareness and practical application of these rights remain a concern.

Purpose of the Study:

  • To assess the level of patient knowledge regarding their rights in Spain.
  • To identify demographic and behavioral profiles associated with greater patient rights awareness.

Main Methods:

  • A cross-sectional survey was conducted using a quota-sampled approach.
  • 773 patients who were discharged from hospitals or received primary care participated in a telephone survey.

Main Results:

  • Only 20% of patients demonstrated knowledge of the legislation governing their rights.
  • Factors associated with higher awareness included understanding medical responsibility, family notification rules, refusal of treatment, and advance directives.
  • Patients with a more active role in consultations and younger age groups showed greater knowledge, while older age correlated with less awareness.

Conclusions:

  • Patient understanding of their rights is notably deficient, impeding their ability to exercise these rights effectively.
  • Younger patients, those who are more assertive, and individuals preferring final decision-making exhibit superior knowledge of their patient rights.