Considering patients’ rights has a long history in medicine. Continues attention to this phenomenon has risen in medical sciences literature particularly during the last few decades and has caused many discussions in health care delivery systems. Despite Iranian Muslim culture’s fullness of humanistic lessons and the challenges by the government, the concept of patients’ rights has not received its proper situation in Iranian health care delivery system yet. However, establishment of ”Iranian patient bill of rights” by the Ministry of Health and Medical Sciences in recent years, has figured an encouraging vision in this area. It should be mentioned that Iranian patients’ bill of rights is a perceived translation of world’s contemporary’s patients’ bill of rights, which has been formulated by some compassionate medical policy makers who are highly concerned about patients’ rights, but it’s most important defect is that none of the stakeholders had been involved in the process of formulating this document. In addition there are some items in this bill of rights that are not fit with our socio-economic and cultural background. On the other had there are some problems in our health care context, that this bill cannot respond them properly.

This article has analyzed the Iranian patients’ bill of rights, and is followed by providing some key concepts which should be considered for promoting patients’ rights practice in Iran.

Background: The aim of Patients’ rights chart is to defend Patients’ rights and to make sure that they receive enough care. Patients’ rights chart promotes the relationship between Patients and health care providers and upgrades the quality of therapeutic-health cares. Purpose: The purpose of this Survey is to study the rate of preserving in state hospitals in Qazvin (Iran) in 2008. Materials and Methods: This survey has been Conducted based on a descriptive-sectional method on 420 in-Patients’ chosen as causal sample from different departments of hospitals. Data was collected through direct interview and a questionnaire based on the Patients’ rights chart compiled by the Ministry of Health and Medical Education. Some experts Confirmed its face Validity and its Scientific Validity was Studied through both re-test and homogeneity test. Data was analyzed through descriptive-analytic method. Results: The results indicated that Patients’ rights chart has been observed concerning 46.21% of the sample. The request for Confidentiality of medical data and therapeutic Personnel’s faithfulness (83.57%) was the highest rate of Preservation and the lowest rate (10.71%) was dedicated to Patients’ consent regarding the presence of those directly involved in treatment process. Discussion: Based on the results, the sample indicated that patients’ rights have not been completely preserved. Therefore, it is suffused that therapeutic-health authorities take some measures as Sanctions to preserve Patients’ rights.

What is the nature of patients’ rights in the criminal justice system? Is it according to Hoffiildi’s analysis of right, a duty (responsibility) or a right-privilege? In this article, besides elaborating on the nature of patient’s rights in the criminal justice system and explaining its effects, we will try to analyze the dimensions of this right in various stages of implementation of criminal justice such as prosecution, inquiry, judgment, sentencing and execution. Regarding the variety of diseases and patients in the criminal justice system in each of the mentioned stages, undoubtedly, there must be a distinguishing approach towards the patients, special patients, neurotics, etc. in particular. Analyzing such an approach in the Iranian Criminal justice system will display its strong as well as weak points. Also, the responsibility of the executors in the field of criminal justice such as the police, prosecution and investigation authorities, judges and those in charge of execution especially crimes  leading to imprisonment and also the responsibilities of hygiene and treatment management in the rehabilitation centers toward the patient convicts are among other applied issues in this study. In addition, the right of enjoying acquittal by special patients, appropriate insurance services, continuous treatment and visit of the health management in the prison are among other patient rights in the criminal justice system that will be discussed here. Responsibility or non-responsibility of condemned or convict patients in paying treatment costs are of the issues capable of studying here. Finally, we will discuss the sanctions regarding non-observance of the patients’ rights in the criminal justice system.

Introduction: Maintaining the health in healthy persons and restoring it to patients’ bodies, has been a task of health and medical community. So when speaking about the spiritual foundations of patient’s right the medical community is addressed to consider the relevant standards by the medical community.

Objectives and Methods: The main goal of this study is to investigate the views of traditional medicine about the patients’ rights, so as some dataset were available in main traditional medicine resources and some could be found in religious books, we designed a study by using the electronic versions of Alhavy (Razes), Kamel al Sanaah (Ahvazi), Canon of Medicine (Avicenna), Zakhireh Khawrazmshahy (Jorjani), Avesta, Bible, Quran and so on.

Results: In the past, medical students used to pass some courses before starting the main course, such as jurisprudence, ethics, logic, natural science, geometry, astronomy, etc. Avesta book has emphasized on the necessity of physicians to be experienced and to ask for fees according to income level of people. The Bible has ordered the government to respect the patients’ rights. It has frequently emphasized in all four Bibles to treat and care the patients. In the holy Quran saving one man from any social class, race and religin is equal to saving all the world people’s life. It has also emphasized to exempt the patients from daily activities and obligatory prayers. The main sources of traditional medicine have considered warnings about fake drugs, inexperienced doctors and the need to complete preparation of medical community. Moreover they have prepared guidelines about the correct ways of producing drugs and offering medical services.

Conclusion: Based on existing evidence, the patients’ rights before and after Islam has always been as important health training programs in Iran and the other Islamic countries.

The emergence of new genetic techniques in the area of preventation, diagnosis and treatment of diseases is expected to bring many challenges in regulating relationships and appropriate legislation to protect the patients’ right. The widespread use of genetic information in improving individual and public health, regarding to its special traits with potential for different interpretations and sensitive and effective outcomes in the future of a patient, his family and the society, simultaneous with keeping patient’s privacy, as a fundamental right which originates from the concept of human dignity, is one of those challenges. The possible utilization of patient’s genetic information in the areas other than therapy and health e.g. employment, provision of insurance contracts (life or health styles), public medical researches as well as in the process of judicial trials, makes it possible to misuse genetic information and raises the fear of change in treatment space into commercial one and ultimately makes genetic privacy as a serious issue in the present societies. With remark to the necessity of patient’s privacy as well as the need of rational and reasonable disclosure of genetic information, we will discuss about the establishment of a balance between private and public interest as well as among different beneficiaries; then the necessity of appropriate legislation and determination of specific criteria, with regard to public education will be emphasized to achieve the goal of patients’ genetic privacy.

Background and aim: HIV positive patients encounter a number of social problems in Iran such as discrimination or rejection at their workplace.  Lack of knowledge about labour and social security regulations (LSS) among these sufferers make them incapable of restoring their rights.  The main objective of this study is to measure the level of awareness of LSS laws among the HIV-positive, employed men at Imam Khomeini Hospital HIV Clinic in 1391.

Methods: A descriptive-analytic survey was conducted among 113 patients. The collection of data was through the Researcher-Made Questionnaire using the consecutive non-probability sampling.

Results: Most of HIV-positive employed men (61.9%) were highly aware of labour and social security regulations, and only a limited number of them (5.3%) had low level awareness of the issues. Most of the subjects in the study had good knowledge of the principles of labour regulations, work and wellbeing services, and occupational health (75.2%, 86.7%, and 61.1% respectively); although in terms of regulations on employment and work of foreigners and dispute regulations facilities, they had fair awareness.

Conclusion: knowledge of labour and social security rights could offer a great support to the HIV-positive employed men. It seems that the use of mass media in sending out information along with planning educational program is necessary to promote the awareness of the patients of their rights.

Background and aim: Accidents and incidents are the second factor of mortality in our country and traffic accidents are at the top. The plan for the autonomy of hospitals nationwide has been executed since the beginning of the 70s helical decade. From 2005 according to administrative regulation of article 92 of fourth development program in the country, 10 percent of the incurred costs related to insuring each transportation vehicle in the country was deposited into an account to the special incomes account of the Ministry of Health and Medical Education. All public, governmental and private hospitals are compelled to admit traffic accidents casualties without any preconditions or incurring any expenses for providing services and also to accommodate them with therapeutic cares. The cost of providing these therapeutic services is paid to hospitals according to the purported measures in the administrative regulation. This study examines the effects of the mentioned regulation on the status of Ayatollah Kashani hospital's income.

Methods: In the electronic database of the hospital, the exact data of files was available from Mar 21 of 2005 onward but the financial information of files before the law, was not complete. The files of 2378 patients who owed more than 10000 rials had remained unsettled at the time of being released from hospital. From the last unsettled file at the Mar 20 of 2005 to the May 22 of 2004, 428 files related to accident casualties were explored. After omitting the cases in which the recorded data was not congruent with their pertinent files, 394 files remained.

Findings: From a total sum of 1909334753 rials incurred on the services provided for the 394 samples, only 1052031605 rials had been paid to hospitals at the time of being released. Accordingly, 857303148 rials of the total cost incurred on the provided services, i.e. 44.9 percent, had been left undecided. After executing the article 92 of the law, the costs of accident casualties have been paid completely to hospitals.

Discussion and Conclusion: Lack of accommodating the costs incurred for patients prevents hospitals from providing services to next patients. Cutting the financial relation between doctor (hospital organization) and patient in accident’s patient group, the possibility of financially supporting accident patients and accordingly observing some parts of the charter for patients’ rights has been provided.

Please cite this article as: Rezaei Aderyani M, Satari Naeeni M, Musavi F, Salehnia E, Dehghani A, Barati M, et al. Exploring the Status of Executing Traffic Accidents Insurance (article 92 of Islamic Republic of Iran’s fourth budget plan) According to the Financial Scale of Special Incomes and Non-Settled Traffic Accidents Files at Kashani Hospital of Isfahan. Iran J Med Law 2016; 9(35): 185-204.