Introduction
This topic covers the rights that patients hold in relation to their health care and the professional standards, values and behaviour that doctors are expected to show in return. It links the legal and ethical basis of patient rights with the concept of medical professionalism, which is what makes those rights respected in everyday practice.
Concept and sources of patient rights
Patient rights are entitlements of a person receiving health care, recognised in law and in professional ethics. They rest mainly on respect for autonomy and on human dignity. The move from paternalistic medicine to shared decision-making made these rights central to modern practice. The main sources are:
- Universal Declaration of Human Rights (1948) and later international human rights instruments
- WMA Declaration of Lisbon on the Rights of the Patient, first adopted in 1981 and revised later
- Council of Europe Convention on Human Rights and Biomedicine (Oviedo, 1997), a binding treaty for the states that have ratified it
- National legislation, including the Bulgarian Health Act, which sets out patients' rights and duties