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LEGE Nr

LEGE   Nr. 46 din 21 ianuarie 2003

Legea drepturilor pacientului

ACT EMIS DE: PARLAMENT

ACT PUBLICAT IN: MONITORUL OFICIAL  NR. 51 din 29 ianuarie 2003


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    Parlamentul Romaniei adopta prezenta lege.

    CAP. 1
    Dispozitii generale

    Art. 1
    In sensul prezentei legi:
    a) prin pacient se intelege persoana sanatoasa sau bolnava care utilizeaza serviciile de sanatate;
    b) prin discriminare se intelege distinctia care se face intre persoane aflate in situatii similare pe baza rasei, sexului, varstei, apartenentei etnice, originii nationale sau sociale, religiei, optiunilor politice sau antipatiei personale;
    c) prin ingrijiri de sanatate se intelege serviciile medicale, serviciile comunitare si serviciile conexe actului medical;
    d) prin interventie medicala se intelege orice examinare, tratament sau alt act medical in scop de diagnostic preventiv, terapeutic ori de reabilitare;
    e) prin ingrijiri terminale se intelege ingrijirile acordate unui pacient cu mijloacele de tratament disponibile, atunci cand nu mai este posibila imbunatatirea prognozei fatale a starii de boala, precum si ingrijirile acordate in apropierea decesului.
    Art. 2
    Pacientii au dreptul la ingrijiri medicale de cea mai inalta calitate de care societatea dispune, in conformitate cu resursele umane, financiare si materiale.
    Art. 3
    Pacientul are dreptul de a fi respectat ca persoana umana, fara nici o discriminare.

    CAP. 2
    Dreptul pacientului la informatia medicala

    Art. 4
    Pacientul are dreptul de a fi informat cu privire la serviciile medicale disponibile, precum si la modul de a le utiliza.
    Art. 5
    (1) Pacientul are dreptul de a fi informat asupra identitatii si statutului profesional al furnizorilor de servicii de sanatate.
    (2) Pacientul internat are dreptul de a fi informat asupra regulilor si obiceiurilor pe care trebuie sa le respecte pe durata spitalizarii.
    Art. 6
    Pacientul are dreptul de a fi informat asupra starii sale de sanatate, a interventiilor medicale propuse, a riscurilor potentiale ale fiecarei proceduri, a alternativelor existente la procedurile propuse, inclusiv asupra neefectuarii tratamentului si nerespectarii recomandarilor medicale, precum si cu privire la date despre diagnostic si prognostic.
    Art. 7
    Pacientul are dreptul de a decide daca mai doreste sa fie informat in cazul in care informatiile prezentate de catre medic i-ar cauza suferinta.
    Art. 8
    Informatiile se aduc la cunostinta pacientului intr-un limbaj respectuos, clar, cu minimalizarea terminologiei de specialitate; in cazul in care pacientul nu cunoaste limba romana, informatiile i se aduc la cunostinta in limba materna ori in limba pe care o cunoaste sau, dupa caz, se va cauta o alta forma de comunicare.
    Art. 9
    Pacientul are dreptul de a cere in mod expres sa nu fie informat si de a alege o alta persoana care sa fie informata in locul sau.
    Art. 10
    Rudele si prietenii pacientului pot fi informati despre evolutia investigatiilor, diagnostic si tratament, cu acordul pacientului.
    Art. 11
    Pacientul are dreptul de a cere si de a obtine o alta opinie medicala.
    Art. 12
    Pacientul are dreptul sa solicite si sa primeasca, la externare, un rezumat scris al investigatiilor, diagnosticului, tratamentului si ingrijirilor acordate pe perioada spitalizarii.

    CAP. 3
    Consimtamantul pacientului privind interventia medicala

    Art. 13
    Pacientul are dreptul sa refuze sau sa opreasca o interventie medicala asumandu-si, in scris, raspunderea pentru decizia sa; consecintele refuzului sau ale opririi actelor medicale trebuie explicate pacientului.
    Art. 14
    Cand pacientul nu isi poate exprima vointa, dar este necesara o interventie medicala de urgenta, personalul medical are dreptul sa deduca acordul pacientului dintr-o exprimare anterioara a vointei acestuia.
    Art. 15
    In cazul in care pacientul necesita o interventie medicala de urgenta, consimtamantul reprezentantului legal nu mai este necesar.
    Art. 16
    In cazul in care se cere consimtamantul reprezentantului legal, pacientul trebuie sa fie implicat in procesul de luare a deciziei atat cat permite capacitatea lui de intelegere.
    Art. 17
    (1) In cazul in care furnizorii de servicii medicale considera ca interventia este in interesul pacientului, iar reprezentantul legal refuza sa isi dea consimtamantul, decizia este declinata unei comisii de arbitraj de specialitate.
    (2) Comisia de arbitraj este constituita din 3 medici pentru pacientii internati in spitale si din 2 medici pentru pacientii din ambulator.
    Art. 18
    Consimtamantul pacientului este obligatoriu pentru recoltarea, pastrarea, folosirea tuturor produselor biologice prelevate din corpul sau, in vederea stabilirii diagnosticului sau a tratamentului cu care acesta este de acord.
    Art. 19
    Consimtamantul pacientului este obligatoriu in cazul participarii sale in invatamantul medical clinic si la cercetarea stiintifica. Nu pot fi folosite pentru cercetare stiintifica persoanele care nu sunt capabile sa isi exprime vointa, cu exceptia obtinerii consimtamantului de la reprezentantul legal si daca cercetarea este facuta si in interesul pacientului.
    Art. 20
    Pacientul nu poate fi fotografiat sau filmat intr-o unitate medicala fara consimtamantul sau, cu exceptia cazurilor in care imaginile sunt necesare diagnosticului sau tratamentului si evitarii suspectarii unei culpe medicale.

    CAP. 4
    Dreptul la confidentialitatea informatiilor si viata privata a pacientului

    Art. 21
    Toate informatiile privind starea pacientului, rezultatele investigatiilor, diagnosticul, prognosticul, tratamentul, datele personale sunt confidentiale chiar si dupa decesul acestuia.
    Art. 22
    Informatiile cu caracter confidential pot fi furnizate numai in cazul in care pacientul isi da consimtamantul explicit sau daca legea o cere in mod expres.
    Art. 23
    In cazul in care informatiile sunt necesare altor furnizori de servicii medicale acreditati, implicati in tratamentul pacientului, acordarea consimtamantului nu mai este obligatorie.
    Art. 24
    Pacientul are acces la datele medicale personale.
    Art. 25
    (1) Orice amestec in viata privata, familiala a pacientului este interzis, cu exceptia cazurilor in care aceasta imixtiune influenteaza pozitiv diagnosticul, tratamentul ori ingrijirile acordate si numai cu consimtamantul pacientului.
    (2) Sunt considerate exceptii cazurile in care pacientul reprezinta pericol pentru sine sau pentru sanatatea publica.

    CAP. 5
    Drepturile pacientului in domeniul reproducerii

    Art. 26
    Dreptul femeii la viata prevaleaza in cazul in care sarcina reprezinta un factor de risc major si imediat pentru viata mamei.
    Art. 27
    Pacientul are dreptul la informatii, educatie si servicii necesare dezvoltarii unei vieti sexuale normale si sanatatii reproducerii, fara nici o discriminare.
    Art. 28
    (1) Dreptul femeii de a hotari daca sa aiba sau nu copii este garantat, cu exceptia cazului prevazut la art. 26.
    (2) Pacientul, prin serviciile de sanatate, are dreptul sa aleaga cele mai sigure metode privind sanatatea reproducerii.
    (3) Orice pacient are dreptul la metode de planificare familiala eficiente si lipsite de riscuri.

    CAP. 6
    Drepturile pacientului la tratament si ingrijiri medicale

    Art. 29
    (1) In cazul in care furnizorii sunt obligati sa recurga la selectarea pacientilor pentru anumite tipuri de tratament care sunt disponibile in numar limitat, selectarea se face numai pe baza criteriilor medicale.
    (2) Criteriile medicale privind selectarea pacientilor pentru anumite tipuri de tratament se elaboreaza de catre Ministerul Sanatatii si Familiei in termen de 30 de zile de la data intrarii in vigoare a prezentei legi si se aduc la cunostinta publicului.
    Art. 30
    (1) Interventiile medicale asupra pacientului se pot efectua numai daca exista conditiile de dotare necesare si personal acreditat.
    (2) Se excepteaza de la prevederile alin. (1) cazurile de urgenta aparute in situatii extreme.
    Art. 31
    Pacientul are dreptul la ingrijiri terminale pentru a putea muri in demnitate.
    Art. 32
    Pacientul poate beneficia de sprijinul familiei, al prietenilor, de suport spiritual, material si de sfaturi pe tot parcursul ingrijirilor medicale. La solicitarea pacientului, in masura posibilitatilor, mediul de ingrijire si tratament va fi creat cat mai aproape de cel familial.
    Art. 33
    Pacientul internat are dreptul si la servicii medicale acordate de catre un medic acreditat din afara spitalului.
    Art. 34
    (1) Personalul medical sau nemedical din unitatile sanitare nu are dreptul sa supuna pacientul nici unei forme de presiune pentru a-l determina pe acesta sa il recompenseze altfel decat prevad reglementarile de plata legale din cadrul unitatii respective.
    (2) Pacientul poate oferi angajatilor sau unitatii unde a fost ingrijit plati suplimentare sau donatii, cu respectarea legii.
    Art. 35
    (1) Pacientul are dreptul la ingrijiri medicale continue pana la ameliorarea starii sale de sanatate sau pana la vindecare.
    (2) Continuitatea ingrijirilor se asigura prin colaborarea si parteneriatul dintre diferitele unitati medicale publice si nepublice, spitalicesti si ambulatorii, de specialitate sau de medicina generala, oferite de medici, cadre medii sau de alt personal calificat. Dupa externare pacientii au dreptul la serviciile comunitare disponibile.
    Art. 36
    Pacientul are dreptul sa beneficieze de asistenta medicala de urgenta, de asistenta stomatologica de urgenta si de servicii farmaceutice, in program continuu.

    CAP. 7
    Sanctiuni

    Art. 37
    Nerespectarea de catre personalul medico-sanitar a confidentialitatii datelor despre pacient si a confidentialitatii actului medical, precum si a celorlalte drepturi ale pacientului prevazute in prezenta lege atrage, dupa caz, raspunderea disciplinara, contraventionala sau penala, conform prevederilor legale.

    CAP. 8
    Dispozitii tranzitorii si finale

    Art. 38
    (1) Autoritatile sanitare dau publicitatii, anual, rapoarte asupra respectarii drepturilor pacientului, in care se compara situatiile din diferite regiuni ale tarii, precum si situatia existenta cu una optima.
    (2) Furnizorii de servicii medicale sunt obligati sa afiseze la loc vizibil standardele proprii in conformitate cu normele de aplicare a legii.
    (3) In termen de 90 de zile de la data intrarii in vigoare a prezentei legi, Ministerul Sanatatii si Familiei elaboreaza normele de aplicare a acesteia, care se publica in Monitorul Oficial al Romaniei, Partea I.
    Art. 39
    Prezenta lege intra in vigoare la 30 de zile de la data publicarii in Monitorul Oficial al Romaniei, Partea I.
    Art. 40
    La data intrarii in vigoare a prezentei legi se abroga art. 78, 108 si 124 din Legea nr. 3/1978 privind asigurarea sanatatii populatiei, publicata in Buletinul Oficial, Partea I, nr. 54 din 10 iulie 1978, precum si orice alte dispozitii contrare.

    Aceasta lege a fost adoptata de Senat in sedinta din 19 decembrie 2002, cu respectarea prevederilor art. 74 alin. (2) din Constitutia Romaniei.

                          PRESEDINTELE SENATUI
                             NICOLAE VACAROIU

    Aceasta lege a fost adoptata de Camera Deputatilor in sedinta din 19 decembrie 2002, cu respectarea prevederilor art. 74 alin. (2) din Constitutia Romaniei.

                   p. PRESEDINTELE CAMEREI DEPUTATILOR,
                             VIOREL HREBENCIUC



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COMENTARII la Legea 46/2003

Momentan nu exista niciun comentariu la Legea 46 din 2003
Comentarii la alte acte
ANONIM a comentat Legea 166 2014
    HOW TO GET YOUR EX LOVER BACK & HOW I GOT MY EX LOVER BACK MY TRUE LIFE STORY HOW I GOT MY EX LOVER BACK.I  want to thank Dr Omokpo for saving my marriage. My husband  treated me badly and left home for almost 3 month this got me sick and confused. Then I told my friend about how my husband has changed towards me. Then he told me to contact: dromokpo@gmail.com that he will help me bring my husband back to being a good man.Then I gave him a try. after 3 days of casting the spell my husband came back home and i forgive him and today we are living in joy and happiness If you are going through any relationship stress or  broken marriage situation  and you want your Ex lover,  Ex boyfriend, Ex girlfriend or Divorced husband or wife you can reach him via: dromokpo@gmail.com 
ANONIM a comentat OUG 96 2021
    GET YOUR EX LOVER BACK NOW OR GET YOUR BROKEN RELATIONSHIP, MARRIAGE RESTORED. I’m just upset that I have been in pain and crying for so long and many times. Thank you dromokpo@gmail.com I wished I would have found you earlier, you would have saved me from a lot of pain for the past five years my ex lover left me for another woman in just 2 days i contacted you Dr Omokpo you brought my broken relationship back I spent a small fortune enough to take my dream trip to South Carolina but what’s the point in taking a dream trip without the love of my life. Dr Omokpo has given me hope and his honesty is a breath of fresh air, I feel so good and heavy happiness in my heart to get my ex lover back. Who I thought he was gone forever. We are married now as I share my testimony with you. If you have broken relationship or broken marriage or you want to get your ex lover back kindly contact: dromokpo@gmail.com
ANONIM a comentat Decretul 1134 2016
    My Dear friends online, My name is Annisa Agung, And I live in Illinois USA, I have to give this miraculous testimony which is so unbelievable until now. I had a problem with my Ex husband 2 years ago, which led to our break up. I was not myself again, I felt so empty inside me, my love and financial situation became worse, until a close friend of mine told me about a spell caster who helped her in the same problem too. His name is Doctor OGEDEGBE. I whatsapp the spell caster and I told him my problem and I did what he asked of me, to cut the long story short. Before I knew what was happening, less than two days ago my husband gave me a call and told me that he was coming back to me. I was so happy to have him back. The most interesting part of the story is that I am pregnant. Thanks to Doctor OGEDEGBE  for saving my marriage and for also saving others' marriage too. Continue your good work, If you are interested to contact the great spell caster email address: dr.ogedegbe6@gmail.com or contact him on whatsapp +2348109374702
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ANONIM a comentat Legea 243 2021
    I'm Rowe Lyndia from USA, i had a nice family; i was married for 11 years to my husband and all of a sudden, another woman came into the picture, the man that used to love me before started picking quarrels with me he was so abusive that when i try to tell him the truth about how i feel and what he is doing is not right for the family, he gets very angry and hits me with any thing he sees around him. but i still loved him with all my heart despite all he has done to me and i wanted him back at all cost. Then he filed for a divorce, my whole life was tearing apart and I didn't know what to do ...... he moved out of the house and abandoned me and the kids. So a very close friend of mine told me about trying a love spell to get my husband back. She also uses Priest Uduebor love spell to get back her divorce husband and told me they are very much happy with their relationship. So she introduced me to the spell caster, at first i was surprised and scared so i decided to give it a try reluctantly.......although i didn't believe in all those things, then when he did the special spells, i was so surprised, after four days my husband came back and was pleading for my forgiveness, he had realized his mistakes, i just couldn't believe it, anyway we are back together now and we are now one big happy family we use to be. I want to tell everyone who is looking for any solution to his or her problem, I advise you to kindly consult this spell caster, he is real, he is powerful and whatever the spell caster tells is what will happen, because all that the spell caster told me came to pass. You can kindly contact him on: his For an immediate response please contact me by. Email ifagbemileke236@gmail.com WhatsApp number (+2349030638317). He also cures all kinds of sickness and such as 1 LOVE SPELL 2 WIN EX BACK 3 FRUIT OF THE WOMB 4 PROMOTION SPELL 5 PROTECTION SPELL 6 BUSINESS SPELL 7 GOOD JOB SPELL 8 HIV AIDS 9 LOTTERY SPELL and COURT CASE SPELL. 10 CANCER 11 STROKE 12 Erectile Dysfunction
ANONIM a comentat OUG 96 2021
    Hello everyone, my name is Elisa Keily I am so overwhelmed with joy all thanks to Dr Raypower spell. my husband left me for another woman few years back and I was very devastated cause I never did anything wrong to him, I was left with my two kid and a job that pays little.i was almost giving up until I saw a testimony online about Dr Raypower and I decided to contact him.i explained my problem to him and he assured me I'll see a positive result after 24hurs, surprisingly my husband came back the day after the spell begging me to forgive him and promised to never leave. My husband has been back for 6 months now and we've never had any issues, am glad I didn't doubt Dr Raypower cause he sure can solve any problems with fast relief you can also contact him for help now Email: Urgentspellcast@gmail.com or Urgentspellcast@yahoo.com Website: https://urgentspellcast.wordpress.com/  WhatsApp: +14243308109
ANONIM a comentat OUG 96 2021
     I want to use this opportunity to thank Dr Ilekhojie who help me to win a large sum. I have been playing the lottery for the past 5 years now and i have never won. Ever since then i have not been able to win and i was so upset and i needed help to win the lottery. so i decided to go online and search for help, there i saw so many good testimony about this man called Great Dr Ilekhojie of how he have cast lucky spell lotto for people to win the lottery. I contacted him also and tell him i want to win a lottery, he cast a spell for me which i use and i play and won a large amount in dollars. I am so grateful to this man. Just in-case you also need him to help you win, you can contact him through his email: gethelp05@gmail.com and send him a direct message on +2348147400259
ANONIM a comentat OUG 96 2021
    Hello everyone, I want to let the whole world know how Dr. Wale has restored my broken relationship with Wayne. We have been together for 3 years and he told me that he doesn’t love me like he used to. Things have not been good for about 4 months and he ended this about 2 weeks ago. I was miserable and just didn't want to go on anymore. I did text him right after this but he didn’t even respond to me. One day I was searching for a way to get him back on the Internet when I saw a post of a lady testifying of how a love spell caster called Dr. Wale helped her to get back her ex, I was so desperate to get mine back so I messaged him and explained my situation to him and he instructed me to do somethings which I did and 24 hours later my boyfriend Wayne came back kneeling and begging for my forgiveness and I forgive him and our relationship was back to normal again, if your Ex broke up with you or you have any problem then you problem has come to an end because Dr. Wale can solve all marriage and relationship problems. If you need his urgent help WhatsApp/Text him: +1(978) 406-9575 or Email: everlastingspellcast@gmail.com or view his website: https://everlastingspellcaster.website2.me/contact
ANONIM a comentat Decizia 2 2007
    GET YOUR EX LOVER BACK.VIA: dromokpo@gmail.com This is my testimony of life that I will tell everyone. I have been married for 25 years Another woman had a spell to get me away from my lover, My husband left me and the children and we suffered for 2 years until I saw post about where this man Dr Omokpo has helped so many people recover their broken marriages and relationships   to get their ex lovers back. I decided to send him a message about my broken marriage and family  about how my husband left me and  for him to help me bring back my loving husband home, This great man told me what to do and I followed him as he instructed. After 48 hours, as he told me, I saw a car enter the compound. I was shocked when I saw my husband. As I share my testimony with you my husband came back to me and the kids and that's why I'm happy to put all of you to meet this man for solutions to your problem and bring your lover back to you and mend your broken marriage or your relationship restored back to happiness as you wished. Contact this great man via: dromokpo@gmail.com
ANONIM a comentat Decizia 2 2007
    GET YOUR EX LOVER BACK.VIA: dromokpo@gmail.com This is my testimony of life that I will tell everyone. I have been married for 25 years Another woman had a spell to get me away from my lover, My husband left me and the children and we suffered for 2 years until I saw post about where this man Dr Omokpo has helped so many people recover their broken marriages and relationships   to get their ex lovers back. I decided to send him a message about my broken marriage and family  about how my husband left me and  for him to help me bring back my loving husband home, This great man told me what to do and I followed him as he instructed. After 48 hours, as he told me, I saw a car enter the compound. I was shocked when I saw my husband. As I share my testimony with you my husband came back to me and the kids and that's why I'm happy to put all of you to meet this man for solutions to your problem and bring your lover back to you and mend your broken marriage or your relationship restored back to happiness as you wished. Contact this great man via: dromokpo@gmail.com
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