Signed and Ratified
 Patient Rights in Latvia

Right to Informed Consent

    Information preceding     consent
    Minors
    Incapacitated Adults
Right to Information about his or her Health
Rights regarding the Medical File
Right to Privacy
Right to Complain and to Compensation
 
Rights of Users of Genetic Services
 

 



  1. A physician must receive consent of patient for treatment, therefore the duty of physician shall be to give information in understanding way for the patient on the diagnosis of disease, the plan of examination and treatment, as well as on other methods of treatment and forecast. The duty of physician shall be to explain and inform a patient on possible consequences and complications of diseases. A physician must inform a patient on possible adjacent effects of subscribed remedies or methods of treatment. A physician may not to give full information to patient on diagnosis and forecast of disease, if he considers that this information can aggravate the health condition of patient.
  2. In emergency situations, when the life of patient is in danger and it is not possible to receive the permit of patient, his/her family members, or in case there are no family members of nearest relatives or legitimate representatives (trustees, guardians), the duty of medical person in the limits of his/her competence shall be to realize urgent measures - examination, treatment and surgical intervention. The plan of examination in such cases shall be approved and decisions shall be passed by the council of physicians (except the case when the first or urgent medical aid shall rendered).
    In case the patient is a minor, the duty of physician shall be to inform the orphans court or rural district court, for purpose of protection of the interests of the persons under age, on the decision passed by council which is connected with subsequent examination and treatment of patient under age.
  3. A patient shall have the right to refuse completely or partly from the offered examination or treatment, certifying it with the signature, If a patient is under age or a person who due to health condition is not able to aware consequences of actions, these rights and responsibility about the decision shall have the family members of the patient, but, if they do not exist, - nearest relatives or legitimate representatives (trustees, guardians). The duty of physician shall be to explain to patient, his/her family members, nearest relatives or legitimate representatives (trustees, guardians) consequences of such refusal.
    If this refusal may cause deterioration of the state of health or death of the patient, the practicing physician has the duty to explain to the patient, his or her relatives and to document the consequences of such a refusal. If a patient does not change his decision, the practicing physician has a duty to advise the patient to visit a different physician.
  4. If a patient has accepted the plan of treatment, he/she is obliged to observe all instructions of medical persons connected with treatment and care.
  5. Out-patient or in-patient examination and treatment may be performed against the will of patient only in the following cases:
    1)     if, due to mental disturbances, the behavior of patient is dangerous to himself/herself or to the health or life of other persons;
    2)     if, due to mental disturbances and their clinical dynamics, the psychiatrist forecasts such behavior of patient what is dangerous to himself/herself or to the health or life of other persons;
    3)     if the mental disturbances of patient are such what do not allow himself/herself to pass deliberate decisions, and refusal of treatment can cause serious aggravation of health and social situation, as well as infringements of public order.
    If a patient is hospitalized against his/her will, the council of psychiatrists must examine patient within 72 hours and pass the decision on subsequent treatment. The council notifies its decision immediately to the patient, his/her family members, but, if they are not exist, - to nearest relatives or legitimate representatives (trustees, guardians). If it is not possible to realize it immediately by meeting with somebody from those people, the notification must be sent to them in written, introducing the entry of that in the registration card of patient.

Top