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Establishment of a Patient Ombudsman Scheme

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Legal and Forensic Medicine

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Abstract

Meeting with health services patients may be in need of support, especially to initiate a complaint, to choose which route then to follow, and deciding when and how to act to have a case investigated. The question dealt with is what are and should be the basic and key elements, building a functional patient ombudsman scheme that aims to protect and support patients. Some important elements are indentified: The objective of the scheme should be twofold: concern legal rights, interests, and needs to support individuals, and quality to aid patients as a group. The scheme has to be based on law and on a culture among health personnel where the ombudsman is accepted as a relevant institution. To serve many individual patients, also in a flexible and an informal way, the scheme may have an advantage being localized regionally and/or locally. Assisting the individuals the best way, the ombudsman in addition to giving information, guidance, and advice ought to have as part of his tasks executing examinations and investigations, making statements, and representing patients lodging complaints to relevant authorities. To carry out this, the ombudsman must have the right to have information disclosed by the health-care services; work independently and autonomously, not having double roles; and be staffed with both lawyers and health personnel. As to quality improvement, a scheme that (also) has a central and coordinating body may have more legitimacy and can regularly make better use of accumulated countrywide knowledge than local/regional arrangements.

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References

  1. Fallberg L, Mackenney S, Øvretveit J. Introduction. In: Mackenney S, Fallberg L, editors. Protecting patients’ rights? Abingdon: Radcliffe Medical Press; 2004. p. 1–11.

    Google Scholar 

  2. Norwegian Ministry of Local Government and Regional Development. Velgere, valgordning, valgte. (Voters, election system, elected.) Oslo 2001. Official Norwegian Report 2001: 3.

    Google Scholar 

  3. Segest E. The Ombudsman’s involvement in ensuring patients’ rights. Med Law. 1997;16(3):473–86.

    PubMed  CAS  Google Scholar 

  4. Mackenney S, Fallberg L. Protecting patients’ rights? Abingdon: Radcliffe Medical Press; 2004. p. 158.

    Google Scholar 

  5. Netting FE. The long term ombudsman program. What does the complaint reporting system tells us? Gerontologist. 1992;34(6):843–8.

    Article  Google Scholar 

  6. Cox C, Bylina M, Krogmann E, Krambeck H. Facilitating transition from hospital stay to nursing home admission: a hospital based long-term care ombudsman program. J Gerentological Soc Work. 2009;52:849–58.

    Article  Google Scholar 

  7. Dorin I. Courts, ombudsman, and health care policy: an exploratory study of Israel’s National health care insurance act. Eur J Health Law. 2004;11:391–405.

    Article  Google Scholar 

  8. Berman LE. The role of the health care ombudsman. Manag Care Interface. 2004;17:37–40.

    PubMed  Google Scholar 

  9. Mackenney S, Falberg L. Conclusion. In: Mackenney S, Fallberg L, editors. Protecting patients’ rights? Abingdon: Radcliffe Medical Press; 2004. p. 137–48.

    Google Scholar 

  10. Segest E. Patient complaint procedures, in a Scandinavian perspective. Eur J Health Law. 1996;3(3):231–54.

    PubMed  Google Scholar 

  11. Gadit AA, Mugford G. A pilot study of bullying and harassment among medical professionals in Pakistan, focussing on psychiatry: need for a medical ombudsman. J Med Ethics. 2008;34(6):463–6.

    Article  PubMed  CAS  Google Scholar 

  12. Molven O. Pasientombudsordningen – et bidrag til rettssikkerhet og kvalitet I helsevesenet? (The Patient ombudsman scheme – a contribution to the rule of law and quality in healthcare services.) Lov og Rett. 1991: 195–220.

    Google Scholar 

  13. Molven O. Patient at the State University Hospital. Experiences with a 2-year trial. J Nor Med Assoc. 1989;129(24):2457–60.

    Google Scholar 

  14. Molven O. The health and social services ombudsman (The patient ombudsman). In: Molven O, Ferkis J, editors. Healthcare, welfare and law. Oslo: Gyldendal Akademisk; 2011. p. 165–75.

    Google Scholar 

  15. Bodø University College. Advocator bridgebuilder. Evaluation of the patient ombudsman scheme. Bodø 1997. HBO Report; 1997.

    Google Scholar 

  16. Hagen TP. Organization and financing of healthcare services. In: Molven O, Ferkis J, editors. Healthcare, welfare and law. Oslo: Gyldendal Akademisk; 2011. p. 38–45.

    Google Scholar 

  17. Molven O. The patients’ right to complain. Handling complaints. Sanctions against health care providers. In: Molven O, Ferkis J, editors. Healthcare, welfare and law. Oslo: Gyldendal Akademisk; 2011. p. 150–64.

    Google Scholar 

  18. Jørstad R. Patient injury – the right to claim compensation. In: Molven O, Ferkis J, editors. Healthcare, welfare and law. Oslo: Gyldendal Akademisk; 2011. p. 176–85.

    Google Scholar 

  19. The act on patients’ rights 1999–07.02 No 63.

    Google Scholar 

  20. Fallberg L. Patient ombudsmen – a different approach to improve quality in health services. Eur J Health Law. 2003;10:339–42.

    Article  PubMed  Google Scholar 

  21. Paterson E. The patients’ complaint system in New Zealand. Health Aff. 2002;21(3):70.

    Article  Google Scholar 

  22. Fallberg L, Mackenney S. Patient ombudsmen in seven European countries: an effective way to implement patients rights. Eur J Health Law. 2003;10:343–57.

    Article  PubMed  Google Scholar 

  23. The national long-term care resource center. What does the ombudsman do? Retrieved June 10, 2011. http://www.ltcombudsman.org/about-ombudsmen#Ombudsman

  24. Bachinger G. The patient ombudsman system in Austria. In: Mackenney S, Fallberg L, editors. Protecting patients’ rights? Abingdon: Radcliffe Medical Press; 2004.

    Google Scholar 

  25. Kuosmanen L. Patient complaints in Finland 2000–2004: a retrospective register study. J Med Ethics. 2008;34:788–92.

    Article  PubMed  CAS  Google Scholar 

  26. Liang BA. Elder abuse detection in nursing facilities: using paid clinical competence to address the nation’s shame. J Health Law. 2006;39(4):527–50.

    PubMed  Google Scholar 

  27. Stern Z, Mersal E, Gedalia N. Are you being served? The inter-organizational status and job perception of those responsible for patients rights in general hospital in Israel. Harefuah. 2009;148(6):395–9.

    PubMed  Google Scholar 

  28. Health and disability commissioner amendment act 1992-10-20 No 88.

    Google Scholar 

  29. Act on the status and rights of patients 1992-8-17 No 785.

    Google Scholar 

  30. Molven O. Building a Patient Ombudsman Scheme: The Norwegian Experience. Medicine and Law. World Association for Medical Law. 2012;31(1):57–70.

    Google Scholar 

  31. Health service commissioners act 1993-11-05.

    Google Scholar 

  32. Parliamentary ombudsman England. Annual Report 2009/2010. London; 2010.

    Google Scholar 

  33. Evans D. et al. National evaluation of patient advise and liaison services (Pals) Final Report. Bristol; 2008.

    Google Scholar 

  34. Health and Disability Commissioner. Annual report 2009/2010. Auckland; 2010.

    Google Scholar 

  35. Fallberg L, Kattlus M. The ombudsman in Finland. In: Mackenney S, Fallberg L, editors. Protecting patients’ rights? Abingdon: Radcliffe Medical Press; 2004. p. 25–31.

    Google Scholar 

  36. Parliamentary Ombudsman Finland. Annual report 2009. Helsinki; 2010.

    Google Scholar 

  37. The Parliamentary Ombudsman. Annual report 2009. Oslo, 2010.

    Google Scholar 

  38. Paterson E. Protecting patients rights in New Zealand. Med Law. 2005;24:51–60.

    PubMed  CAS  Google Scholar 

  39. Walshe K. Medical accidents in the UK: a wasted opportunity for improvement. In: Rosenthal MM, Mulcahy L, Lloyd-Bostock S, editors. Medical mishaps. Philadelphia: Open University Press; 1999.

    Google Scholar 

  40. Hsieh S. The use of complaints to drive quality improvements: an exploratory study in Taiwan. Health Serv Manage Res. 2010;23:5–11.

    Article  PubMed  Google Scholar 

  41. Abbott S, Mayer J, Copperman J, Bentley J, Lancelay A. Quality criteria for patient advice and liaison services: what do the patients and the public want? Health Expect. 2005;8(2):126–37.

    Article  PubMed  Google Scholar 

  42. Molven O. The patient ombudsman – the Norwegian experience. Revista De Direto Sanitário (Journal of Health Law). 2007;8(2):127–55.

    Google Scholar 

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Authors and Affiliations

  1. Diakonhjemmet University College, Pb 184 Vinderen, 0319, Oslo, Norway

    Dr. Olav Molven (Associate Professor)

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  1. Dr. Olav Molven
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Correspondence to Olav Molven .

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Editors and Affiliations

  1. Chatswood, New South Wales, Australia

    Roy G. Beran

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Molven, O. (2013). Establishment of a Patient Ombudsman Scheme. In: Beran, R. (eds) Legal and Forensic Medicine. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-32338-6_78

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