Code of ethics

Code of Ethics of Reproductive Medicine Institute Limited Liability Partnership

Contents

  1. General Provisions
  2. Goals
  3. Objectives
  4. Core Corporate Values
  5. Cooperation
  6. Patient Confidentiality
  7. Inadmissible Actions
  8. Final Provisions

1.General Provisions

1.1. Reproductive Medicine Institute’s Code of Ethics (hereinafter the “Code”) shall be a body of general professional ethics principles and core rules of professional conduct that shall govern the activities of the Institute’s employees irrespective of their positions.

1.2. The provisions of this Code shall be binding for all Institute’s employees irrespective of their positions and the term of their office, including cashiers, security guards, coordinators, junior and other stuff, Institute residents, trainees and interns.

1.3. This code shall promote regulation of interpersonal relations, formation of healthy psychological environment and performance of all employees. Such document shall encourage correct conduct with respect to colleagues and patients.

1.4. The compliance by the employees with the Code shall be one of the criteria of evaluation of professional performance and conduct thereof.

1.5. All personnel newly hired by the Institute shall familiarize themselves with the Code and shall comply with the provisions thereof in the course of their professional activities.

1.6. Each employee shall take all necessary measures to comply with the provisions of this Code and each patient shall be entitled to expect medical personnel’s attitude pursuant to this Code.

1.7. The list of ethical norms and principles shall not be comprehensive and may be amended, changed, supplemental by the Ethical Commission.

2.Goals

2.1. The goal of this Code shall be governing the Institute’s corporate culture, further promotion thereof among employees irrespective of their positions, support and enhancement of the Institute’s image and reputation.

3.Objectives

3.1. Determination of medical personnel’s values and making all Institute’s employees familiar therewith.

3.2 Establishment of a favorable environment for the development of corporate culture based upon high ethical standards.

3.3 Ensuring the basis for generation of professional moral in the sphere of healthcare, respectful attitude to the Institute’s employees and medical personnel in general.

3.4 Determination and recording of norms and standards of work, rules of communication, corporate culture, efficient work organization norms.

3.5 Establishment of ethical conduct standards determining relations among personnel and those with patients.

4.Corporate Values:

The following shall be the Institute’s corporate ethic values:

  • respect of the person’s honour and dignity;
  • patients orientation and high ethical standards of medical services
  • competence and professional skills of the Institute’s employees
  • patients’ security

5.Relations:

Relations Among Colleagues

5.1. Relations among employees shall be based upon mutual respect, trust and the interests of the relevant patient.

5.2. An employee shall be honest, just, well wishing, decent; he/she shall respect his/her colleagues’ knowledge and experience and be prepared to transfer his/her experience and knowledge for no profit.

5.3. The moral right to manage other employees shall require high level of professional competence and rectitude.

5.4. All criticism of colleagues must be well reasoned and shall not be offensive. It shall be permitted to criticize any professional actions as opposed to personality. It shall not be permitted to enhance own standing by way of discrediting colleagues. Healthcare personnel shall not be entitled to permit negative statements regarding their colleagues and work in the presence of patients and their relatives.

5.5. Healthcare professionals shall be respectful and grateful to all their teachers throughout their lives.

5.6. A healthcare professional shall treat his/her colleagues in a way he would like to be treated by them.

5.7. A healthcare professional shall not be entitled to question professional skills of the other physicians or to discredit them otherwise.

5.8. In difficult clinical cases medical practitioners shall tactfully advise and assist their colleagues. Only the attending medical practitioner who can take into the account or reject recommendations exclusively based upon the patient’s interests shall be fully responsible for treatment.

Relations with Patients
5.9. All relations between employees and patients shall be based upon the principles of mutual respect preventing rudeness, bad language, compromising of honor and dignity of other people, pecuniary and/or non-pecuniary damages, abusive practices, breaches of generally accepted ethics and morale including improper conduct and aggressive conduct in public.

5.10. Preservation of patients’ privacy and doctor-patient confidentiality.

5.11. Healthcare personnel shall be responsible for the quality of medical assistance to patients. When performing their duties healthcare personnel shall comply with Kazakhstan legislation, applicable regulations (medical standards), however, they shall select prevention, diagnostics and treatment techniques in the interest of their patients based upon the above regulations and disease peculiarities. Where necessary the healthcare employee shall accept its colleagues’ assistance.

5.12. Healthcare personnel shall not expose its patient to unjustified risk and to use their knowledge for abusive purposes. When selecting a treatment technique a healthcare professional shall primarily follow non-maleficence principle.

5.13. Except for emergency assistance when a healthcare professional shall take measures to prevent the patients’ health deterioration, the healthcare professional shall be entitled to reject a patient treatment if he/she is confident of the lack of necessary level of trust or if he/she believes himself/herself incompetent or has no capacity for treatment. In the above described cases the medical professional shall take all necessary measures to inform his/her immediate supervisor thereof and recommend his/her patient another competent expert.

5.14. Medical professional shall respect his/her patient’s right to select an attending practitioner and/or institution and to decide on treatment and prevention measures. Medical professional usually obtains his/her patient’s consent during interview. This consent shall be an informed decision. The patient shall be informed of the treatment techniques, consequences thereof, in particular, of possible complications and other alternative treatment methods. Any diagnostic and treatment measures shall be permitted without the patient’s consent only in the situations of any threat to patient’s life and health and his/her inability to adequately assess the situation. It shall be desirable to make a collegial decision in such situations. When treating mentally handicapped people the medical professional shall comply with Kazakhstan legislation regarding psychiatric help and guaranteeing people rights when rendering thereof. When treating a child a healthcare professional shall provide full information to his/her parents or guardians, obtain their consent to apply a specific treatment method or drug.

5.15. Healthcare professional shall respect the patient’s honor and dignity, treat him/her with favor, respect his/her right to privacy, be receptive to concerns of family members regarding his/her patient’s health, however, at the same time he/she shall not interfere in the patient’s and family members affairs without sufficient professional reasons.

5.16. If the patient is unable to give his/her informed consent such a consent shall be expressed by the patient’s legal representative or a permanent guardian.

5.17. The patient shall be entitled to a comprehensive information regarding his/her health, however, he may refuse to obtain such information or nominate a person to be informed of his health condition. The information may be concealed from the patient where there are good reasons to believe that it may severely damage the patient. However upon the patient’s express request the medical professional must provide him/her with comprehensive information. The patient shall be informed of a poor prognosis tactfully and cautiously hold out a hope of life extension and of possible favorable outcome.

5.18. At the patient’s discretion medical professional shall not obstruct the exercise of its right to a consultation by other medical professionals.

5.19. In case of a mistake and any unforeseen complications as the result of treatment the physician shall inform the patient thereof, his/her line supervisor or immediately commence elimination of harmful consequences.

6. Patient Confidentiality

6.1. Each patient shall be entitled to keep personal secret. Both the doctor and other persons participating in healthcare services delivery shall respect patient confidentiality even after the patient’s death and the fact of seeking medical advice unless the patient directs otherwise.

6.2. All information obtained during medical care encounters and treatments (diagnosis, treatment methods, forecast, etc.).

6.3. Medical information regarding a patient may be disclosed:
based upon the patient’s express written consent;
based upon a justified requirement of investigative authorities, public prosecutors’ office and judicial authorities;
if confidentiality significantly threatens health and life of the patient and(or) other persons (hazardous infectious diseases);
when other experts are involved in treatment and such information is necessary for the purpose of performance of their professional duties.
6.4. The medical practitioner shall take care of that the persons participating in the treatment of the patient also keep his/her information confidential.
6.5. All persons having access to medical information shall keep confidential all data related to the patient.
6.6. Patient’s confidentiality shall be preserved in the course of scientific research, while teaching interns and resident personnel as well as professional development.
A patient may be demonstrated only upon his/her consent.

7.Inadmissible Actions of Healthcare Personnel
7.1.
A medical professional shall not be entitled to

use his/her knowledge and capacity for abusive purposes;
apply medical care or reject them;
use medical care with respect to patients as a form of punishment or in the interests of any third parties;
enforce his/her philosophic, religious and political views on patients;
cause any physical, moral or pecuniary damages to the patient willfully or negligently and be disinterested in actions of any third parties inflicting such a damage.
7.2. No personal prejudice or any other non-professional motives of a medical professional shall affect the diagnostics and treatment.
7.3. The patient’s refusal to acquire any paid medical treatment may not cause deterioration of the quality of and accessibility, decrease the number of the types and the scope of medical care rendered without payment within state guarantees established by Kazakhstan legislation.
7.4. Any gifts from/to patients shall be highly undesirable as they may create an impression that the patients who give/accept gifts got worse care. No gifts shall be given or accepted for the services. Neither cash no valuables shall be accepted as a gift.
7.5. No medical professional shall accept incentives from any firms for prescription of the drugs they produce and distribute, to use any items inside the medical institution bearing a logo of the producer or a trade name of a drug, medical equipment.
7.6. A medical professional shall not be entitled to use his/her position, his/her patient’s emotional conditions for the purpose of entrance into transactions, use his/her labor and to be involved in extortions and bribery.
7.7. A medical professional shall not be entitled to provide any untrue, incomplete or misleading information to a patient regarding used drugs and medical equipment.

8.Final Provisions

8.1. This Code shall be binding for all Institute’s personnel.

8.2. Ethics Commission shall determine the scope of liability for the breach of this Code.
8.3. Ethics Commission shall revise and construe certain provisions of this Code subject to Institution’s employees’ suggestions.

Please contact Ethics Committee or send an e-mail to info@irm.kz in case of any violations of ethics and deontology by the Institute’s employees.
Chairman of the Ethics Committee – Dzhakupov Daniyar Valikhanovich, Chief of Medicine,
office 26,telephone 234-34-34

Sources:

  1. Civil Code of the Republic of Kazakhstan dated 05.07.2006;
  2. Code of the Republic of Kazakhstan “Regarding Public Health and Healthcare System” dated 18.09.2009.
  3. Resolution of the President of the Republic of Kazakhstan “Promotion of Welfare of Kazakhstan Citizens is the Main Goal of Public Policy” dated 06.02.2008.
  4. Code of Honor of Kazakhstan Public Officials (Ethical Rules of State Servants).
  5. International Code of Medical Ethics, Helsinki; Kazakhstan-2030 President’s Message to Kazakhstan People dated 11 October 1997.
  6. Prosperity, Security and Welfare Improvement of all Kazakhstan Citizens.
  7. 2011-2015 Salamatty Kazakhstan State Healthcare Development Program (No. 1113 dated 29 November 2010).
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