Operationalization of the Ghanaian Patients' Charter in a Peri-urban Public Hospital: Voices of Healthcare Workers and Patients.
Health is a basic human right necessary for the exercise of other human rights. Every human being is, therefore, entitled to the highest possible standard of health necessary to living a life of dignity. Establishment of patients' Charter is a step towards protecting the rights and responsibilities of patients, but violation of patients' rights is common in healthcare institutions, especially in the developing world. This study which was conducted between May 2013 and May 2014, assessed the operationalization of Ghana's Patients Charter in a peri-urban public hospital.



Qualitative data collection methods were used to collect data from 25 healthcare workers and patients who were purposively selected. The interview data were analyzed manually, using the principles of systematic text condensation.



The findings indicate that the healthcare staff of the Polyclinic are aware of the existence of the patients' Charter and also know some of its contents. Patients have no knowledge of the existence or the contents of the Charter. Availability of the Charter, community sensitization, monitoring and orientation of staff are factors that promote the operationalization of the Charter, while institutional implementation procedures such as lack of complaint procedures and low knowledge among patients militate against operationalization of the Charter.



Public health facilities should ensure that their patients are well-informed about their rights and responsibilities to facilitate effective implementation of the Charter. Also, patients' rights and responsibilities can be dramatized and broadcasted on television and radio in major Ghanaian languages to enhance awareness of Ghanaians on the Charter.
Department of Public Administration and Health Services Management, Business School, University of Ghana, Accra, Ghana.
Lily
L
Yarney
Department of Public Administration and Health Services Management, Business School, University of Ghana, Accra, Ghana.
Thomas
T
Buabeng
Department of Public Administration and Health Services Management, Business School, University of Ghana, Accra, Ghana.
Diana
D
Baidoo
Department of Public Administration and Health Services Management, Business School, University of Ghana, Accra, Ghana.
Justice Nyigmah
JN
Bawole
D005869:Ghana; D006282:Health Personnel / Q000523:psychology*; D006779:Hospitals, Public; D006801:Humans; D007318:Inservice Training; D019359:Knowledge; D015279:Organizational Culture; D028701:Patient Rights / Q000331:legislation & jurisprudence*; D010361:Patients / Q000523:psychology*; D036301:Qualitative Research
Ghana; Operationalization; Patients’ Charter; Peri-urban; Public Hospitals
Nurs Ethics. 2004 Nov;11(6):610-24
15597941
Nurse Educ. 2003 Jul-Aug;28(4):175-8
12878896
Malawi Med J. 2010 Mar;22(1):5-9
21618840
J Med Ethics. 1997 Aug;23(4):213-20
9279742
Health Expect. 2016 Oct;19(5):1062-70
26281797
Psychol Med. 2009 Feb;39(2):313-23
18570700
Nurs Ethics. 2002 May;9(3):301-12
12035435
Nurs Ethics. 2001 Nov;8(6):487-98
16004104
Srp Arh Celok Lek. 2010 Jan-Feb;138(1-2):79-84
20425910
Fam Pract. 2001 Oct;18(5):495-500
11604370
Fam Pract. 1993 Jun;10(2):201-6
8359612
Dev World Bioeth. 2004 May;4(1):76-95
15086375