Friday, August 22, 2014

Hospitals Can't Deny Request for Med File

Express News Service: New Delhi: Friday, 22 August 2014.
In a relief to patients, the Union Law Ministry on Thursday advised the Health and Family Welfare Ministry to issue instructions to hospitals to provide patients their complete medical records, deeming it their right.
In a letter to Health Secretary Lov Verma, his Law Ministry counterpart P K Malhotra pointed out that according to the Central Information Comission’s (CIC) July 23 order, a patient’s right to his/her medical records is rooted in articles 19 and 21 of the Constitution. The hospital authorities have a duty to provide the same under RTI Act, Consumer Protection Act, Medical Council Act and world medical ethics, Malhotra added in the letter. “Patients have a right to get their medical records from hospitals and the Health Ministry. If there are existing instructions to this effect, the same need to be reiterated and the concerned authorities sensitised about the same,” Malhotra said in the letter.
The Law Ministry secretary contended that most of the time, hospital authorities do not provide details of the treatment administered to a patient. He added that easy availability of medical records would help patients avoid approaching the courts.
The Law Ministry’s intervention came after the CIC ordered the disclosure of information to a former official of the Research and Analysis Wing (RAW). Nisha Priya Bhatia, a former official of RAW, had sought her medical records from the Institute of Human Behaviour and Allied Sciences, where she had been admitted on orders of the Delhi High Court. Initially, the records were refused to her as the hospital cited Section 8(1)(h) of the RTI Act, which allows an authority to withhold information that would impede an investigation. Bhatia had alleged before the CIC that her superiors antagonised her for no reason and started withdrawing her privileges as an officer. Gradually and ultimately her chair was also removed leaving her with no place to sit and work.
Bhatia had alleged that there was a “deliberate conspiracy” and attempt to depict her as a mentally sick person just because she had filed complaints against her superiors.
In his order, CIC Commissioner Sridhar Acharyulu rejected the hospital’s contention and said the patient needed the medical records to defend her case before an appropriate forum. He added that patients have a right to their medical records under the Constitution. He further said that hospitals have a duty to provide the same under Right to Information Act, 2005, Consumer Protection Act, 1986 and the Medical Council Act, 1956.
“It is the duty of the doctor or hospital to develop a mechanism whereby copy of patients’ medical record from his joining to his discharge be provided to him or his legal representatives even without the patient asking as matter of routine procedure as the time of discharge as directed by Bombay HC in the referred case,” the order said.