Being declared one of the priorities of his activity for the following years, the monitoring of the right to health care was carried out by the People's Advocate in 2019 as well. During 2019, the People's Advocate Office examined about 47 claims in which there was invoked the violation of the right to health care. It is unfortunate to note that the beneficiaries of health services continued to invoke in the reference year the violation of patients' rights regarding accessibility, compliance with quality standards, avoidance of unjustified suffering and pain, and personalized treatment. Likewise, they were found and other aspects regarding the violation of human rights in the field of health care, especially regarding non-compliance with the condition of obtaining the informed consent of the patient, non-compliance with professional ethics by doctors, lack of correct information, poor doctor-patient communication, lack of discretion during the provision of medical care (breach of confidentiality), access to specialized treatment, low quality of medical services, limited access to quality standards, ensuring expensive treatments, lack of legal framework on malpractice, etc. As it is known from the previous reports on the observance of human rights in the Republic of Moldova55, the People's Advocate warned the authorities about the irregularities detected when providing medical assistance and came up with some recommendations in this regard, including: 1. Development of health policies appropriate to rare diseases and initiation of control over financial resources for the early diagnosis of rare diseases. 2. Development of a methodology for rehabilitation and resocialization of patients diagnosed with rare disease. 3. The elaboration by medical institutions of institutional policies and procedures for the observance of the patient's rights. 4. Carrying out the periodic control regarding the observance / implementation by the medical staff and the managers of the public medical-sanitary institutions of the normative acts in force in the field of health (laws, orders, regulations, clinical protocols). 5. Elaboration of an efficient normative framework for investigating and solving cases of medical errors and malpractice. 55 http://ombudsman.md/rapoarte/anuale/ 33

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