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Background: There was the Generale Normativum in Re Sanitatis (GNRS) the first state health agency regulation of the Hungarian Kingdom issued in the 18th century. Among others, it mandated also the paramedical workers’ legal obligations. In the following century the first Hungarian Act on Public Health (Act XIV 1876) was Europe’s second legal norm passed by the Parliament that incorporated all the latest developments of medical sciences. Aims: Analysing the legal norms mentioned above related to the trainings and services provided in the midwifery and nursing, and comparing these with the actual patients’ rights situation in Hungary (Act CLIV of 1997 on Health). Method: Critical legal analysis of historical health care documents. Results: In the 18-19th centuries the patients’ right were set up by the health providers’ unilateral obligations such as mandatory services or absolute prohibition of artificial abortion. Midwifes were obliged to serve people to be delivered around the clock, had legally set fees and professional competencies. Unfortunately, Hungary was concerned through the whole 19 century about the geographical inequalities of midwives’ distribution. Conclusions: Patients’ rights of the Hungarian Health Act in force were directly and substantially anticipated in the 18th century legislation of this country.

Patients’ legal status in the 18-19th centuries as regulated in the health care providers’ legislations