Peoples' Health Movement.
Health Hum Rights. 2008;10(1):93-101.
Approaching health as a basic human right has a profound impact on the way we treat it politically. Viewing health as a public good--with both individual and collective dimensions--shapes the nature of health policies. The concept of a right to health can be used to formulate policies, organize systems and services, and develop actions that promote better health outcomes. Building on experiences in Latin America, this article discusses lessons learned for achieving policies and health systems that contribute to building democracy into a system that guarantees sodcial justice. Drawing on work in Latin American Social Medicine, it specifically proposes new ways of thinking about social fragility (instead of risks) and developing inter-sectoral programming to improve care, as well as to reduce inequalities among population groups. The article argues that a right-based approach can be a concrete tool for restructuring both public policies and action.
将健康视为一项基本人权，会对我们从政治角度对待健康的方式产生深远影响。将健康视为具有个人和集体层面的公共利益，会影响健康政策的性质。健康权的概念可用于制定政策、组织系统和服务以及开展行动，以促进改善健康结果。本文借鉴拉丁美洲的经验，讨论了为实现有助于将民主构建为保障社会正义的制度的政策和卫生系统而汲取的经验教训。本文借鉴拉丁美洲社会医学的工作，特别提出了从社会脆弱性（而不是风险）的角度进行思考的新方法，并制定跨部门方案来改善护理，减少各人群组之间的不平等。本文认为，基于权利的方法可以成为重构公共政策和行动的具体工具。
