Chapman Audrey
Professor, Department of Community Medicine and Health Care, University of Connecticut School of Medicine.
Health Hum Rights. 2014 Jun 14;16(1):122-33.
A human rights approach is predicated on the responsibility of states to design health systems and implement health policies that are consistent with human rights requirements. However, in the contemporary health landscape, health services are increasingly delivered through private health sector institutions, and governments often lack direct control over some or many components of the health system. Private provision of health services does not change the role of the state as the ultimate guarantor of the realization of health rights obligations, but it makes implementing its responsibilities more difficult. This article explores the extent and ways in which privatization of health services potentially is and is not compatible with human rights commitments. Additionally, the article identifies factors and policies that can mitigate or exacerbate the impact of private health services on the realization of the right to health.
人权方法基于国家有责任设计符合人权要求的卫生系统并实施卫生政策。然而，在当代卫生领域，卫生服务越来越多地通过私营卫生部门机构提供，政府往往对卫生系统的某些或许多组成部分缺乏直接控制权。私营部门提供卫生服务并没有改变国家作为实现健康权义务最终保障者的角色，但却使其履行责任更加困难。本文探讨了卫生服务私有化在哪些方面可能符合或不符合人权承诺，以及符合或不符合的方式。此外，本文还确定了可以减轻或加剧私营卫生服务对健康权实现影响的因素和政策。
