Toebes Brigit, Stronks Karien
Eur J Health Law. 2016 Dec;23(5):510-24. doi: 10.1163/15718093-12341402.
Social determinants of health are major contributors to population health as well as health inequalities. The public perception that health inequalities that arise from these social determinants are unjust seems to be widespread across societies. Nevertheless, there is also scepticism about the progress in the implementation of actual policies to reduce health inequalities. Scholars, activists and policy makers from various disciplinary backgrounds increasingly stress the value of the human rights approach to support policies addressing health inequalities, and to hold actors in policies to address social determinants accountable for these inequalities. The ‘right to health’, in conjunction with the other health-related human rights, captures most elements of social determinants of health, and makes clear appeals to the governmental authorities at all levels to take action when social injustices occur. Existing judicial and non-judicial cases show us how human rights can be instrumental in addressing inequalities in health.
健康的社会决定因素是影响人群健康以及健康不平等的主要因素。公众普遍认为，由这些社会决定因素导致的健康不平等是不公平的，这种观念似乎在各个社会中广泛存在。然而，对于减少健康不平等的实际政策的实施进展也存在怀疑态度。来自不同学科背景的学者、活动家及政策制定者越来越强调人权方法在支持解决健康不平等问题的政策方面的价值，并要求参与解决社会决定因素的政策行为体对这些不平等负责。“健康权”与其他与健康相关的人权相结合，涵盖了健康的社会决定因素的大多数要素，并明确呼吁各级政府当局在社会不公正现象发生时采取行动。现有的司法和非司法案例向我们展示了人权如何有助于解决健康方面的不平等问题。
