Department of Emergency Medicine, University of Southern California, 1200 N State St Room 1011, Los Angeles, California 90033, United States of America (USA).
Department of Emergency Medicine, Denver Health Medical Center, Denver, USA.
Bull World Health Organ. 2019 Sep 1;97(9):612-619. doi: 10.2471/BLT.18.226605. Epub 2019 Jun 19.
The delivery of emergency care is an effective strategy to reduce the global burden of disease. Emergency care cross cuts traditional disease-focused disciplines to manage a wide range of the acute illnesses and injuries that contribute substantially to death and disability, particularly in low- and middle-income countries. While the universal health coverage (UHC) movement is gaining support, and human rights and health systems are integral to UCH, few concrete discussions on the human right to emergency care have been taken place to date. Furthermore, no rights-based approach to developing emergency care systems has been proposed. In this article, we explore key components of the right to health (that is, availability, accessibility, acceptability and quality of health facilities, goods and services) as they relate to emergency care systems. We propose the use of a rights-based framework for the fulfilment of core obligations of the right to health and the progressive realization of emergency care in all countries.
提供紧急医疗服务是减少全球疾病负担的有效策略。紧急医疗服务跨越了传统的以疾病为重点的学科，管理范围广泛的急性疾病和伤害，这些疾病和伤害是导致死亡和残疾的主要原因，特别是在低收入和中等收入国家。虽然全民健康覆盖（UHC）运动得到了越来越多的支持，而且人权和卫生系统是 UHC 的组成部分，但迄今为止，几乎没有就紧急医疗服务的人权进行具体讨论。此外，也没有提出基于权利的方法来制定紧急医疗服务系统。在本文中，我们探讨了健康权的关键组成部分（即卫生设施、货物和服务的可及性、可接受性和质量）与紧急医疗服务系统的关系。我们建议在所有国家使用基于权利的框架来履行健康权的核心义务，并逐步实现紧急医疗服务。
