Chapman Audrey R, Brunelli Luca, Forman Lisa, Kaempf Joseph
Department of Public Health Sciences, UConn Health, Farmington, CT, USA.
Department of Pediatrics/Neonatology, University of Utah Health/Primary Children's Hospital, Salt Lake City, UT, USA.
Lancet Reg Health Am. 2023 Aug 18;25:100577. doi: 10.1016/j.lana.2023.100577. eCollection 2023 Sep.
The United States has a highly sophisticated pediatric healthcare system and spends more than any other country per capita on children's healthcare. However, not all children have access to needed and affordable health care and the life expectancy and health outcomes of children in the country are worse than in any other industrialized nation. These nations typically offer universal healthcare for children as part of a robust recognition of a children's rights framework. In 1989 the United Nations adopted the Convention on the Rights of the Child that recognizes the right of the child to the highest attainable standard of health and to facilities for the treatment of illness and rehabilitation of health. Currently the United States is the only United Nations member country that has not ratified the Convention on the Rights of the Child. This paper outlines the potential benefits of adopting a child rights approach based on the principles and provisions of the Convention on the Rights of the Child. The fact that countries who invest much less in healthcare compared to the United States can achieve better health outcomes provides the certainty that a solution is possible and within reach.
美国拥有高度复杂的儿科医疗体系，且在儿童医疗保健方面的人均支出高于其他任何国家。然而，并非所有儿童都能获得所需且负担得起的医疗保健服务，该国儿童的预期寿命和健康状况比其他任何工业化国家都要差。这些国家通常将为儿童提供全民医疗保健作为对儿童权利框架的有力认可的一部分。1989年，联合国通过了《儿童权利公约》，该公约承认儿童有权享有能达到的最高标准的健康，并有权获得治疗疾病和恢复健康的设施。目前，美国是唯一尚未批准《儿童权利公约》的联合国成员国。本文概述了基于《儿童权利公约》的原则和条款采取儿童权利方法可能带来的益处。与美国相比，在医疗保健方面投入少得多的国家却能取得更好的健康成果，这一事实让人确信，解决方案是可行且触手可及的。
