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健康权是一项人权:美国医师学院立场文件

Health as a Human Right: A Position Paper From the American College of Physicians.

机构信息

University of Colorado, Anschutz Medical Campus, Aurora, Colorado (M.D.).

American College of Physicians, Philadelphia, Pennsylvania (L.S.S.).

出版信息

Ann Intern Med. 2023 Nov;176(11):1516-1519. doi: 10.7326/M23-1900. Epub 2023 Oct 31.

Abstract

The relationship of health to rights or human rights is complex. Although many find no right of any kind to health or health care, and others view health care as a right or human right, the American College of Physicians (ACP) instead sees as a . The College, in the ACP Ethics Manual, has long noted the interrelated nature of health and human rights. Health as a human right also has implications for the social and structural determinants of health, including health care. Any rights framework is imperfect, and rights, human rights, and ethical obligations are not synonymous. Individual physicians and the profession have ethical obligations to patients, and these obligations can go beyond matters of rights. Society, too, has responsibilities-the equitable and universal access to appropriate health care is an ethical obligation of a just society. By recognizing health as a human right based in the intrinsic dignity and equality of all patients and supporting the patient-physician relationship and health systems that promote equitable access to appropriate health care, the United States can move closer to respecting, protecting, and fulfilling for all the opportunity for health.

摘要

健康与权利或人权的关系很复杂。尽管许多人认为健康或医疗保健没有任何权利,而另一些人则将医疗保健视为权利或人权,但美国医师学院 (ACP) 则将其视为一种. 该学院在《ACP 伦理手册》中早就指出了健康和人权的相互关联性质。健康作为一项人权也对健康的社会和结构性决定因素产生影响,包括医疗保健。任何权利框架都不完美,权利、人权和道德义务并非同义词。个别医生和整个行业都对患者负有道德义务,这些义务可以超越权利问题。社会也有责任——公平和普遍获得适当的医疗保健是公正社会的道德义务。通过承认健康是一项基于所有患者内在尊严和平等的人权,并支持促进公平获得适当医疗保健的医患关系和医疗体系,美国可以更接近尊重、保护和实现所有人的健康机会。

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