University of Porto Faculty of Medicine, Portugal.
Autonomous University of Lisbon, Portugal.
Health Policy. 2024 Jul;145:105096. doi: 10.1016/j.healthpol.2024.105096. Epub 2024 May 23.
Private sector acting in healthcare does not remove the public nature of a health system, nor mitigate the right to health as a human right.
This scoping review aims to answer the question: what factors influence the pattern of lawsuits seeking to enforce the right to health in private healthcare systems? The search was carried out in Pubmed, SciELO, DOAJ and Scopus.
Out of 464 articles found, after inclusion and exclusion criteria, 30 articles were included. The survey covered 36 different countries and four main factors were identified. The socioeconomic context, the health system model, the incorporation of the right to health in legislation, and the model of regulation of private health.
Understanding these patterns help understanding the difficulties of implementing and guaranteeing universal health. Health systems must be based on responsibility, solidarity, equity, and distributive justice, since the sum of these values generates mutualism. Judicial decision-making regarding to health access must be reasoned on equity and distributive justice, scientific evidence and ethical factors. Even private health systems must be funded in a well-defined ethical platform and social moral valuation.
私营部门在医疗保健领域的运作并没有改变医疗体系的公共性质，也没有减损健康权作为一项人权的地位。
本范围界定审查旨在回答以下问题：影响在私营医疗体系中寻求执行健康权的诉讼模式的因素有哪些？本研究在 Pubmed、SciELO、DOAJ 和 Scopus 进行了检索。
在发现的 464 篇文章中，经过纳入和排除标准，最终纳入了 30 篇文章。该调查涵盖了 36 个不同的国家，并确定了四个主要因素。即社会经济背景、医疗体系模式、将健康权纳入立法，以及私营医疗监管模式。
了解这些模式有助于理解实施和保障全民健康所面临的困难。医疗体系必须基于责任、团结、公平和分配正义，因为这些价值观的总和产生了互助关系。关于健康准入的司法决策必须基于公平和分配正义、科学证据和伦理因素。即使是私营医疗体系也必须在明确的伦理框架和社会道德价值评估的基础上获得资金支持。
