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健康资本及其对健康公平的意义。

Health Capital and its Significance for Health Justice.

作者信息

Davies Ben, Schramme Thomas

机构信息

Department of Philosophy, University of Sheffield, Sheffield, UK.

Department of Philosophy, University of Liverpool, Liverpool, UK.

出版信息

Public Health Ethics. 2025 Feb 8;18(1):phaf001. doi: 10.1093/phe/phaf001. eCollection 2025 Apr.

Abstract

This paper outlines a novel framing of the normative significance of health by considering the idea of 'health capital'. Health capital is a set of health-related assets of individuals that enable them to pursue their interests and to collaborate with others. The specific contribution of this paper is to establish the notion of health capital beyond a metaphorical idea and to initially explore the repercussions of it for theories of health justice. We propose a sufficientarian approach to health capital justice. Our theory claims that social justice requires enabling people to achieve enough health capital to meet threats to health. This is a dynamic ideal, establishing claims of justice over time. The overarching goal is to avoid disadvantageous tipping points of health depletion.

摘要

本文通过考量“健康资本”这一概念,概述了一种关于健康规范意义的全新框架。健康资本是个人的一系列与健康相关的资产,这些资产使他们能够追求自身利益并与他人合作。本文的具体贡献在于,将健康资本的概念确立为超越隐喻层面的概念,并初步探讨其对健康正义理论的影响。我们提出一种关于健康资本正义的充足主义方法。我们的理论主张,社会正义要求使人们能够获得足够的健康资本以应对健康威胁。这是一个动态的理想状态,随着时间推移确立正义主张。总体目标是避免健康损耗的不利临界点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/73c7/11806382/144a597942c2/phaf001_fig1.jpg

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