OSVRT NA PRAVA DECE SA INVALIDITETOM SA TEŽIŠTEM NA PRISTUP ZDRAVSTVENIM USLUGAMA

Veljko Vlašković
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Abstract

It is no coincidence that the UN Convention on the Rights of Persons with Disabilities is the first international human rights treaty in the 21st century. The Convention seeks to amend the social and legal status of persons with disabilities, including children, in a revolutionary way. The main goal is to remove social barriers by adopting a social model of disability in recognizing and exercising the human rights of persons with disabilities on an equal basis with other persons. Therefore, it is understandable that the rules of earlier international human rights treaties, such as the UN Convention on the Rights of the Child or the European Convention on Human Rights, are beginning to be directly adjusted to the this Convention. From the aspect of recognition and exercising of the rights of children with disabilities, the issue of accessibility to health care services is especially important. It insists on the application of the principles of reasonable accommodation, accessibility and non-discrimination so that children with disabilities have access to health care facilities on an equal basis with other children. This implies significant involvement of the state, local community and family in order to remove social and infrastructural barriers. Furthermore, the UN Committee on the Rights of Persons with Disabilities calls for an absolute ban on the forced detention and placement of children in health care facilities, while there is a very negative attitude towards the care of children with disabilities in social protection institutions. In this regard, an amendment to the domestic Law on the Protection of Persons with Mental Disabilities is required. According to the social model of disability, the family environment with the appropriate and effective support of the local community is a necessary environment for the realization of the rights of children with disabilities. When it comes to the consent of a child with a disability to a medical treatment, it is necessary to determine the child's capability to form views, as in the case of other children. In that sense, the mentioned child should be provided with appropriate assistance and support to express his / her views. This support consists primarily in the way in which the child is informed about the proposed medical treatment.
《联合国残疾人权利公约》是21世纪第一个国际人权条约,这并非巧合。《公约》力求以革命性的方式修正包括儿童在内的残疾人的社会和法律地位。主要目标是通过在与其他人平等的基础上承认和行使残疾人人权的残疾社会模式,消除社会障碍。因此,可以理解的是,早期国际人权条约的规则,如《联合国儿童权利公约》或《欧洲人权公约》,开始直接调整以适应本公约。从承认和行使残疾儿童权利的角度来看,获得保健服务的问题尤为重要。委员会坚持实施合理便利、无障碍和不歧视的原则,使残疾儿童能够在与其他儿童平等的基础上利用保健设施。这意味着国家、地方社区和家庭的大力参与,以消除社会和基础设施障碍。此外,联合国残疾人权利委员会呼吁绝对禁止将儿童强行拘留和安置在医疗机构,而对残疾儿童在社会保护机构的照顾持非常消极的态度。在这方面,需要修订《精神残疾者保护法》。根据残疾的社会模式,家庭环境是残疾儿童权利实现的必要环境,而当地社区的适当和有效的支持是残疾儿童权利实现的必要环境。在残疾儿童是否同意接受治疗的问题上,有必要像对待其他儿童一样,确定该儿童是否有形成意见的能力。在这个意义上,应向上述儿童提供适当的协助和支持,以表达他/她的意见。这种支助主要包括向儿童告知拟议的治疗方式。
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