在国家打击卫生部门腐败的对策中推进健康权考虑:行动的理由

IF 1.2 Q4 HEALTH POLICY & SERVICES
E. Alexiadou
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引用次数: 1

摘要

目的卫生部门腐败是一个普遍的挑战,也是公平享有健康权的主要障碍,它加剧了社会内部的健康不平等,同时往往主要在威胁人类安全的公共卫生危机中侵蚀公众信任。本文的目的是审查在国家立法和监管部门打击卫生部门腐败的对策中推进健康权考虑的价值。设计/方法论/方法本文以现有证据为基础,重点关注与讨论主题相关的国际标准。文献研究包括公开的报告、同行评审的研究报告和其他文件,主要是联合国一级人权机构的文件。发现在国家打击卫生部门腐败的对策中推进健康权考虑,为部署强有力的反腐败监管框架提供了全面指导,供政府作为其健康权义务的一部分采取行动。从本质上讲,执行这样一个包括问责制、参与性决策和透明度的国家行动框架,这是朝着维持运转良好的卫生系统迈出的必要和重要的一步,也是一种强大的社会压力,要求继续作出政治承诺,最终目标是在任何时候都能公平获得高质量的卫生服务。独创性/价值通过使用基于权利的方法,该文件确定了一个国家行动的国家框架,包括指导政府的法律义务和工具,同时赋予民间社会团体权力,要求在卫生系统治理中实施透明、参与和问责的核心人权原则。它为未来制定、加强和/或改革国家法律、政策和做法提供了见解,以最大限度地减少和消除卫生部门腐败的脆弱性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Advancing right to health considerations in national responses against health sector corruption: the case for action
Purpose Health sector corruption constitutes a pervasive challenge and a major obstacle to the equitable enjoyment of the right to health by exacerbating health inequalities within societies, while often eroding public trust primarily amid public health crises that threaten human security. The purpose of this paper is to examine the value of advancing right to health considerations in national legislative and regulatory responses against health sector corruption. Design/methodology/approach This paper builds on existing evidence, with focusing attention on international standards that are relevant to the topic under discussion. The literature research included publicly available reports, peer-reviewed studies and other documents primarily of human rights bodies at the United Nations level. Findings Advancing right to health considerations in national responses against health sector corruption offers comprehensive guidance for the deployment of a strong regulatory anti-corruption framework for action by the governments as part of their health rights obligations. Essentially, the implementation of such a national framework for action, encompassing accountability, participatory decision-making and transparency, constitutes a necessary and an important step towards maintaining well-functioning health systems and a robust social pressure for continued political commitment with the ultimate goal the provision of equitable access to quality health services at all times. Originality/value By using a rights-based approach, the paper identifies a national framework for state action consisting of legal obligations and tools towards guiding governments, while at the same time empowering civil society groups to demand the implementation of core human rights principles of transparency, participation and accountability within health system governance. It provides insights for the future development, reinforcement and/or reform of national law, policies and practices towards minimizing and eradicating vulnerabilities to health sector corruption.
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来源期刊
CiteScore
2.90
自引率
7.10%
发文量
48
期刊介绍: nternational Journal of Human Rights in Healthcare (IJHRH) is an international, peer reviewed journal with a unique practical approach to promoting race equality, inclusion and human rights in health and social care. The journal publishes scholarly and double blind peer-reviewed papers of the highest standard, including case studies and book reviews. IJHRH aims include: -To explore what is currently known about discrimination and disadvantage with a particular focus on health and social care -Push the barriers of the human rights discourse by identifying new avenues for healthcare practice and policy internationally -Create bridges between policymakers, practitioners and researchers -Identify and understand the social determinants of health equity and practical interventions to overcome barriers at national and international levels. The journal welcomes papers which use varied approaches, including discussion of theory, comparative studies, systematic evaluation of interventions, analysis of qualitative data and study of health and social care institutions and the political process. Papers published in IJHRH: -Clearly demonstrate the implications of the research -Provide evidence-rich information -Provoke reflection and support critical analysis of both challenges and strengths -Share examples of best practice and ‘what works’, including user perspectives IJHRH is a hugely valuable source of information for researchers, academics, students, practitioners, managers, policy-makers, commissioning bodies, social workers, psychologists, nurses, voluntary sector workers, service users and carers internationally.
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