Derecho a la salud, justicia sanitaria y globalización: un debate pendiente / Right to health, health justice, and globalization: a pending debate

Este artículo de revisión teórica hace una aproximación al asunto del derecho a la salud en el marco de la justicia sanitaria y en el momento de la actual globalización. Para ello, inicialmente se presentan algunos de los efectos de la globalización en las condiciones de vida y de salud de las poblaciones, así como en el incremento de las inequidades sanitarias. A continuación, se revisan las corrientes que desde la filosofía moral han planteado el problema de la justicia social y sus efectos en los sistemas de salud, para ubicar algunos de los elementos del debate actual sobre justicia sanitaria. En tercer lugar, se propone que el discurso de los derechos humanos y del derecho a la salud, específicamente, se convierten en una idea -fuerza importante vinculada a la justicia sanitaria global- con potencialidades y restricciones por su propio proceso de configuración. Finalmente, se concluye que la discusión alrededor del derecho a la salud, las inequidades sanitarias y la justicia sanitaria debe transcender el espacio del Estado nacional para referirse a las relaciones interestales; en este debate, la salud pública como transdisciplina debe otorgar prioridad a este tema en su agenda teórica, investigativa y de praxis social.

This paper, as a theoretical review, presents an approach to the issue of the right to health within the framework of health justice in today's globalization. To this end, some of the effects of globalization on people's life and health conditions, as well as the increase in health inequalities, are initially shown. After this, in order to highlight some of the points in the debate, the schools of thought that have approached the issue of social justice and its effects on health systems from the standpoint of moral philosophy are reviewed. Next, it is proposed that the discourse of human rights and the right to health become, specifically, an idea -an important force linked to global health justice with potentialities and restrictions imposed by its own configuration process-. Finally, it is concluded that the discussion about the right to health, health inequities and health justice has to go beyond the national boundaries and start referring to international relationships. In this debate, public health, as a transdiscipline, must prioritize this issue in its theoretical, exploratory, and social praxis agenda.

Ethics Value Foundation of the Hygiene Economic Policy / 中国医学伦理学

Abstract: Hygiene economic policy results from value choosing, so the research on hygiene economic policy must pay more attention to the value problems. Nowadays, our hygiene economic policy should base on these ethical principles, such as"Health Fairness","Hygiene Justice", which decide that the formulation and implementation of hygiene economic policy must reflect the value orientation.

The Path Selection of Achieving Health Justice in New Period: Primary Health Care / 中国医学伦理学

From the view of realizing health justice,The paper discusses the consistent objective between health justice and "Primary Health Care for all".It put forward and expound that PHC is the effective path of realizing health justice in new period,and some proposal which strengthen government's responsibity and function about PHC,as well as develop the health service in community both in urban and rural areas,with the focus on PHC in rural areas.