31 research outputs found
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Can judges ration with compassion? A priority-setting rights matrix
How should courts supervise health service resource allocation? Although practice varies widely, four
broad approaches can be represented on a matrix comparing, on two axes, (a) individual-community
rights and (b) substantive-procedural remedies. Examples from each compartment of the matrix are
discussed and, although the community-procedural approach is recommended as a general rule, a range
of other responses within the matrix may also be desirable
Os direitos em saĂșde e a racionalização no Sistema Nacional de SaĂșde InglĂȘs (NHS) : da teoria Ă prĂĄtica
ABSTRACT - How should we understand the nature of patientsâ right in public health care systems? Are
health care rights different to rights under a private contract for car insurance? This article
distinguishes between public and private rights and the relevance of community interests
and notions of social solidarity. It discusses the distinction between political and civil rights,
and social and economic rights and the inherently political and redistributive nature of the
latter. Nevertheless, social and economic rights certainly give rise to ârightsâ enforceable by
the courts. In the UK (as in many other jurisdictions), the courts have favoured a âproceduralâ
approach to the question, in which the courts closely scrutinise decisions and demand high
standards of rationality from decision-makers. However, although this is the general rule,
the article also discusses a number of exceptional cases where âsubstantiveâ remedies are
available which guarantee patients access to the care they need.RESUMO - Como compreender a natureza dos direitos dos doentes nos sistemas de saĂșde pĂșblicos?
SĂŁo os direitos em saĂșde diferentes dos direitos que sĂŁo objeto de contratos privados de
seguro automĂłvel? Este artigo distingue direitos pĂșblicos e direitos privados, bem como
relevùncia do interesse comum e noçÔes de solidariedade social. Este artigo discute também
a distinção entre direitos civis e polĂticos por um lado e direitos econĂłmicos e sociais por
outro, sublinhando a natureza inerentemente polĂtica e redistributiva destes Ășltimos. Apesar
desta natureza, os direitos econĂłmicos e sociais estĂŁo tambĂ©m na origem de âdireitosâ
passĂveis de serem feitos cumprir pelos tribunais. No Reino Unido (como em muitas outras
ordens jurĂdicas) os tribunais tĂȘm favorecido uma solução jurĂdica âprocedimentalâ para
as questÔes aqui suscitadas, escrutinando de muito perto os decisores e exigindo-lhes
elevados padrĂ”es de racionalidade nas suas decisĂ”es. Todavia, apesar de esta ser a regra geral, discutem-se tambĂ©m neste artigo alguns casos de exceção onde soluçÔes jurĂdicas
âsubstantivasâ foram adoptadas, garantindo aos pacientes, por essa via, o acesso aos cuidados
de saĂșde de que necessitam.info:eu-repo/semantics/publishedVersio
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Health equality, social justice and the poverty of autonomy
How does the concept of autonomy assist public responses to âlifestyleâ diseases? Autonomy is fundamental to bioethics, but its emphasis on self-determination and individuality hardly supports public health policies to eat and drink less, and take more exercise. Autonomy rejects a ânannyâ state. Yet, the cost of diseases caused by obesity is increasing to individuals personally and to public health systems generally. Health care systems are under mounting and unsustainable pressure. What is the proper responsibility of individuals, governments and corporate interests working within a global trading environment? When public health care resources are unlikely to increase, we cannot afford to be so diffident to the cost of avoidable diseases
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Disrupting the community: saving public health ethics from the EU internal market
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Preserving social citizenship in health care markets - There may be trouble ahead
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Promoting access and equity in health: assessing the National Health Service in England
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Exceptional circumstances - access to low-priority treatments after the Herceptin case
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