Justice, health, and healthcare
Justice, health, and healthcare
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DOI：
10.1162/152651601300168834
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发表时间：
2001-03-01
影响因子：
13.4
通讯作者：
Daniels, Norman
中科院分区：
文献类型：
--
作者：
Daniels, Norman
医疗保健（包括公共卫生）是特殊的，因为它保护正常运作，这反过来又保护了个人的机会。我以两种方式扩展这个帐户。首先，由于医疗保健以外的商品分配影响人口健康及其分配，我主张罗尔斯的正义原则描述了健康的社会决定因素的公平分配，部分说明了健康不平等是不公平的。第二，我补充了一个原则性的帐户，为健康和医疗保健的公正与公平的过程中设置限制或配给照顾帐户。这种解释由三个条件构成，即“合理性的责任”。"
Healthcare (including public health) is special because it protects normal functioning, which in turn protects the range of opportunities open to individuals. I extend this account in two ways. First, since the distribution of goods other than healthcare affect population health and its distribution, I claim that Rawls's principles of justice describe a fair distribution of the social determinants of health, giving a partial account of when health inequalities are unjust. Second, I supplement a principled account of justice for health and healthcare with an account of fair process for setting limits or rationing care. This account is provided by three conditions that comprise "accountability for reasonableness."