Smart University of Medical Sciences

Document Type : Review Article

Author

Director of Health Law Department, Smart University of Medical Sciences, Tehran, Iran

Abstract

Background and Objective: This study builds on the benefits of national and international experiences and their evolution as a new academic discipline. The right to health is one of the aspects of human rights, the realization of which is essential for the realization of other human rights and is inextricably linked to the right to life. Given the complexity and development of the relationship between health and rights at the national and international levels, it is necessary to have an overview of this old branch of law, which is today a new academic discipline. Health rights can be examined from different perspectives: bioethics, public health rights, and health care rights. The first is related to ethics, and the second and third are legal approaches to the subject. The right of individuals to determine their own destiny and the right to health are the main issues in these legal approaches.
Findings: This study was prepared by reviewing books, collections of articles, laws and regulations related to the legal system of policy-making, management, and supervision in the health system, Right to Health, Public Health Law, Healthcare Law, and Bioethics.
Conclusion: The ultimate goal of health rights is to ensure access to all elements of the right to health, including the rights of individuals and populations, especially vulnerable populations. Their legal responsibility is generally at the center of attention in health rights. According to national and international laws, government institutions have a legal responsibility to provide health care, protect health and promote it. These matters include issues related to health care rights, including privacy and confidentiality, legal liability of health care professionals, fraud and financial abuse, as well as food and drug rights, environmental rights, mental health rights and the health rights of vulnerable populations.

Keywords

Main Subjects

Article Title [Persian]

مروری بر حقوق سلامت

Author [Persian]

  • شهریار اسلامی تبار

مدیر گروه حقوق سلامت، دانشگاه علوم پزشکی هوشمند، تهران، ایران

Abstract [Persian]

زمینه و هدف: این مطالعه در راستای بهره­گیری از تجربیات ملی و بین­المللی و همچنین تکامل آن به­عنوان یک رشته جدید دانشگاهی است. حق بر سلامت یکی از عناوین حق­های بشراست که تحقق آن برای استیفای سایر حق­های بشر ضروری بوده و در پیوندی ناگسستنی با حق حیات قرار دارد. با توجه به پیچیدگی و توسعه رابطه میان سلامت و حقوق در سطوح ملی و بین‌المللی، ضروری است مروری بر این شاخه قدیمی حقوق، که امروزه یک رشته جدید دانشگاهی است، داشته باشیم. حقوق سلامت می‌تواند از دیدگاه­های مختلف بررسی شود: اخلاق زیستی، حقوق سلامت عمومی و حقوق مراقبت سلامت. اولی به اخلاقیات مربوط است و دومی و سومی رویکردهای حقوقی موضوع می‌باشند. حق افراد به منظور تعیین سرنوشت خود و حق برخورداری از سلامت، موضوع اصلی در این رویکرد‌های حقوقی است.
یافته‌ها: با بررسی کتب، مجوعه مقالات، قوانین و مقررات مربوط به نظام حقوقی سیاستگذاری، مدیریت و نظارت در نظام سلامت در چهار حوزه حق سلامت، حقوق سلامت عمومی، حقوق مراقبت سلامت و اخلاق زیستی تقسیم شده است.
نتیجه­گیری: هدف نهایی حقوق سلامت، دسترسی به تمامی عناصر حق سلامت شامل حق‌ افراد و جمعیت‌ها و به­ویژه جمعیت‌های آسیب­پذیر بوده و مسئولیت قانونی آن­ها عموما در مرکز توجه حقوق سلامت قرار دارد. طبق قوانین ملی و بین‌المللی، نهادهای دولتی دارای مسئولیت قانونی تدارک مراقبت‌های سلامت، حفاظت از سلامت و ارتقای آن هستند. این امور شامل موضوعات مربوط به حقوق مراقبت سلامت از جمله حریم خصوصی و محرمانگی، مسئولیت قانونی متخصصان مراقبت سلامت، کلاهبرداری و سوء‌‌استفاده مالی و همین‌طور حقوق غذا و دارو، حقوق زیست­ محیطی، حقوق سلامت روان و حقوق سلامت جمعیت‌های آسیب‌پذیر می‌شوند.
 

Keywords [Persian]

  • حق‌های بشری
  • اخلاق زیستی
  • حق سلامت
  • حقوق مراقبت سلامت
  • حقوق سلامت عمومی
  1. Dikson DT. Law in the health and human services: a guide for social workers, psychologists, psychiatrists, and related professionals. New York: Simon & Schuster; 1995.
  2. Wiley LF. Health law as social justice. Cornell JL & Pub. Pol'y. 2014;24:47.
  3. Annas GJ. Doctors, patients, and lawyers—two centuries of health law. New England Journal of Medicine. 2012;367(5):445-50.
  4. Gostin LO, Monahan JT, Kaldor J, DeBartolo M, Friedman EA, Gottschalk K, Kim SC, Alwan A, Binagwaho A, Burci GL, Cabal L. The legal determinants of health: harnessing the power of law for global health and sustainable development. The lancet. 2019;393(10183): 1857-910.
  5. Eslamitabar S. Principles of monitoring health affairs. 1st ed. Tehran: Houshman University of Medical Sciences Publications; 2023. pp. 57–59, [Persian].
  6. Eslamitabar S. Regulation of health goods & services. Tehran: Hushmand University of Medical Sciences Publications; 2023. pp. 65, [Persian]
  7. Donald T. Dikson. Law in the Health and Human Services: A Guide for Social Workers, Psychologists, Psychiatrists, and Related Professionals. Simon & Schuster Inc, 1995.
  8. Eslamitabar S. The need for medical professionals to be aware of legal and criminal laws. Medicine and Cultivation. 2019; Summer (37): 95.[Persian].
  9. Eslamitabar S. Medical law, patient consent. Medicine and Cultivation. 2002 Summer;(41):98.[Persian].
  10. Eslamitabar S. Complete collection of criminal laws governing medical, pharmaceutical, health and food affairs. Islamic Republic of Iran Judiciary, Code No. 144/2/76-D/Commission; 1997 Dec 30, [Persian].
  11. Gostin LO. Public health law: power, duty, restraint. Univ of California Press; 2000.
  12. Eslamitabar S. Health law generalities. 1st ed. Tehran: Ganj Danesh Publications; 2019. p. 80.[Persian].
  13. Alekajbaf H. Concept and situation of the right to health under the international human rights bills. Med Law J. 2013;7(24):139–70.
  14. Javid E, Niavarani S. The scope of the right to health in international human rights law. Public Law Res. 2014;15(41):47–70., [Persian].
  15. Bélanger M. Global health law: An introduction. Archives contemporaines; 2011.
  16. Garrison FH. An introduction to the history of medicine: with medical chronology, suggestions for study and bibliographic data. WB Saunders company; 1929.
  17. Amundsen, D. W. (1978). The history of medical ethics. In R. B. Baker & L. B. McCullough (Eds.), The Cambridge world history of medical ethics (pp. 17-30). Cambridge University Press.
  18. Schwartz RL, Furrow BR, Greaney TL, Johnson SH, Stoltzfus Jost T. Health law: cases, materials and problems. West Academic Publishing; 2013.
  19. Wing KR, Gilbert B. The law and the public's health. ACHE Learn; 2006 Oct 15.
  20. Champagne F, Lemieux-Charles L, editors. Using knowledge and evidence in health care: multidisciplinary perspectives. University of Toronto Press; 2008 May 24.
  21. Eslamitabar S. The right to health in international standards and Iran's legal system. 1st ed. Tehran: Adalat University Publications; 2019. p. 20, [Persian].
  22. Assembly UG. Universal declaration of human rights. UN General Assembly. 1948 Dec 10;302(2):14-25.
  23. Yamin AE. Power, suffering, and the struggle for dignity: Human rights frameworks for health and why they matter. University of Pennsylvania Press; 2015 Dec 4.
  24. Langlois AJ. International Covenant on Economic, Social and Cultural Rights (ICESCR). InEncyclopedia of International Relations and Global Politics 2005 (pp. 418-420). Routledge, Taylor & Francis.
  25. RIGHTS C. The right to the highest attainable standard of health:. 08/11/2000. E/C. 12/2000/4.(General Comments). 2000.
  26. World Health Organization. International health regulations (2005). World Health Organization; 2008 Dec 15.
  27. COUNCIL OE. Convention for the Protection of Human Rights and Dignity of the Human Being with regard to the Application of Biology and Medicine: Convention on Human Rights and Biomedicine. Oviedo: COE. 1997 Apr.
  28. Regulation P. Regulation (EU) 2016/679 of the European Parliament and of the Council. Regulation (eu). 2016 May;679(2016):10-3.
  29. Union E. Directive 2011/24/EU of the European Parliament and of the Council of 9 March 2011 on the application of patients’ rights in cross-border healthcare. Official Journal of the European Union. 2011.
  30. Act A. Health insurance portability and accountability act of 1996. Public law. 1996 Aug 21;104:191.
  31. Herring J. Medical Law and Ethics (9th edn). Oxford University Press. 2021
  32. Pendo E, Clark BR, Fuse Brown EC, Gatter R, McCuskey E. Health Law: Cases, Materials and Problems.
  33. Annas GJ. American bioethics: Crossing human rights and health law boundaries. Oxford University Press; 2004 Oct 28.
  34. Cohen IG, Hoffman AK, Sage WM, editors. The Oxford handbook of US health law. Oxford University Press; 2017.
  35. Reynolds C. Public Health and Environment Law. Federation Press; 2011 Jul 14.
  36. Eslamitabar S. Fundamentals of health law. 1st ed. Tehran: Majd Press; 2016. p. 49, [Persian].
  37. Eslamitabar S. Health law. 1st ed. Tehran: Smart University of Medical Sciences Publications; 2023. p. 78, [Persian].
  38. Abbasi M, Rezaee R, Dehghani G. Concept and situation of the right to health in Iran legal system. Med Law J. 2014;8(30):183–99, [Persian].
  39. Magnusson R. Advancing the right to health: the vital role of law. Advancing the Right to Health: The Vital Role of Law, World Health Organization, Switzerland. 2017 Jun 1.
  40. Toebes B, Ferguson R, Markovic MM, Nnamuchi O, editors. The right to health: a multi-country study of law, policy and practice. Dordrecht: Springer; 2014.
  41. Declaration of Alma-Ata: International Conference on Primary Health Care. Alma-Ata, USSR; 1978.
  42. Forrester K, Griffiths D. Essentials of law for health professionals. 3rd ed. Sydney: Elsevier Australia; 2009. p. 3.
  43. Forrester K, Griffiths D. Essentials of law for health professionals. 4th ed. Elsevier Health Sciences; 2014 Nov 20.
  44. Beauchamp T, Childress J. Principles of biomedical ethics: marking its fortieth anniversary. The American journal of bioethics. 2019 Nov 2;19(11):9-12.
  45. Gostin LO. A theory and definition of public health law. J. Health Care L. & Pol'y. 2007;10:1.
  46. Allahvaisi SS, Gorji Aznadreyani A. Right to health in the constitution of the Islamic Republic of Iran. Comp J Dadpishgan. 2019;2.
  47. Eslamitabar S. Principles of health law. 1st ed. Berlin: Lambert Academic Publishing; 2022. p. 233, [Persian].
  48. Shakoor M, Yousefi A, Bazrafkan L, Jauhari Z, Taheri S, Omid A. The ethical aspects of abortion in medical education. Iran J Med Ethics Hist Med. 2013;6(5):24–34, [Persian].
  49. Balanian M. Secular science or religious science? Maarefat. 2016 ;(121):119–36.
  50. Eslamitabar S. Medical law: the need to review the legal and criminal laws of medical affairs and related professions. Medicine and Cultivation. 2019 Autumn ;(38):73.
  51. World Health Organization. Patient safety rights charter. World Health Organization; 2024 Apr 16.
  52. Olejarczyk JP, Young M. Patient rights and ethics. StatPearls [Internet]. 2024 May 6.
  53. Cohen J, Ezer T. Human rights in patient care: a theoretical and practice framework. Health & Hum. Rts.. 2013;15:7.
  54. Hosseinpoor AR, Bergen N, Schlotheuber A. Promoting health equity: WHO health inequality monitoring at global and national levels. Global health action. 2015 Dec 1;8(1):29034.
  55. Braveman P. What are health disparities and health equity? We need to be clear. Public health reports. 2014 Jan;129(1_suppl2):5-8.
  56. Prentice KR, Beitelshees M, Hill A, Jones CH. Defining health equity: A modern US perspective. iScience. 2024 Dec 20;27(12).
  57. Bueno de Mesquita J, Kapilashrami A, Meier BM. Human rights dimensions of the COVID-19 pandemic. Commissioned by The Independent Panel for Pandemic Preparedness and Response. 2021:1-46.
  58. Assembly G. United Nations Human Rights Council. 2020.
  59. Graham H. Social determinants and their unequal distribution: clarifying policy understandings. The Milbank Quarterly. 2004 Mar;82(1):101-24.
  60. Healthy People 2020. Healthypeople 2020. 2016. [October 21, 2016]. https://www.healthypeople.gov.
  61. MacKay D. The United Nations Convention on the rights of persons with disabilities. Syracuse J. Int'l L. & Com. 2006;34:323.
  62. World Health Organization. Overview of the draft WHO Traditional Medicine Strategy 2025–2034. Traditional, Complementary and Integrative Medicine Unit. Geneva: WHO; p. 7.
  63. Eslamitabar S. Medical law: new treatment methods and the duties of the legislator and the guardians of the country's health and treatment. Medicine and Cultivation. 2014; 14(56):56. [Persian].
  64. Moghaddam AV, Damari B, Alikhani S, Salarianzedeh MH, Rostamigooran N, Delavari A, Larijani B. Health in the 5th 5-years Development Plan of Iran: main challenges, general policies and strategies. Iranian Journal of Public Health. 2013;42(Supple1):42.
  65. Rostamigooran N, Esmailzadeh H, Rajabi F, Majdzadeh R, Larijani B, Dastgerdi MV. Health system vision of Iran in 2025. Iranian Journal of Public Health. 2013;42(Supple1):18.
  66. Aboulhallaj M, Mousavi SM, Jafari M, Vosoogh-Moghaddam A, Bahariniya S, Ghasemyani S, Far SS. Challenges and executive requirements of advanced health system governance based on general health policies in Iran: qualitative research. BMC Health Services Research. 2024;24(1):1517.