Clinical, Social and Public Healt reflections and challenges in addressing ethical dilemmas
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Abstract
Introduction: this study links ethical premises and foundations to analyze the dimensions involved in the design of public health policies and health reforms from a social, clinical and public health perspective.
Methodology: technological resources and search platforms, applications of inclusion and exclusion criteria were used to select relevant original articles, through a systematic review of the literature, in Medline, Ibecs, Pubmed, Scielo, BVS, Scopus, Web of Science databases, in English and Spanish, about ethics from the clinical, social and public health perspective, organizing the information in scientific tables.
Results: the decent living conditions of individuals from any social stratum are related to the guarantees of health care and preservation of living conditions that directly impact health and wellbeing, and must be supported by institutions and society.
Conclusion: regulatory frameworks, connected to human rights, must guarantee equitable access to health care, without discrimination, within the framework of community participation, privacy and social dialogue, influencing policy formulation, accountability, prevention of conflicts of interest and continuous evaluation of effectiveness, leading to the highest impact of health interventions.
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