Abstract：
BACKGROUND: Private sector acting in healthcare does not remove the public nature of a health system, nor mitigate the right to health as a human right.
METHODS: This scoping review aims to answer the question: what factors influence the pattern of lawsuits seeking to enforce the right to health in private healthcare systems? The search was carried out in Pubmed, SciELO, DOAJ and Scopus.
RESULTS: Out of 464 articles found, after inclusion and exclusion criteria, 30 articles were included. The survey covered 36 different countries and four main factors were identified. The socioeconomic context, the health system model, the incorporation of the right to health in legislation, and the model of regulation of private health.
CONCLUSIONS: Understanding these patterns help understanding the difficulties of implementing and guaranteeing universal health. Health systems must be based on responsibility, solidarity, equity, and distributive justice, since the sum of these values generates mutualism. Judicial decision-making regarding to health access must be reasoned on equity and distributive justice, scientific evidence and ethical factors. Even private health systems must be funded in a well-defined ethical platform and social moral valuation.
METHODS: This scoping review aims to answer the question: what factors influence the pattern of lawsuits seeking to enforce the right to health in private healthcare systems? The search was carried out in Pubmed, SciELO, DOAJ and Scopus.
RESULTS: Out of 464 articles found, after inclusion and exclusion criteria, 30 articles were included. The survey covered 36 different countries and four main factors were identified. The socioeconomic context, the health system model, the incorporation of the right to health in legislation, and the model of regulation of private health.
CONCLUSIONS: Understanding these patterns help understanding the difficulties of implementing and guaranteeing universal health. Health systems must be based on responsibility, solidarity, equity, and distributive justice, since the sum of these values generates mutualism. Judicial decision-making regarding to health access must be reasoned on equity and distributive justice, scientific evidence and ethical factors. Even private health systems must be funded in a well-defined ethical platform and social moral valuation.
摘要：
背景：从事医疗保健的私营部门并没有消除卫生系统的公共性质，也不能减轻健康权作为一项人权。
方法：这项范围界定审查旨在回答以下问题：哪些因素影响寻求在私人医疗保健系统中实施健康权的诉讼模式？SciELO,DOAJ和Scopus.
结果：在发现的464篇文章中，在纳入和排除标准之后，包括30篇文章。该调查涵盖了36个不同的国家，并确定了四个主要因素。社会经济背景，卫生系统模型，将健康权纳入立法，以及私人卫生监管模式。
结论：了解这些模式有助于理解实施和保障全民健康的困难。卫生系统必须建立在责任的基础上，团结,股本，和分配正义，因为这些价值的总和产生了互惠主义。关于获得健康的司法决策必须基于公平和分配正义，科学证据和伦理因素。甚至私人卫生系统也必须在明确定义的道德平台和社会道德评估中获得资金。
方法：这项范围界定审查旨在回答以下问题：哪些因素影响寻求在私人医疗保健系统中实施健康权的诉讼模式？SciELO,DOAJ和Scopus.
结果：在发现的464篇文章中，在纳入和排除标准之后，包括30篇文章。该调查涵盖了36个不同的国家，并确定了四个主要因素。社会经济背景，卫生系统模型，将健康权纳入立法，以及私人卫生监管模式。
结论：了解这些模式有助于理解实施和保障全民健康的困难。卫生系统必须建立在责任的基础上，团结,股本，和分配正义，因为这些价值的总和产生了互惠主义。关于获得健康的司法决策必须基于公平和分配正义，科学证据和伦理因素。甚至私人卫生系统也必须在明确定义的道德平台和社会道德评估中获得资金。
