Faculty of Medicine, McGill University, Montréal, Canada.
Soc Sci Med. 2010 Jan;70(2):329-36. doi: 10.1016/j.socscimed.2009.10.013. Epub 2009 Nov 4.
Limited access to healthcare for vulnerable immigrant children in Europe and North America is increasingly worrisome as immigration policies harden. This paper analyzes the gap between States' obligations under international human rights law and the disparate local implementations in diverse countries. Studies that are both multidisciplinary and incorporate micro and macro level indicators are needed to reveal discrepancies between entitlements and access. It is argued that the lack of available data on the magnitude of the problem and on its individual and public health consequences stems from the conflicting situation faced by health institutions required to simultaneously protect the best interest of each child and allocate limited resources. Collaboration in research is urgently needed to assist policy-makers and institutions make informed decisions.
由于移民政策的收紧，欧洲和北美的弱势移民儿童获得医疗保健的机会越来越有限，这令人越发担忧。本文分析了各国在国际人权法下的义务与不同国家之间差异化的地方执行情况之间存在的差距。需要进行多学科研究，并纳入微观和宏观层面的指标，以揭示权利和机会之间的差异。有人认为，缺乏关于问题严重程度及其对个人和公共卫生影响的可用数据，这是由于卫生机构面临的矛盾情况造成的，这些机构既要保护每个儿童的最大利益，又要分配有限的资源。迫切需要开展合作研究，以协助决策者和机构做出明智的决策。
