Thomas Felicity, Aggleton Peter, Anderson Jane
Thomas Coram Research Unit, Institute of Education, University of London, London, UK.
AIDS Care. 2010 Apr;22(4):526-31. doi: 10.1080/09540120903499170.
Policy governing entitlement to access government health care for foreign nationals in England is a subject of debate, controversy and confusion. Of particular concern to health providers has been the impact of National Health Service charges on delaying HIV testing and anti-retroviral treatment uptake and adherence amongst certain migrant groups. Data obtained through focus groups with 70 migrants from southern Africa, suggest that confusion over health care entitlements exists amongst those seeking health care and is reported amongst health service providers. This confusion, as well as financial difficulties and fears over deportation facing some migrants, can in turn be a factor influencing their decisions to avoid formal health services, resort to alternative and often ineffective or potentially adverse forms of therapy, and delay HIV testing and treatment uptake.
关于在英格兰的外国公民获得政府医疗保健资格的政策是一个存在争议、争论和困惑的话题。医疗服务提供者特别关注的是国民医疗服务收费对某些移民群体延迟进行艾滋病毒检测以及抗逆转录病毒治疗的接受和依从性的影响。通过与70名来自南部非洲的移民进行焦点小组访谈获得的数据表明，寻求医疗保健的人群中存在对医疗保健资格的困惑，医疗服务提供者也有相关报告。这种困惑，以及一些移民面临的经济困难和对被驱逐出境的恐惧，反过来可能成为影响他们做出避免使用正规医疗服务、求助于替代疗法（这些疗法往往无效或有潜在危害）以及延迟艾滋病毒检测和治疗的决定的一个因素。
