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改革加拿大的难民医疗保健:探索政策工具的使用。

Reforming Refugee Healthcare in Canada: Exploring the Use of Policy Tools.

作者信息

Holtzer Ethan, Moore-Dean Alicia, Srikanthan Amirrtha, Kuluski Kerry

机构信息

Director of Operations and Quality, Dialysis Management Clinics, Markham, ON.

Manager of Medical Affairs and Governance Effectiveness, West Park Healthcare Centre, Toronto, ON.

出版信息

Healthc Policy. 2017 May;12(4):46-55. doi: 10.12927/hcpol.2017.25099.

Abstract

Refugee healthcare in Canada has been a controversial and heavily debated topic over the past several years. In this paper, we present a policy analysis of the 2012 Canadian federal government decision to change the criteria and funding of the Interim Federal Health Program (IFHP). The IFHP provides federally funded healthcare coverage for refugees until they gain access to provincially funded health insurance. The paper offers a policy perspective on the changes to refugee health coverage over time. We draw on the policy concepts of agenda setting, framing, venues and causal stories to explore this topic. We suggest that these concepts represent a set of tools for both researchers and laypersons to critically appraise any issue on the policy agenda, and understand how certain topics become policy issues and why they are "solved" in particular ways.

摘要

在过去几年里,加拿大的难民医疗保健一直是一个备受争议且引发激烈辩论的话题。在本文中,我们对2012年加拿大联邦政府改变临时联邦健康计划(IFHP)标准和资金的决定进行了政策分析。IFHP为难民提供联邦资助的医疗保健覆盖,直至他们获得省级资助的医疗保险。本文从政策角度审视了难民医疗覆盖随时间的变化。我们运用议程设置、框架构建、场所和因果故事等政策概念来探讨这一话题。我们认为,这些概念为研究人员和普通民众提供了一套工具,用以批判性地评估政策议程上的任何问题,并理解某些话题如何成为政策问题以及它们为何以特定方式“得到解决”。

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