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重新思考欧洲的难民和移民健康问题:从应急反应转向为移民和难民提供综合和个性化的医疗保健服务。

Time to Rethink Refugee and Migrant Health in Europe: Moving from Emergency Response to Integrated and Individualized Health Care Provision for Migrants and Refugees.

机构信息

International Medicine-Health Crisis Management, Medical School, NKUA, Dilou1 & M. Asias, 11527 Athens, Greece.

出版信息

Int J Environ Res Public Health. 2018 May 28;15(6):1100. doi: 10.3390/ijerph15061100.

Abstract

In the last three years, the European Union (EU) is being confronted with the most significant influx of migrants and refugees since World War II. Although the dimensions of this influx-taking the global scale into account-might be regarded as modest, the institutional response to that phenomenon so far has been suboptimal, including the health sector. While inherent challenges of refugee and migrant (R&M) health are well established, it seems that the EU health response oversees, to a large extend, these aspects. A whole range of emergency-driven health measures have been implemented throughout Europe, yet they are failing to address adequately the changing health needs and specific vulnerabilities of the target population. With the gradual containment of the migratory and refugee waves, three years after the outbreak of the so-called 'refugee crisis', we are, more than ever, in need of a sustainable and comprehensive health approach that is aimed at the integration of all of migrants and refugees-that is, both the new and old population groups that are already residing in Europe-in the respective national health systems.

摘要

在过去的三年中,欧盟(EU)正面临着自二战以来最严重的移民和难民潮。尽管考虑到全球规模,这次涌入的规模可能被认为是适度的,但迄今为止,针对这一现象的机构反应并不理想,包括卫生部门。尽管难民和移民(R&M)健康所固有的挑战已得到充分认识,但欧盟的卫生应对措施似乎在很大程度上忽视了这些方面。整个欧洲都实施了一系列紧急卫生措施,但这些措施未能充分满足目标人群不断变化的健康需求和特定的脆弱性。随着移民和难民潮的逐渐得到控制,在所谓的“难民危机”爆发三年后,我们比以往任何时候都更需要一种可持续和全面的卫生方法,旨在将所有移民和难民——即已经居住在欧洲的新老人群——纳入各自的国家卫生系统。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/30f7/6024938/f0ee437fa5e0/ijerph-15-01100-g001.jpg

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