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政策制定者、非政府组织及医护人员对欧洲各地移民和难民医疗保健获取情况的描述——基于人权和公民身份的主张

Policy Makers', NGO, and Healthcare Workers' Accounts of Migrants' and Refugees' Healthcare Access Across Europe-Human Rights and Citizenship Based Claims.

作者信息

Bradby Hannah, Lebano Adele, Hamed Sarah, Gil-Salmerón Alejandro, Durá-Ferrandis Estrella, Garcés-Ferrer Jorge, Sherlaw William, Christova Iva, Karnaki Pania, Zota Dina, Riza Elena

机构信息

Department of Sociology, Uppsala University, Uppsala, Sweden.

Polibienestar Research Institute, University of Valencia, Valencia, Spain.

出版信息

Front Sociol. 2020 Mar 13;5:16. doi: 10.3389/fsoc.2020.00016. eCollection 2020.

Abstract

Freely available healthcare, universally accessible to the population of citizens, is a key ideal for European welfare systems. As labor migration of the twentieth century gave way to the globalized streams of the twenty-first century, new challenges to fulfilling these ideals have emerged. The principle of freedom of movement, together with large-scale forced migration have led to large scale movements of people, making new demands on European healthcare systems which had previously been largely focused on meeting sedentary local populations' needs. Drawing on interviews with service providers working for NGOs and public healthcare systems and with policy makers across 10 European countries, this paper considers how forced migrants' healthcare needs are addressed by national health systems, with factors hindering access at organizational and individual level in particular focus. The ways in which refugees' and migrants' healthcare access is prevented are considered in terms of claims based on citizenship and on the human right to health and healthcare. Where claims based on citizenship are denied and there is no means of asserting the human right to health, migrants are caught in a new form of inequality.

摘要

对公民全体普遍可及的免费医疗保健,是欧洲福利体系的一项关键理想。随着二十世纪的劳动力迁移让位于二十一世纪的全球化人口流动潮,实现这些理想面临着新的挑战。行动自由原则以及大规模被迫迁移导致了大规模人口流动,这对欧洲医疗体系提出了新的要求,而此前这些体系主要侧重于满足定居本地人口的需求。本文通过对在10个欧洲国家为非政府组织和公共医疗体系工作的服务提供者以及政策制定者进行访谈,探讨了国家卫生系统如何满足被迫移民的医疗需求,特别关注在组织和个人层面阻碍就医的因素。从基于公民身份以及健康和医疗保健人权的主张角度,考量了难民和移民就医机会被剥夺的方式。当基于公民身份的主张被拒绝且无法维护健康人权时,移民便陷入了一种新的不平等形式。

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