University of Augsburg.
J Health Polit Policy Law. 2024 Oct 1;49(5):721-741. doi: 10.1215/03616878-11256992.
This article examines the EU's function as a political determinant of health (PDoH) in national-level regulation of forced migrants' access to health(care), with a focus on Germany. It sheds light on the role the EU has come to play-and has been assigned-in national policy making under the impact of different crises.
By applying the concepts of claims and frames/framing, the article examines in a document analysis how and to what end(s) the EU as a polity and specific EU legislation were invoked in German draft legislation.
Increasing Europeanization in the areas of health and migration has not only forced national legislators to adapt legislation to abide by EU rules and standards, it has also prompted governmental actors to shift responsibility for policy reforms to the EU-even in cases where not all of these reforms were legally required.
The EU's role as a PDoH must be considered from two angles: the EU's active potential to determine public health through its policies and laws, and its passive-to some extent involuntary-potential to do so through the strategic invoking of EU norms, rules, and (in)competences by actors across the EU multilevel governance system.
本文考察了欧盟在国家层面规范强制移民获得医疗保健服务方面作为健康政治决定因素（PDoH）的作用，重点关注德国。它揭示了在不同危机的影响下，欧盟在国家政策制定中所扮演的角色以及被赋予的角色。
通过应用主张和框架/框架的概念，本文通过文件分析考察了在德国立法草案中，欧盟作为政治实体和具体的欧盟立法是如何以及出于何种目的被援引的。
健康和移民领域的欧洲化程度不断提高，不仅迫使国家立法者调整立法以遵守欧盟的规则和标准，还促使政府行为体将政策改革的责任转移到欧盟——即使在并非所有这些改革都在法律上需要的情况下也是如此。
必须从两个角度考虑欧盟作为 PDoH 的作用：欧盟通过其政策和法律积极主动地影响公共健康的潜力，以及通过欧盟多层次治理体系中各行为体战略性地援引欧盟规范、规则和（内部）权限，在一定程度上被动地影响公共健康的潜力。
