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难民的健康权:以波兰不同的移民政策为例的研究。

Refugees' right to health: A case study of Poland's disparate migration policies.

作者信息

Kędziora Krzysztof

机构信息

Department of Ethics, Institute of Philosophy, University of Lodz, Lodz, Poland.

出版信息

Bioethics. 2025 Jan;39(1):58-66. doi: 10.1111/bioe.13300. Epub 2024 May 8.

Abstract

Poland has faced two waves of migration: the first was of irregular asylum seekers, which led to the humanitarian crisis on the eastern EU-Belarusian border since 2021; the second was of Ukrainians fleeing the Russian invasion. Although there are noticeable differences between these situations, and between the different reactions of the Polish authorities, it is possible to juxtapose them in terms of the right to health. The normative content of refugee and human rights law is the starting point for reconstructing the meaning of the terms 'refugee' and 'right to health'. A refugee is a person who needs international protection because of a well-founded fear of harm, which is not limited to persecution as defined by the Refugee Convention but also includes situations of international and non-international armed conflict. The right to health, which includes, inter alia, entitlements to a 'system of health protection' and 'underlying determinations of health', is reconstructed on the basis of human rights law and refugee and migration law. There are no legal and moral grounds to grant the right to health differentially to different groups of refugees. Nondiscriminatory health policy requires that refugees have the same access to health care as nationals, although their specific health needs resulting from past experiences and refugee situation require special treatment, that is, an appropriate refugee health policy. The broad understanding of the underlying determinants of health demonstrates the importance of overall migration policy for refugees' health, which can jeopardise the fragile good of refugee health.

摘要

波兰面临过两波移民潮

第一波是非法寻求庇护者,自2021年以来导致了欧盟东部与白俄罗斯边境的人道主义危机;第二波是逃离俄罗斯入侵的乌克兰人。尽管这些情况之间以及波兰当局的不同反应之间存在明显差异,但从健康权的角度来看,可以将它们并列起来。难民和人权法的规范性内容是重构“难民”和“健康权”这两个术语含义的起点。难民是因有充分理由害怕受到伤害而需要国际保护的人,这种伤害不仅限于《难民公约》所界定的迫害,还包括国际和非国际武装冲突的情况。健康权尤其包括享有“健康保护体系”和“健康的基本决定因素”的权利,它是在人权法以及难民和移民法的基础上重构的。没有法律和道德依据对不同群体的难民区别对待健康权。非歧视性的健康政策要求难民享有与本国国民相同的医疗保健机会,尽管他们过去的经历和难民身份所导致的特殊健康需求需要特殊对待,即制定适当的难民健康政策。对健康基本决定因素的广泛理解表明了整体移民政策对难民健康的重要性,这可能会危及难民健康这一脆弱的福祉。

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