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世界卫生组织欧洲区域无证移民的全民健康覆盖:任重道远。

Universal health coverage for undocumented migrants in the WHO European region: a long way to go.

作者信息

Stevenson Kerrie, Antia Khatia, Burns Rachel, Mosca Davide, Gencianos Genevieve, Rechel Bernd, Norredam Marie, LeVoy Michele, Blanchet Karl

机构信息

Institute of Health Informatics, University College London, 222 Euston Road, London, NW1 2DA, United Kingdom.

Faculty of Public Health and Policy, London School of Hygiene & Tropical Medicine, Keppel Street London, WC1E 7HT, United Kingdom.

出版信息

Lancet Reg Health Eur. 2024 May 28;41:100803. doi: 10.1016/j.lanepe.2023.100803. eCollection 2024 Jun.

DOI:10.1016/j.lanepe.2023.100803
PMID:39119095
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11306210/
Abstract

The number of people on the move internationally is increasing, and a sizable number of these individuals are migrating through and to the WHO European Region. The UN Sustainable Development Goals demand that we leave no one behind and ensure equitable implementation of Universal Health Coverage (UHC), regardless of immigration status. In the WHO European region, some of the migrants in the most precarious situations are undocumented; defined as those who may have been unsuccessful in asylum applications, born to undocumented parents, continued their residence in a country after their permit or other means of stay expired, as well as those who have entered the country irregularly. These undocumented migrants face some of the biggest challenges to accessing UHC and are often left behind by systems that exclude and stigmatise them. This paper examines the literature on access to healthcare for undocumented migrants in the WHO European Region and calls for urgent action towards ensuring UHC for all migrants regardless of immigration status by 2030.

摘要

国际流动人口数量在不断增加,其中相当一部分人正穿越并前往世界卫生组织欧洲区域。联合国可持续发展目标要求我们不落下任何人,并确保全民健康覆盖(UHC)的公平实施,无论移民身份如何。在世界卫生组织欧洲区域,一些处境最为艰难的移民是无证移民;无证移民被定义为那些庇护申请可能未获成功的人、父母为无证移民的人、在其许可或其他居留手段过期后仍继续在某个国家居住的人,以及那些非法进入该国的人。这些无证移民在获得全民健康覆盖方面面临一些最大的挑战,并且往往被那些排斥和污名化他们的体系所抛弃。本文审视了关于世界卫生组织欧洲区域无证移民获得医疗保健的文献,并呼吁采取紧急行动,以确保到2030年所有移民无论移民身份如何都能享有全民健康覆盖。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c7f/11306210/c3e6b6b30217/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c7f/11306210/c3e6b6b30217/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c7f/11306210/c3e6b6b30217/gr1.jpg

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本文引用的文献

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2
Risk of stillbirth and preterm birth among undocumented pregnant migrant women in Denmark: A retrospective case-control study.丹麦无证移民孕妇的死产和早产风险:一项回顾性病例对照研究。
Scand J Public Health. 2023 May;51(3):499-507. doi: 10.1177/14034948231151299. Epub 2023 Jan 31.
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Exploring Italian healthcare facilities response to COVID-19 pandemic: Lessons learned from the Italian Response to COVID-19 initiative.
无证移民的住院情况:法国医疗保障计划的比较分析。
Eur J Public Health. 2025 Aug 1;35(4):687-692. doi: 10.1093/eurpub/ckaf113.
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Health equity and system resilience during crises - ensuring healthcare for refugees based on lessons from Iran's response to the 2021 Afghan migration.危机期间的健康公平与系统韧性——基于伊朗应对2021年阿富汗移民潮的经验教训确保为难民提供医疗服务
Int J Equity Health. 2025 Jul 1;24(1):191. doi: 10.1186/s12939-025-02564-6.
5
Universal health coverage in the context of migration and displacement: a cosmopolitan perspective.移民与流离失所背景下的全民健康覆盖:一种世界主义视角
Lancet Public Health. 2025 Aug;10(8):e712-e715. doi: 10.1016/S2468-2667(25)00117-3. Epub 2025 Jun 16.
6
Contextualising the WHO Global Research Agenda on Health, Migration and Displacement in Norway invites to a reflection for decolonising research.将世界卫生组织关于健康、移民和流离失所问题的全球研究议程置于挪威背景下,促使人们对研究去殖民化进行反思。
Int J Equity Health. 2025 Mar 4;24(1):62. doi: 10.1186/s12939-025-02410-9.
7
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