Kumar Bernadette N, Bhopal Anand, Blanchet Karl, Wickramage Kolitha, Onarheim Kristine Husøy
Division of Health Services Research, Norwegian Institute of Public Health, Norway.
Bergen Centre for Ethics and Priority Setting, Department of Global Public Health and Primary Care, University of Bergen, Norway.
Lancet Reg Health Eur. 2024 May 28;41:100804. doi: 10.1016/j.lanepe.2023.100804. eCollection 2024 Jun.
The 2030 Sustainable Development Goals (SDG) agenda has committed to 'ensuring that no one is left behind'. Applying the right to health of non-citizens and international migrants is challenging in today's highly polarized political discourse on migration governance and integration. We explore the role of a priority setting approach to help support better, fairer and more transparent policy making in migration health. A priority setting approach must also incorporate migration health for more efficient and fair allocation of scarce resources. Explicitly recognizing the trade-offs as part of strategic planning, would circumvent ad hoc decision-making during crises, not well-suited for fairness. Discussions surrounding decisions about expanding services to migrants or subgroups of migrants, which services and to whom should be transparent and fair. We conclude that a priority setting approach can help better inform policy making by being more closely aligned with the practical challenges policy makers face towards the progressive realization of migration health.
《2030年可持续发展目标》议程致力于“确保不让任何人掉队”。在当今关于移民治理与融合的高度两极分化的政治话语中，将健康权应用于非公民和国际移民具有挑战性。我们探讨一种优先事项设定方法的作用，以帮助在移民健康领域支持更好、更公平和更透明的政策制定。一种优先事项设定方法还必须纳入移民健康，以便更高效、公平地分配稀缺资源。明确认识到权衡是战略规划的一部分，将避免在危机期间进行临时决策，而临时决策并不适合实现公平。围绕向移民或移民亚群体扩大服务的决策进行的讨论，包括提供哪些服务以及面向哪些人，都应该是透明和公平的。我们得出结论，一种优先事项设定方法可以通过更紧密地契合政策制定者在逐步实现移民健康方面面临的实际挑战，帮助为政策制定提供更好的信息。
