Savas Sibel T, Knipper Michael, Duclos Diane, Sharma Esther, Ugarte-Gurrutxaga María Idoia, Blanchet Karl
Institute of the History, Theory and Ethics of Medicine, University Justus Liebig Giessen, Leihgesterner Weg 52, Giessen 35392, Germany.
London School of Hygiene and Tropical Medicine, 5-17 Tavistock Place, London WC1H 9SH, UK.
Lancet Reg Health Eur. 2024 May 28;41:100805. doi: 10.1016/j.lanepe.2023.100805. eCollection 2024 Jun.
The advancement of migrant-sensitive health care in Europe has been a topic of many initiatives and academics debates for over 20 years in Europe, yet with rather limited progress in terms of comprehensive and sustainable implementation. We argue that a human rights-based approach with clearly defined duties and responsibilities of governments, relevant public and private institutions as well as professionals is needed, in line with a sound understanding and thoughtful implementation and further development of concepts and standards for providing migrant sensitive care as an essential component of Universal Health Coverage. We suggest drawing particular attention to the interrelated features of accessibility, acceptability, quality, and trust to inform policies and practice. Innovative approaches with substantial involvement of social and cultural sciences are needed for adapting clinical care and health services to the growing social and cultural diversity of European societies.
在欧洲，对移民敏感的医疗保健的发展在20多年来一直是许多倡议和学术辩论的主题，但在全面和可持续实施方面进展相当有限。我们认为，需要一种基于人权的方法，明确界定政府、相关公共和私营机构以及专业人员的职责，这与对提供对移民敏感的医疗保健这一全民健康覆盖重要组成部分的概念和标准的正确理解、深思熟虑的实施及进一步发展相一致。我们建议特别关注可及性、可接受性、质量和信任这些相互关联的特征，以为政策和实践提供信息。需要采用大量涉及社会和文化科学的创新方法，使临床护理和卫生服务适应欧洲社会日益增长的社会和文化多样性。
