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以初级卫生保健为依托的移民健康权:来自哥伦比亚一项定性研究的见解。

A Primary Health Care-Anchored Migrant Right to Health: Insights from a Qualitative Study in Colombia.

作者信息

Angeleri Stefano

机构信息

Assistant professor at the University of Limerick, Ireland, and a visiting scientist at the FXB Center for Health and Human Rights, Harvard University, Boston, United States.

出版信息

Health Hum Rights. 2024 Dec;26(2):105-120.

Abstract

In recent years there has been a sustained rise in the number of international migrants, and scholarship and practice have increasingly focused on the relationship between health and migration. However, the entitlement to state-subsidized services for migrants with precarious or irregular legal status, often fleeing distressing living conditions, is typically limited to emergency lifesaving health treatment, with nonstate programs attempting to complement this constrained approach. This paper asks whether a primary health care (PHC) approach could serve as a blueprint for institutional priority-setting and for the realization of human rights obligations to help states meet their core international commitments regarding migrant health rights. I look at the multi-actor response in Colombia-where almost three million Venezuelans have sought to settle and many more have transited during the last nine years-as a case study to explore the possibility of a meaningful PHC-oriented right to health in the migration context. Using human rights law standards and commentaries, I suggest that, with some qualifications, this approach holds promise.

摘要

近年来,国际移民数量持续上升,学术研究和实践也越来越关注健康与移民之间的关系。然而,那些法律地位不稳定或不合法、往往逃离困苦生活条件的移民,获得国家补贴服务的权利通常仅限于紧急救命的医疗救治,非国家项目则试图补充这种受限的做法。本文探讨初级卫生保健(PHC)方法能否作为机构优先事项设定的蓝图,以及实现人权义务的蓝图,以帮助各国履行其在移民健康权方面的核心国际承诺。我将哥伦比亚的多行为体应对措施作为案例研究,在过去九年里,近300万委内瑞拉人试图在该国定居,还有更多人过境,以此探讨在移民背景下以初级卫生保健为导向的有意义的健康权的可能性。运用人权法标准和评注,我认为,在有一些限定条件的情况下,这种方法是有前景的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2420/11683576/d6f9a740835b/hhr-26-02-105-f1.jpg

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