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ブレグジットが英国における健康と医療サービスに及ぼす影響は? 3つのシナリオを評価する
Nick Fahy1, Tamara Hervey2, Scott Greer3
1Department of Primary Health Care Sciences, University of Oxford, Oxford, UK.
Lancet (London, England)
|October 3, 2017
まとめ
ブレグジットは英国の国民保健サービス (NHS) と公衆衛生に重大な脅威をもたらしています. ソフトブレグジットのシナリオは 健康上のリスクを最小限に抑える一方 失敗したブレグジットは 最大の危険をもたらします
科学分野:
- 公衆衛生
- 健康政策
- 欧州連合研究
背景:
- 英国が欧州連合 (EU) から脱退すると,国民保健サービス (NHS) に複雑な課題が生じます.
- 異なるブレグジットシナリオの潜在的健康影響を理解することは,政策開発に不可欠です.
- WHOの保健システム構築ブロックの枠組みは,これらの影響を評価するための包括的なアプローチを提供します.
研究 の 目的:
- 様々なブレグジットシナリオ (ソフト,ハード,失敗) の英国保健システムへの潜在的な影響を評価する.
- ブレグジットがもたらす特定の脅威と機会を NHSに特定する.
- 保健とブレグジットに関する政策決定と議会の審査を促す.
主な方法:
- 世界保健機関 (WHO) の保健システム構築ブロックの枠組みを利用する.
- 3つの異なるブレグジットシナリオを分析します ソフト,ハード,そして失敗です
- 労働力,資金調達,サプライチェーン,データ,サービス提供,ガバナンスへの影響を評価する.
主要な成果:
- すべてのブレグジットシナリオは,労働力不足,資金調達問題,医薬品と医療用品へのアクセスを損なうなど,NHSに重大な脅威をもたらします.
- サービス提供,特に北アイルランド,国際保健の比較もリスクにさらされています.
- 競争法や訓練の柔軟性などの分野では,政府の行動に左右される可能性がある.
結論:
- ソフトブレグジットは最も健康的な脅威を最小限に抑え, 失敗したブレグジットは最も高いリスクをもたらすと予測されています.
- 効果的な議会の監督は不可欠ですが,その課題の複雑さと規模によって挑戦されることがあります.
- ブレグジット後のNHSのリスクを軽減し,機会を活用するために,積極的な政策と法的調整が必要である.
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