ブレグジットが英国の医療サービスに与える影響は? 更新された評価
Nick Fahy1, Tamara Hervey2, Scott Greer3
1Department of Primary Health Care Sciences, University of Oxford, Oxford, UK.
Lancet (London, England)
|March 2, 2019
まとめ
ブレグジットのあらゆる形態は,英国の国民保健サービス (NHS) に悪影響を及ぼします. 脱退協定は医療サービスに より多くの継続性をもたらします
科学分野:
- 公衆衛生
- 健康政策
- 欧州連合研究
背景:
- 英国国民保健サービス (NHS) には複雑な課題があります.
- 2017年の以前の分析では 医療システムへの潜在的な影響が強調された.
- 世界保健機関 (WHO) の保健システムビルディングブロックの枠組みは,評価のための構造を提供します.
研究 の 目的:
- 異なるブレグジットシナリオがNHSに与える影響を評価する.
- ノーディール・ブレグジットの相対的な影響と他の潜在的な合意を比較する.
- イギリスの健康指導とガバナンスに及ぼす影響を評価する.
主な方法:
- 4つの異なるブレグジットシナリオの分析:ノーディール,離脱協定,北アイルランド議定書のバックストップ,政治宣言.
- WHOの保健システムビルディングブロックの枠組みを利用する.
- 異なるシナリオにおける法律と政策の連続性の比較評価
主要な成果:
- 脱退協定に比べれば,NHSにとって実質的に悪いことです.
- 離脱協定は,より確実で継続的な法的関係を提供します.
- 北アイルランドのバックストップは様々な効果があり,健康製品については継続性があるが,他の分野ではそうではない.
- 自由貿易協定に焦点を当てた政治宣言は,より広範な健康問題を大きく排除しています.
- すべてのブレグジット形式は 英国の健康指導力とグローバルガバナンスに 負の影響を及ぼします
結論:
- ブレグジット協定の性質は,NHSへの影響に大きな影響を与えます.
- 合意なしの脱退は 保健システムの安定と継続性にとって 最大の脅威です
- ブレグジット後の健康ガバナンスにおける議会と利害関係者の監視の継続は極めて重要です.
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