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アメリカにおける移民の健康への挑戦 - 危機への道
Dhruv Khullar1, Dave A Chokshi2
1Department of Healthcare Policy and Research and Department of Medicine, Weill Cornell Medical College, New York, NY, USA.
Lancet (London, England)
|April 15, 2019
まとめ
移民の健康状態は 制限政策と強制によって 悪化しています 移民の多様な集団の医療へのアクセスを改善するには 州レベルの解決策が最適かもしれません
科学分野:
- 公衆衛生
- 健康政策
- 社会学
背景:
- アメリカには約4600万人の移民が住んでおり,これは世界の移民人口の重要な部分を表しています.
- アメリカにおける移民の健康状態や医療へのアクセスは 人種,国籍,法的地位などの要因によって大きく変化しています.
- 最近の政策と規制の変化は 移民コミュニティの医療の質とアクセシビリティに 負の影響を及ぼしています
研究 の 目的:
- 最近の政策変更が米国における移民の健康と医療へのアクセスに与える影響を分析する.
- 移民の健康と医療を改善するための障壁を特定する.
- これらの課題を州レベルで解決する可能性を模索する.
主な方法:
- 近年,移民に影響を及ぼす政策や規制の変更について
- これらの変化が医療へのアクセスと質に与える影響の分析
- 移民政策に関連する倫理的問題と公衆衛生上の危機の検討
主要な成果:
- 保険の制限,不快な言辞,強制活動などの政策変更により,移民の医療へのアクセスが悪化しています.
- 倫理的規範の低下は 国境での家族の分離を例に挙げて 公衆衛生危機に寄与しています
- 移民政策を二極化させることは 総合的な解決策を阻害するかもしれません
結論:
- 個々の州は 移民の健康と医療への障壁を 解決する上で 連邦政府よりも 優れている可能性があります
- 対象となる州レベルの介入は 移民の多様な集団の健康状態の改善に不可欠です
- 倫理と公衆衛生の問題に対処するには 微妙で多面的なアプローチが必要です
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