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英国脱欧将如何影响英国的健康和医疗服务? 评估三个可能的场景
Nick Fahy1, Tamara Hervey2, Scott Greer3
1Department of Primary Health Care Sciences, University of Oxford, Oxford, UK.
Lancet (London, England)
|October 3, 2017
概括
英国脱欧对英国国家卫生服务 (NHS) 和公共卫生构成重大威胁. 软脱欧方案将降低健康风险,而失败的脱欧则会带来最大的危险.
科学领域:
- 公共卫生
- 卫生政策
- 欧盟研究
背景情况:
- 英国退出欧盟对国家卫生服务 (NHS) 提出了复杂的挑战.
- 了解不同脱欧情景对健康的潜在影响对于政策制定至关重要.
- 世卫组织的卫生系统构建块框架提供了评估这些影响的综合方法.
研究的目的:
- 评估各种脱欧情景 (软脱欧,硬脱欧,失败) 对英国卫生系统的潜在影响.
- 确定英国退欧给NHS带来的具体威胁和潜在机会.
- 提供有关健康和英国脱欧的政策决策和议会审查的信息.
主要方法:
- 使用世界卫生组织 (WHO) 的卫生系统构建块框架.
- 分析三种不同的脱欧情景:软脱欧,硬脱欧和失败脱欧.
- 评估对劳动力,融资,供应链,数据,服务提供和治理的影响.
主要成果:
- 所有的脱欧情景都对NHS构成重大威胁,包括劳动力短缺,融资问题以及对药品和医疗用品的接触.
- 服务提供,特别是北爱尔兰,国际卫生比较也面临风险.
- 在竞争法和培训灵活性等领域存在潜在的机会,取决于政府的行动.
结论:
- 软脱欧预计对健康构成的威胁最小,而失败的脱欧则构成最大的风险.
- 有效的议会监督是必不可少的,但由于任务的复杂性和规模可能受到挑战.
- 积极的政策和法律调整是必要的,以减轻英国退欧后的NHS风险和利用机会.
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