脱欧将如何影响英国的医疗服务? 一个更新的评估
Nick Fahy1, Tamara Hervey2, Scott Greer3
1Department of Primary Health Care Sciences, University of Oxford, Oxford, UK.
Lancet (London, England)
|March 2, 2019
概括
所有形式的脱欧都会对英国国家卫生服务 (NHS) 产生负面影响. 不达成协议的英国脱欧带来了最大的风险,而退出协议则为医疗服务提供了更多的连续性.
科学领域:
- 公共卫生
- 卫生政策
- 欧盟研究
背景情况:
- 英国国家卫生服务 (NHS) 面临着复杂的挑战.
- 2017年之前的分析强调了潜在的卫生系统影响.
- 世界卫生组织 (WHO) 的卫生系统构建块框架提供了评估的结构.
研究的目的:
- 评估不同脱欧情景对NHS的可能影响.
- 将无协议脱欧的相对影响与其他潜在协议进行比较.
- 评估对英国卫生领导和治理的影响.
主要方法:
- 分析了四种不同的脱欧情景:无协议脱欧,脱欧协议,北爱尔兰协议后备措施和政治宣言.
- 使用世卫组织卫生系统构建块框架.
- 对不同情景的法律和政策连续性的比较评估.
主要成果:
- 与退出协议相比,无协议脱欧对NHS来说更糟糕.
- 退出协议为法律关系提供了更大的确定性和连续性.
- 北爱尔兰的后备措施具有混合效应,为健康产品提供连续性,而不是其他领域.
- 这份以自由贸易协定为重点的政治宣言基本上排除了更广泛的健康问题.
- 所有脱欧形式都会对英国的健康领导力和全球治理产生负面影响.
结论:
- 英国退欧协议的性质对英国国民健康服务有很大影响.
- 无协议脱欧对医疗系统的稳定性和连续性构成最大威胁.
- 在英国脱欧后,对卫生治理的议会和利益相关方监督的持续审查至关重要.
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