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美国移民健康的挑战 - - 危机之路
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
概括
美国的移民健康状况正因限制性政策和执法而恶化. 改善不同移民群体获得医疗服务的最佳途径可能是国家一级的解决方案.
科学领域:
- 公共卫生
- 卫生政策
- 社会学
背景情况:
- 美国约有4600万移民,占全球移民人口的很大一部分.
- 移民在美国的健康状况和医疗保健的获取情况非常多样,受种族,国籍和法律地位等因素的影响.
- 最近的政策和监管变化对移民社区的医疗保健质量和可获得性产生了负面影响.
研究的目的:
- 分析最近政策变化对美国移民健康和医疗保健的影响.
- 确定改善移民健康和医疗保健的障碍.
- 在国家层面探索应对这些挑战的潜在途径.
主要方法:
- 审查近几十年影响移民的政策和监管变化.
- 分析这些变化对医疗保健的获取和质量的影响.
- 审查与移民政策相关的伦理问题和公共卫生危机.
主要成果:
- 政策变化,包括保险限制,阻碍言论和执法活动,使移民获得医疗保健变得更糟.
- 伦理准则的下降导致了公共卫生危机,
- 极化国家移民言论可能阻碍全面解决方案.
结论:
- 个别州可能比联邦政府更好地解决移民健康和医疗保健方面的障碍.
- 针对性的州级干预措施对于改善不同移民群体的健康状况至关重要.
- 解决伦理和公共卫生问题需要一个细微的,多方面的方法.
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