[迁移成为平等的.]
1Dipartimento di Epidemiologia medica, Istituto di ricerche farmacologiche Mario Negri - Irccs, Milano. Pervenuto l'11 aprile 2023. Accettato il 18 aprile 2023.
Recenti progressi in medicina
|August 2, 2023
概括
在意大利的不同地区,医疗保健的获取情况有很大差异,导致医疗移民. 2020年,超过8.6万例住院病例涉及到地区间旅行的患者,突出了医疗保健的不平等.
科学领域:
- 获得医疗保健的机会和区域差异
- 公共卫生和人权问题
背景情况:
- 公平获得医疗保健是一项基本人权.
- 意大利各地区在获得医疗服务方面存在显著差异.
- 在获得医疗保健方面的这些区域差异是一个长期存在的,尚未解决的问题.
研究的目的:
- 分析意大利境内医疗移民现象.
- 量化区域间住院病人的程度.
- 确定医疗旅行的主要驱动因素和模式.
主要方法:
- 对2020年国家住院数据的分析.
- 计算出发地区的流动率和"飞行指数".
- 医院住院的分类基于区域之间的距离.
主要成果:
- 2020年,7.6%的住院病例 (86,787例) 涉及住院地区以外住院的患者.
- 莫利塞,巴西利卡塔,卡拉布里亚和阿布鲁佐等地区的出境旅行率最高.
- 大型关节置换和下肢再植入手术是跨区域住院的常见原因.
结论:
- 医疗移民严重破坏了医疗保健普遍性,平等和公平的原则.
- 目前的情况表明,未能全面保障健康权.
- 迫切需要采取干预措施来解决区域医疗保健不平等问题,并确保公平的医疗保健.
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