欧盟内部移民和医疗保健的应得性:比利时和西班牙的联合实验
Roberta Perna1, Sebastián Umpierrez de Reguero2
1Université de Liège, Centre d'Etudes de l'Ethnicité et des Migrations (CEDEM), Bâtiment 31 - Boîte 45, Quartier Agora, Place des Orateurs 3, 4000, Liège, Belgium.
Social science & medicine (1982)
|February 6, 2025
概括
欧盟 (EU) 移民公民在获得公共医疗保健方面面临歧视. 诸如国籍,移民状况,失业率和对疾病负有责任感等因素影响医疗保健优先级,种族外围群体经历了复杂的劣势.
科学领域:
- 社会科学 社会科学 社会科学
- 公共卫生 公共卫生
- 移民研究 移民研究
背景情况:
- 关于欧盟 (欧盟) 移民公民福利权的现有研究主要侧重于公共话语和社会团结,仅限于对医疗保健的准入.
- 对于欧盟内部移民来说",医疗保健应得性"的概念仍然未被充分探索,在不同的医疗保健系统中缺乏背景变化.
- 了解医疗保健获取差异对于确保欧盟内移民人口获得公平公共卫生成果至关重要.
研究的目的:
- 调查欧盟 (欧盟) 移民公民中"医疗保健应得性"的概念.
- 确定影响欧盟移民优先考虑公共资助医疗保健的因素.
- 为了比较"值得"标准对比利时和西班牙医疗保健系统的医疗保健准入意向的影响.
主要方法:
- 在比利时和西班牙进行了一项调查实验,涉及每个国家的1307名受访者.
- 受访者被介绍了涉及虚构患者的场景,这些患者具有不同的国籍,移民身份,对健康状况不佳的责任和就业状况.
- 对于每个场景,记录了获得公共资助医疗保健的优先考虑意图.
主要成果:
- 拥有外国欧盟国籍,最近移民历史,失业和对疾病负有责任的个人在医疗保健获取优先级方面表现出系统的惩罚.
- 外国欧盟移民被认为属于社会上遥远的种族外围群体,在优先考虑的意图中遭受了"双重惩罚".
- 具体的国家差异出现了:在比利时的社会保险体系中,责任标准的影响更大,而在西班牙的普世主义体系中,领土归属的影响更大.
结论:
- 医疗保健的资格标准对欧盟移民公民的医疗保健准入意图产生重大影响.
- 社会经济和种族因素,以及感知到的责任,有助于医疗保健获取差异.
- 医疗保健系统结构 (社会保险与普世主义) 调解了值得标准对优先级的影响.
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