Rights of access to healthcare for undocumented migrants: understanding the Italian and British national health systems
Rights of access to healthcare for undocumented migrants: understanding the Italian and British national health systems
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DOI：
10.1108/ijhrh-01-2018-0006
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发表时间：
2018-01-01
影响因子：
1.4
通讯作者：
Guidi, Caterina Francesca
中科院分区：
文献类型：
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作者：
Borges, Danielle da Costa Leite;Guidi, Caterina Francesca
本文的目的是通过对这两个国家卫生系统中这一人口的卫生政策的比较分析，分析意大利和英国卫生系统中无证移民获得医疗保健的水平。设计/方法/方法本报告以文本和法律分析为基础，探讨根据该领域的文献和法律文件，特别是人权领域的文献和法律文件，普遍获得医疗保健原则可能具有的不同含义。然后，在理论上，普遍获得的概念与每个选定国家的实际卫生政策进行对比，以确定其在实践中并根据社会背景的意义。该分析依赖于政策文件、卫生支出数据、法律法规和行政法规，并以一个研究问题为依据：什么样的背景条件能更好地解释无证移民更普遍和全面的卫生系统？通过回答这个研究问题，论文得出结论，意大利的卫生系统比英国的卫生系统更全面，因为它保证免费获得不同级别的护理，包括初级，紧急，预防和产科护理，而英国卫生系统的规则是恢复提供服务的费用，只有少数例外。意大利和联合王国在获得医疗服务方面的差异，一个可能的法律解释是，后者不像前者那样承认健康权是一项基本宪法权利。本文有助于正在进行的关于全民健康覆盖和移民的辩论，以及与最近关于社会正义和福利国家类型学的讨论的对话。
Purpose The purpose of this paper is to analyse the levels of access to healthcare available to undocumented migrants in the Italian and British health systems through a comparative analysis of health policies for this population in these two national health systems.Design/methodology/approach It builds on textual and legal analysis to explore the different meanings that the principle of universal access to healthcare might have according to literature and legal documents in the field, especially those from the human rights domain. Then, the concept of universal access, in theory, is contrasted with actual health policies in each of the selected countries to establish its meaning in practice and according to the social context. The analysis relies on policy papers, data on health expenditure, legal statutes and administrative regulations and is informed by one research question: What background conditions better explain more universal and comprehensive health systems for undocumented migrants?Findings By answering this research question the paper concludes that the Italian health system is more comprehensive than the British health system insofar it guarantees access free of charge to different levels of care, including primary, emergency, preventive and maternity care, while the rule in the British health system is the recovering of charges for the provision of services, with few exceptions. One possible legal explanation for the differences in access between Italy and UK is the fact that the right to health is not recognised as a fundamental constitutional right in the latter as it is in the former.Originality/value The paper contributes to ongoing debates on Universal Health Coverage and migration, and dialogues with recent discussions on social justice and welfare state typologies.