Health law and policy, devolution and Brexit

Health law and policy, devolution and Brexit
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DOI:
10.1080/00343404.2020.1736538
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发表时间:
2020-04-17
期刊:
影响因子:
4.6
通讯作者:
Flear, Mark
Flear, Mark
中科院分区:
经济学2区
文献类型:
--
作者:
McHale, Jean;Speakman, Elizabeth M.;Flear, Mark

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国民保健制度(NHS)是欧盟(EU)公投中的一个重要象征性问题。英国脱欧对英国患者、专业人士、健康研究和公共卫生的实际影响是重大的,在权力下放的国家/司法管辖区面临特别的挑战。无论英国脱欧的形式如何,以及未来的欧盟-英国关系如何,这些挑战都将成为英国脱欧后卫生治理的关键部分。多层次的治理方法将有助于理解这一新的监管领域,及其对健康和国民保健服务的影响。重要的是要理解,提高认识和导航不同的Brexit影响健康在下放国家/司法管辖区,以及不同的Brexit影响健康及其治理的不同方面; Brexit的更广泛的经济,社会和文化背景及其对健康的间接影响;以及医疗保健的法律的责任如何与管理Brexit的新兴现实不匹配。
The National Health Service (NHS) was a critical symbolic issue in the European Union (EU) referendum. The practical ramifications of Brexit on UK patients, professionals, health research and public health are significant, with particular challenges in the devolved nations/jurisdictions. Whatever the form of Brexit, and future EU-UK relationship(s), these challenges will form a key part of health governance post-Brexit. A multilevel governance approach will help make sense of this new regulatory terrain, and its effects for health and the NHS. It is important to understand, raise awareness of and navigate the different Brexit effects for health in the devolved nations/jurisdictions, and the different Brexit effects for different aspects of health and its governance; the broader economic, social and cultural contexts of Brexit and their indirect implications for health; and how legal responsibilities for healthcare are a poor fit with the emerging realities of managing Brexit.