Charging migrants for health care could compromise public health and increase costs for the NHS
Charging migrants for health care could compromise public health and increase costs for the NHS
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DOI：
10.1093/pubmed/fdv043
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发表时间：
2016-06-01
影响因子：
4.4
通讯作者：
McKee, Martin
中科院分区：
文献类型：
--
作者：
Britz, Jacqueline B.;McKee, Martin
这项研究探讨了英国卫生部打算对非法移民的初级卫生保健收费的意图。在对相关近期文献的背景回顾之后，与英国世界医生组织合作，对英格兰和/或英国医疗保健系统的弱势群体专家进行了12次深入的定性访谈。使用主题编码和框架分析对数据进行了定性分析。受访者担心，在英格兰对移民收费可能会阻止医疗必要的治疗，导致对公共健康的威胁和医疗成本的增加。受访者指出了2012年《卫生和社会关怀法》为改善对移民的医疗保健所带来的潜在挑战和机遇。对无证移民收取费用的不利后果令人十分担忧。一旦这项政策实施，评估其效果将是至关重要的。
This study explores the implications of the UK Department of Health's intention to introduce charging for undocumented migrants for primary health care.Following a background review of relevant recent literature, 12 in-depth qualitative interviews were conducted with experts on vulnerable populations in England and/or the English health care system, in collaboration with Doctors of the World UK. Data were analysed qualitatively using thematic coding and framework analysis.Stakeholders were concerned that implementing charging for migrants in England could deter medically necessary treatment, leading to threats to public health and increased health care costs. Interviewees identified potential challenges and opportunities provided by the Health and Social Care Act 2012 to improve health care for migrants.There are considerable concerns about adverse consequences of implementing charges for undocumented migrants. It will be essential to evaluate the effects of this policy once it is implemented.