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Pesquisa : I01.655.125 [Categoria DeCS]
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[Au] Autor:Rafighi E; Poduval S; Legido-Quigley H; Howard N
[Ad] Endereço:Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, London, UK.
[Ti] Título:National Health Service Principles as Experienced by Vulnerable London Migrants in "Austerity Britain": A Qualitative Study of Rights, Entitlements, and Civil-Society Advocacy.
[So] Source:Int J Health Policy Manag;5(10):589-597, 2016 May 08.
[Is] ISSN:2322-5939
[Cp] País de publicação:Iran
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Recent British National Health Service (NHS) reforms, in response to austerity and alleged 'health tourism,' could impose additional barriers to healthcare access for non-European Economic Area (EEA) migrants. This study explores policy reform challenges and implications, using excerpts from the perspectives of non-EEA migrants and health advocates in London. METHODS: A qualitative study design was selected. Data were collected through document review and 22 in-depth interviews with non-EEA migrants and civil-society organisation representatives. Data were analysed thematically using the NHS principles. RESULTS: The experiences of those 'vulnerable migrants' (ie, defined as adult non-EEA asylum-seekers, refugees, undocumented, low-skilled, and trafficked migrants susceptible to marginalised healthcare access) able to access health services were positive, with healthcare professionals generally demonstrating caring attitudes. However, general confusion existed about entitlements due to recent NHS changes, controversy over 'health tourism,' and challenges registering for health services or accessing secondary facilities. Factors requiring greater clarity or improvement included accessibility, communication, and clarity on general practitioner (GP) responsibilities and migrant entitlements. CONCLUSION: Legislation to restrict access to healthcare based on immigration status could further compromise the health of vulnerable individuals in Britain. This study highlights current challenges in health services policy and practice and the role of non-governmental organizations (NGOs) in healthcare advocacy (eg, helping the voices of the most vulnerable reach policy-makers). Thus, it contributes to broadening national discussions and enabling more nuanced interpretation of ongoing global debates on immigration and health.
[Mh] Termos MeSH primário: Emigrantes e Imigrantes
Política de Saúde
Acesso aos Serviços de Saúde
Serviços de Saúde
Direitos Humanos
[Mh] Termos MeSH secundário: Adulto
Política Fiscal
Gastos em Saúde
Serviços de Saúde/economia
Seres Humanos
Turismo Médico
Defesa do Paciente
Satisfação do Paciente
Pesquisa Qualitativa
Medicina Estatal
Reino Unido
Populações Vulneráveis
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
[Sb] Subgrupo de revista:H; IM
[Da] Data de entrada para processamento:161004
[St] Status:MEDLINE
[do] DOI:10.15171/ijhpm.2016.50

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[Au] Autor:Cameron BJ; Bazemore AW; Morley CP
[Ad] Endereço:From Central New York Master of Public Health Alumnus, SUNY Upstate Medical University, Syracuse, NY (BJC); the Robert Graham Center for Policy Studies, Washington, DC (AWB); and the Departments of Family Medicine, Public Health & Preventive Medicine, and Psychiatry & Behavioral Sciences, SUNY Upstate Medical University, Syracuse (CPM).
[Ti] Título:Lost in Translation: NIH Funding for Family Medicine Research Remains Limited.
[So] Source:J Am Board Fam Med;29(5):528-30, 2016 Sep-Oct.
[Is] ISSN:1558-7118
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Departments of Family Medicine (DFMs) in the United States consistently received around 0.2% of total research funding dollars and 0.3% of all awards awarded by the National Institutes of Health (NIH) across the years 2002 to 2014. We used the NIH Reporter tool to quantify the amount of funding and the number of grants received by DFMs from the NIH from 2002 to 2014, using criteria similar to those applied by previous researchers. NIH funding to DFMs as remained fairly consistent across the time period, at roughly 0.2% of total NIH funding and 0.3% of total grants awarded. Changing these proportions will likely require considerable effort to build research capacity within DFMs and their frontline practice research networks, and to shift policymaker and funder perceptions of the value of the FM research enterprise.
[Mh] Termos MeSH primário: Pesquisa Biomédica/economia
Medicina de Família e Comunidade/economia
Financiamento Governamental/legislação & jurisprudência
National Institutes of Health (U.S.)/economia
[Mh] Termos MeSH secundário: Distinções e Prêmios
Política Fiscal
Seres Humanos
National Institutes of Health (U.S.)/legislação & jurisprudência
Estados Unidos
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171102
[Lr] Data última revisão:
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160911
[St] Status:MEDLINE
[do] DOI:10.3122/jabfm.2016.05.160063

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[Au] Autor:Ongaro E; Ferré F; Fattore G
[Ad] Endereço:Northumbria University, Department of Social Sciences and Languages, Lipman Building, Newcastle Upon Tyne NE1 8ST, United Kingdom; Department of Policy Analysis and Public Management, Bocconi Universtiy, Via Roentgen, 1, 20136 Milan, Italy.
[Ti] Título:The fiscal crisis in the health sector: Patterns of cutback management across Europe.
[So] Source:Health Policy;119(7):954-63, 2015 Jul.
[Is] ISSN:1872-6054
[Cp] País de publicação:Ireland
[La] Idioma:eng
[Ab] Resumo:PURPOSE: The article investigates trends in health sector cutback management strategies occurred during the ongoing financial and fiscal crisis across Europe. SETTING: A European-wide survey to top public healthcare managers was conducted in ten different countries to understand their perception about public sector policy reactions to the financial and economic crisis; answers from 760 respondents from the healthcare sector (30.7% response rate) were analyzed. METHOD: A multinomial logistic regression was used to assess the characteristics of respondents, countries' institutional healthcare models and the trend in public health resources availability during the crisis associated to the decision to introduce unselective cuts, targeted cuts or efficiency savings measures. RESULTS: Differentiated responses to the fiscal crisis that buffeted public finances were reported both across and within countries. Organizational position of respondents is significant in explaining the perceived cutback management approach introduced, where decentralized positions detect a higher use of linear cuts compared to their colleagues working in central level organizations. Compared to Bismark-like systems Beveridge-like ones favour the introduction of targeted cuts. Postponing the implementation of new programmes and containing expenses through instruments like pay freezes are some of the most popular responses adopted, while outright staff layoffs or reduction of frontline services have been more selectively employed. CONCLUSION: To cope with the effects of the fiscal crisis healthcare systems are undergoing important changes, possibly also affecting the scope of universal coverage.
[Mh] Termos MeSH primário: Recessão Econômica
Política Fiscal
Setor de Assistência à Saúde/economia
Gastos em Saúde/tendências
[Mh] Termos MeSH secundário: Europa (Continente)
Política de Saúde/economia
Recursos em Saúde/organização & administração
Seres Humanos
Política Pública
[Em] Mês de entrada:1612
[Cu] Atualização por classe:161230
[Lr] Data última revisão:
[Sb] Subgrupo de revista:H
[Da] Data de entrada para processamento:150519
[St] Status:MEDLINE

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