1. Droit universel à la santé pour les populations migrantes vulnérables : un objectif d'efficience et une valeur à défendre pour les soins primaires.
- Author
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Janczewski, Aurélie, Jego-Sablier, Maeva, and Khouani, Jérémy
- Subjects
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HEALTH systems agencies , *MENTAL health , *POLITICAL refugees , *POPULATION - Abstract
The World Health Organisation is positioning universal access and equity of care as criteria for assessing the performance of health systems. The United Nations is in favour of Universal Health Coverage, a 2030 objective. In France, it has been proposed to redefine the Aide Médicale d'État (AME), arguing that it would save budgetary resources. People in an irregular situation would have access to healthcare only for urgent medical situations. The state of health of all new arrivals is worrying, with a high incidence of physical and mental health problems. Among them, illegal immigrants and asylum seekers are particularly vulnerable. Only a small proportion of those eligible for the AME are reported to have opened their entitlements. This position paper explores the interactions between the universal right to health and the vulnerability of migrant populations. It proposes that primary healthcare should take care of these vulnerable populations, applying the principles of proportionate universalism, "outreach and doing-with". It warns that a reduction in the AME care would increase the number of people refusing care and worsen the state of health of the populations concerned. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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