The decentralization of the provision of health services at the subnational level produces variations in healthcare offered to asylum seekers (ASs) across the different Italian regions, even if they are entitled to healthcare through the national health service. The present study aims to map the healthcare path and regional policies for ASs upon arrival and identify challenges and best practices. This is a multicentric, qualitative study of migrant health policies and practices at the regional level within four Italian regions. For the analysis, a dedicated tool for the systematic comparison of policies and practices was developed. The collection and analysis of data demonstrated the presence of many items of international recommendations, even if many gaps exist and differences between regions remain. The analysis of practices permitted the identification of three models of care and access. Some aspects identified are as follows: fragmentation and barriers to access; a weakness in or lack of a governance system, with the presence of many actors involved; variability in the response between territories. The inclusion of ASs in healthcare services requires intersectoral actions, involving healthcare sectors and other actors within local social structures, in order to add value to local resources and practices, reinforce networks and contribute to social integration.

Health System Response during the European Refugee Crisis. Policy and Practice Analysis in Four Italian Regions / Mammana, Leonardo; Milani, Chiara; Bordin, Paola; Paglione, Lorenzo; Salvia, Chiara. - In: INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH. - ISSN 1660-4601. - 17:15(2020), p. 5458. [10.3390/ijerph17155458]

Health System Response during the European Refugee Crisis. Policy and Practice Analysis in Four Italian Regions

Paglione, Lorenzo
Penultimo
;
2020

Abstract

The decentralization of the provision of health services at the subnational level produces variations in healthcare offered to asylum seekers (ASs) across the different Italian regions, even if they are entitled to healthcare through the national health service. The present study aims to map the healthcare path and regional policies for ASs upon arrival and identify challenges and best practices. This is a multicentric, qualitative study of migrant health policies and practices at the regional level within four Italian regions. For the analysis, a dedicated tool for the systematic comparison of policies and practices was developed. The collection and analysis of data demonstrated the presence of many items of international recommendations, even if many gaps exist and differences between regions remain. The analysis of practices permitted the identification of three models of care and access. Some aspects identified are as follows: fragmentation and barriers to access; a weakness in or lack of a governance system, with the presence of many actors involved; variability in the response between territories. The inclusion of ASs in healthcare services requires intersectoral actions, involving healthcare sectors and other actors within local social structures, in order to add value to local resources and practices, reinforce networks and contribute to social integration.
2020
asylum seekers; health policy; health systems
01 Pubblicazione su rivista::01a Articolo in rivista
Health System Response during the European Refugee Crisis. Policy and Practice Analysis in Four Italian Regions / Mammana, Leonardo; Milani, Chiara; Bordin, Paola; Paglione, Lorenzo; Salvia, Chiara. - In: INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH. - ISSN 1660-4601. - 17:15(2020), p. 5458. [10.3390/ijerph17155458]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/1433817
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