Universal health coverage in the context of migration and displacement: a cosmopolitan perspective

IF 25.4 1区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Lancet Public Health Pub Date : 2025-06-16 DOI:10.1016/s2468-2667(25)00117-3

Santino Severoni, Claudia Marotta, Josephine Borghi

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引用次数: 0

Abstract

Migration and displacement are reshaping societies and economies with profound implications for health equity and universal health coverage (UHC). In this Viewpoint, we review the unique health challenges faced by migrants and displaced people, as well as the limitations of current UHC policies and financing arrangements. We propose a cosmopolitan approach to UHC, grounded in global solidarity and structured around four pillars: supranational financing, integrated cross-border care, harmonised legal frameworks, and long-term investment in inclusive health systems. We also explore what this approach could mean practically for regional or global financing mechanisms and sources of funding, including progressive contributions and the integration of health into climate finance. Achieving equitable and effective UHC in a world shaped by mobility and crisis requires global thinking and collective action. We call for a reimagining of UHC via a cosmopolitan approach, which offers a pathway to reframe health and wellbeing as a shared right and responsibility, transcending national borders.

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移徙和流离失所背景下的全民健康覆盖：世界主义视角

移徙和流离失所正在重塑社会和经济，对卫生公平和全民健康覆盖产生深远影响。在这一观点中，我们审查了移徙者和流离失所者面临的独特健康挑战，以及当前全民健康覆盖政策和融资安排的局限性。我们建议以全球团结为基础，围绕四个支柱采取一种世界主义的全民健康覆盖方法：超国家融资、综合跨境医疗、统一法律框架和对包容性卫生系统的长期投资。我们还探讨了这种方法对区域或全球融资机制和资金来源的实际意义，包括累进捐款和将卫生纳入气候融资。在一个流动性和危机形成的世界中实现公平和有效的全民健康覆盖需要全球思维和集体行动。我们呼吁通过世界主义方法重新构想全民健康覆盖，这为将健康和福祉重新定义为超越国界的共同权利和责任提供了一条途径。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Lancet Public Health Medicine-Public Health, Environmental and Occupational Health

CiteScore

55.60

自引率

0.80%

发文量

305

审稿时长

8 weeks

期刊介绍： The Lancet Public Health is committed to tackling the most pressing issues across all aspects of public health. We have a strong commitment to using science to improve health equity and social justice. In line with the values and vision of The Lancet, we take a broad and inclusive approach to public health and are interested in interdisciplinary research. We publish a range of content types that can advance public health policies and outcomes. These include Articles, Review, Comment, and Correspondence. Learn more about the types of papers we publish.