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Migrant and refugee medicine, terminology and quidelines


Authors: M. Špačková 1;  M. Nakládalová 2;  R. Líčeník 1,3
Authors‘ workplace: Centrum pro klinické doporučené postupy, Ústav sociálního lékařství a veřejného zdravotnictví, Lékařské Fakulty Univerzity Palackého, Olomouc hlavní řešitel projektu doc. PhDr. Kateřina Ivanová, Ph. D. 1;  Klinika pracovního lékařství Lékařské fakulty Univerzity Palackého a Fakultní nemocnice Olomouc přednosta doc. MUDr. Marie Nakládalová, Ph. D. 2;  Radcliffe Department of Medicine – Investigative Medicine, John Radcliffe Hospital, Oxford, United Kingdom 3
Published in: Pracov. Lék., 67, 2015, No. 3-4, s. 121-126.
Category: Review Article

Overview

Majority of European migration was intra-European migration in 2008. Curently, the trends are changing towards third-country nationals immigration (migrants coming from outside European Union). There is no generic consensual definition of “migrants” yet. Definitions and categorisation of migrants vary all over the world. According to the United Nations‘ definiton, migrant is „a person who moves to a country other than that of his or her usual residence: long-term migrant for a period of at least 12 months and short-term migrant for a period of at least 3 months but less than 12 months, except of cases when the movement to that country is for purposes of recreation, holiday, visits to friends and relatives, business, medical treatment or religious pilgrimage.“ The 1951 Refugee Convention defines refugee as „someone who owing to a well-founded fear of being persecuted for reasons of race, religion, nationality, membership of a particular social group or political opinion, is outside the country of his nationality, and is unable to, or owing to such fear, is unwilling to avail himself of the protection of that country“. There are two main goals of migration health policy: health protection of the host country and health care for migrants. Most European Union member states lack reliable data on the health of migrants. Migrant or migration medicine and refugee medicine have been recently appearing more often both in the field of helath care research and health policy. The first comprehensive evidence-based clinical practice guidelines for immigrants and refugees were published in Canada in 2010. Similar guidelines were developed in the United States, Australia, New Zealand and United Kingdom. To our knowledge no such guidelines currently exist in the Czech Republic.

Keywords:
guidelines – migrant medicine – migration medicine – refugee medicine – health policy – terminology


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