CHALLENGES IN REFUGEES’ ACCESS TO THE PUBLIC HEALTHCARE SYSTEM IN BRAZIL

Agatha Picetti Gonçalves da Silva, Bruna Affonso Ferreira Maciel
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Abstract

OBJECTIVE: To address refugees' access to public healthcare in Brazil. METHODS: Narrative review using recent literature and official documents. RESULTS: Most migrants and refugees access healthcare exclusively through the public health system. Main barriers pointed in research were language, cultural and documentation matters. Most of the issues concern the underfunding of the health system. However, initiatives have been achieving good results, like “Operação Acolhida”. CONCLUSIONS: Delivering refugees the appropriate healthcare is a complex task requiring multiple and intersecting approaches. Although Brazil has a universal healthcare system accessible to those refugees, there are still many difficulties to be tackled in the future if universal healthcare and refugee inclusion is to be achieved.
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巴西难民获得公共医疗保健系统的挑战
目的:解决巴西难民获得公共医疗保健的问题。方法:采用近期文献和官方文件进行叙述性回顾。结果:大多数移民和难民只能通过公共卫生系统获得医疗保健。研究中指出的主要障碍是语言、文化和文件问题。大多数问题涉及卫生系统资金不足。然而,一些倡议取得了良好的成果,例如“opera o Acolhida”。结论:向难民提供适当的医疗保健是一项复杂的任务,需要多种交叉的方法。尽管巴西为这些难民提供了一个全民医疗保健系统,但如果要实现全民医疗保健和难民包容,未来仍有许多困难需要解决。
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