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首页> 外文期刊>International Journal of Environmental Research and Public Health >Immigrants’ Access to Health Insurance: No Equality without Awareness
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Immigrants’ Access to Health Insurance: No Equality without Awareness

机译：移民获得健康保险：没有意识就没有平等

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摘要

The Czech government has identified commercial health insurance as one of the major problems for migrants’ access to health care. Non-EU immigrants are eligible for public health insurance only if they have employee status or permanent residency. The present study examined migrants’ access to the public health insurance system in Czechia. A cross-sectional survey of 909 immigrants from Ukraine and Vietnam was conducted in March and May 2013, and binary logistic regression was applied in data analysis. Among immigrants entitled to Czech public health insurance due to permanent residency/asylum, 30% were out of the public health insurance system, and of those entitled by their employment status, 50% were out of the system. Migrants with a poor knowledge of the Czech language are more likely to remain excluded from the system of public health insurance. Instead, they either remain in the commercial health insurance system or they simultaneously pay for both commercial and public health insurance, which is highly disadvantageous. Since there are no reasonable grounds to stay outside the public health insurance, it is concluded that it is lack of awareness that keeps eligible immigrants from entering the system. It is suggested that no equal access to health care exists without sufficient awareness about health care system.
机译：捷克政府已将商业健康保险确定为移民获得医疗保健的主要问题之一。非欧盟移民只有具有雇员身份或永久居留权才有资格获得公共健康保险。本研究调查了移民在捷克的公共健康保险系统的使用情况。 2013年3月和2013年5月，对来自乌克兰和越南的909名移民进行了横断面调查，并将二元logistic回归应用于数据分析。在因永久居留/庇护而有权获得捷克公共健康保险的移民中，有30％不在公共健康保险体系之内，在具有其就业身份的移民中，有50％不在该体系之内。捷克语知识较差的移民更有可能被排除在公共健康保险体系之外。相反，他们要么保留在商业健康保险体系中，要么同时为商业和公共健康保险付费，这是非常不利的。由于没有合理的理由可以选择不参加公共健康保险，因此可以得出结论，缺乏认识使合格的移民无法进入该系统。建议在没有充分了解卫生保健系统的情况下，没有平等获得卫生保健的机会。

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