Enfermedades Infecciosas y Microbiologia Clinica Monografias
Volume 33, Issue 7, 2015, Pages 437-445

How is the implementation of the new legal framework for health care affecting HIV-infected immigrants in an irregular situation in Spain? [¿cómo está afectando la aplicación del nuevo marco legal sanitario a la asistencia de los inmigrantes infectados por el VIH en situación irregular en España?] (Article)

Pérez-Molina J.A.* , Pulido F. , Prous C.A. , Pedrol P.D. , Loyarte J.A.I. , Rupérez J.L. , Álvarez C.M. , Riera-Jaume M. , Fernández P.V. , Comite de expertos del Grupo para el Estudio del Sida (GESIDA) de la Sociedad Espanola de Enfermedades Infecciosas y Microbiologia Clinica (SEIMC)
  • a Medicina Tropical, Servicio de Enfermedades Infecciosas, IRYCIS, Hospital Ramón y Cajal, Madrid, Spain
  • b Unidad de VIH i+12, Hospital 12 de Octubre, Madrid, Spain
  • c Unidad de Enfermedades Infecciosas, Hospital Marina Baixa, Villajoyosa, Spain
  • d Unidad de Enfermedades Infecciosas, Departamento de Medicina Interna, Hospital de la Santa Creu i Sant Pau, Spain
  • e Sección de Enfermedades Infecciosas, Hospital de Donostia, San-Sebastián, Spain
  • f Sección de Enfermedades Infecciosas, Servicio de Medicina Interna, Hospital General Yagüe, Burgos, Spain
  • g Consulta de VIH, Complexo Hospitalario Universitario Chuvi de Vigo, Vigo, Spain
  • h Sección de Enfermedades Infecciosas, Servicio de Medicina Interna, Hospital Son Espases, Palma de Mallorca, Spain
  • i Enfermedades Infecciosas, Unidad de Gestion Clinica de Enfermedades Infecciosas, Microbiologia y Medicina Preventiva, Hospital Virgen Del Rocío, Sevilla, Spain
  • j [Affiliation not available]

Abstract

Introduction: The entry into force of Royal Decree (RD) 16/2012 in Spain in September 2012 led to the exclusion of the group of irregular immigrants from the National Healthcare System. With this work, GESIDA attempts to measure the impact of the entry into force of the RD in relation to its application by the Autonomous Communities (CCAA), and how it has affected the health care of irregular immigrants infected with HIV. Methods: Information was requested from the 17 CCAA of the existence of measures to ensure the care and treatment of people with HIV infection that were left unprotected because of the implementation of the RD. Likewise, a survey was conducted on health professionals and NGOs involved in the care of these people, to find out how it has affected the implementation of the RD to their daily healthcare work and the availability of information on regulations to implement it. Results: The response of the CCAA was variable, hardly contributing, in some cases, to mitigate the negative effect of the RD. To this is added a complex bureaucracy to access the benefits offered by some regions, often inaccessible to the most vulnerable subjects. Lack of information for health-care professionals and NGOs involved in the care of immigrants, hinders access of this population to health care and the establishment of control measures for diseases with an impact on the public health. Conclusions: The RD 16/2012 has had a negative impact on daily healthcare working, generating the appearance of deep inequities throughout the country. © 2014 Elsevier España, S.L.U.

Author Keywords

Immigration HIV Laws human rights

Index Keywords

Health Personnel vulnerable population immigrant HIV Infections medically uninsured health care survey Human immunodeficiency virus infection public health service health care planning health care policy Health Care Surveys health care personnel human access to information professional practice Health Care Rationing organization Health Plan Implementation Undocumented Immigrants health personnel attitude Attitude of Health Personnel Humans undocumented immigrant psychology Spain Article legislation and jurisprudence infection control health care organization health care access government Organizations Healthcare Disparities health care disparity anti human immunodeficiency virus agent Health Services Accessibility Anti-HIV Agents public health health care delivery National Health Programs
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84942259053&doi=10.1016%2fj.eimc.2014.10.017&partnerID=40&md5=757fbeb03275c24ad5a519471b98a752
DOI: 10.1016/j.eimc.2014.10.017
ISSN: 16963539
Cited by: 9
Original Language: Spanish