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Healthcare coverage and access for displaced persons from Ukraine: assessing the implementation of the Temporary Protection Directive across EU Member States

Mauer, Nicole, Quevedo, Cristina Hernandez, Eriksen, Astrid, Scarpetti, Giada and van Ginneken, Ewout (2025) Healthcare coverage and access for displaced persons from Ukraine: assessing the implementation of the Temporary Protection Directive across EU Member States. Health Policy. ISSN 0168-8510 (In Press)

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Identification Number: 10.1016/j.healthpol.2025.105434

Abstract

Background Since the beginning of the conflict in Ukraine, close to 4.3 million non-EU citizens have been granted temporary protection in the European Union (EU). Beneficiaries gain access to healthcare in their host countries. All EU countries must ensure coverage for and access to a minimum set of healthcare services, but they can arrange delivery and extend the services covered as they deem feasible, necessary, and appropriate. Objective The aim is to assess the implementation of temporary protection across 27 EU countries, including legislative provisions and healthcare coverage foreseen. This study offers a comparative overview of healthcare entitlements and financial coverage, access to services and barriers encountered in host health systems. Methods This study is based on three qualitative survey rounds conducted with members from the EU Health Security Committee and the Health Systems Policy Monitor network (European Observatory on Health Systems and Policies). Results All Member States have made the necessary legal provisions. However, large variations in healthcare benefits and financial coverage exist. The main reported access barriers relate to language, pre-existing capacity limitations, and lacking awareness of provisions on both beneficiary and healthcare provider sides. Conclusion As displaced persons from Ukraine transition into stable living conditions in host countries, data should be collected systematically to ensure health services can be tailored to meet their needs. Better aligning healthcare provision with other services, such as social care, may help unburden health systems and maximise the use of available resources.

Item Type: Article
Additional Information: © 2025 Published by Elsevier B.V.
Divisions: European Observatory on Health Systems
Subjects: R Medicine > RA Public aspects of medicine
H Social Sciences > HV Social pathology. Social and public welfare. Criminology
Date Deposited: 15 Sep 2025 15:51
Last Modified: 15 Sep 2025 15:51
URI: http://eprints.lse.ac.uk/id/eprint/129533

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