Evolution of the regulatory framework for health care of migrants and refugees in Peru: Toward inclusive care supported by digital technologies

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Peru has experienced a sustained increase in migratory flows and asylum applications since 2017, requiring adaptations in the health system’s responses to guarantee the right to health without discrimination. This article reviews the evolution of the national and international regulatory framework a...

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Detalles Bibliográficos
Autores: Galán-Rodas, Eden, Crisostomo, Nubia, Díaz-Vélez, Cristian, Curioso, Walter H.
Formato: artículo
Fecha de Publicación:2026
Institución:Cuerpo Médico Hospital Nacional Almanzor Aguinaga Asenjo
Repositorio:Revista del Cuerpo Médico Hospital Nacional Almanzor Aguinaga Asenjo
Lenguaje:español
OAI Identifier:oai:cmhnaaa.org.pe:article/2194
Enlace del recurso:https://cmhnaaa.org.pe/index.php/rcmhnaaa/article/view/2194
Nivel de acceso:acceso abierto
Materia:Migrantes
Refugiados
Acceso a los Servicios de Salud
Salud Digital
Telesalud
Migrants
Refugees
Health Services Accessibility
Health Policy
Digital Health
Telemedicine
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oai_identifier_str oai:cmhnaaa.org.pe:article/2194
network_acronym_str REVCMH
network_name_str Revista del Cuerpo Médico Hospital Nacional Almanzor Aguinaga Asenjo
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dc.title.none.fl_str_mv Evolution of the regulatory framework for health care of migrants and refugees in Peru: Toward inclusive care supported by digital technologies
Evolución del marco normativo de la atención de salud de los migrantes y refugiados en el Perú: Hacia una atención inclusiva apoyada en tecnologías digitales
title Evolution of the regulatory framework for health care of migrants and refugees in Peru: Toward inclusive care supported by digital technologies
spellingShingle Evolution of the regulatory framework for health care of migrants and refugees in Peru: Toward inclusive care supported by digital technologies
Galán-Rodas, Eden
Migrantes
Refugiados
Acceso a los Servicios de Salud
Salud Digital
Telesalud
Migrants
Refugees
Health Services Accessibility
Health Policy
Digital Health
Telemedicine
title_short Evolution of the regulatory framework for health care of migrants and refugees in Peru: Toward inclusive care supported by digital technologies
title_full Evolution of the regulatory framework for health care of migrants and refugees in Peru: Toward inclusive care supported by digital technologies
title_fullStr Evolution of the regulatory framework for health care of migrants and refugees in Peru: Toward inclusive care supported by digital technologies
title_full_unstemmed Evolution of the regulatory framework for health care of migrants and refugees in Peru: Toward inclusive care supported by digital technologies
title_sort Evolution of the regulatory framework for health care of migrants and refugees in Peru: Toward inclusive care supported by digital technologies
dc.creator.none.fl_str_mv Galán-Rodas, Eden
Crisostomo, Nubia
Díaz-Vélez, Cristian
Curioso, Walter H.
Galán-Rodas, Eden
Crisostomo, Nubia
Díaz-Vélez, Cristian
Curioso, Walter H.
author Galán-Rodas, Eden
author_facet Galán-Rodas, Eden
Crisostomo, Nubia
Díaz-Vélez, Cristian
Curioso, Walter H.
Crisostomo, Nubia
author_role author
author2 Crisostomo, Nubia
Díaz-Vélez, Cristian
Curioso, Walter H.
Crisostomo, Nubia
author2_role author
author
author
author
dc.subject.none.fl_str_mv Migrantes
Refugiados
Acceso a los Servicios de Salud
Salud Digital
Telesalud
Migrants
Refugees
Health Services Accessibility
Health Policy
Digital Health
Telemedicine
topic Migrantes
Refugiados
Acceso a los Servicios de Salud
Salud Digital
Telesalud
Migrants
Refugees
Health Services Accessibility
Health Policy
Digital Health
Telemedicine
description Peru has experienced a sustained increase in migratory flows and asylum applications since 2017, requiring adaptations in the health system’s responses to guarantee the right to health without discrimination. This article reviews the evolution of the national and international regulatory framework applicable to the care of migrants and refugees in the country, identifies persistent gaps in effective access (irregular migration status; economic, administrative, cultural, and discrimination-related barriers), and analyzes the enabling role of digital health in delivering inclusive care. A review of laws, decrees, resolutions, and technical guidelines, as well as directives from multilateral organizations, was conducted to map progress and opportunities. The article proposes the responsible use of telehealth, interoperable electronic health records, digital identity and verification, mobile applications, and resources incorporating artificial intelligence to improve continuity of care, vaccination, mental health, and the management of chronic and infectious diseases, with due consideration of ethics, data protection, equity, and algorithmic governance. Finally, recommendations are offered to close the gap between policy and practice, strengthen interoperability, reduce administrative and economic barriers, and build digital capacities among health personnel and both migrant and host populations, as a pathway toward truly universal and sustainable coverage.
publishDate 2026
dc.date.none.fl_str_mv 2026-01-10
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://cmhnaaa.org.pe/index.php/rcmhnaaa/article/view/2194
10.35434/rcmhnaaa.2025.184.2194
url https://cmhnaaa.org.pe/index.php/rcmhnaaa/article/view/2194
identifier_str_mv 10.35434/rcmhnaaa.2025.184.2194
dc.language.none.fl_str_mv spa
language spa
dc.relation.none.fl_str_mv https://cmhnaaa.org.pe/index.php/rcmhnaaa/article/view/2194/1129
dc.rights.none.fl_str_mv Derechos de autor 2026 Eden Galán-Rodas, Nubia Crisostomo, Cristian Díaz-Vélez, Walter H. Curioso
https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Derechos de autor 2026 Eden Galán-Rodas, Nubia Crisostomo, Cristian Díaz-Vélez, Walter H. Curioso
https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Cuerpo Médico del Hospital Nacional Almanzor Aguinaga Asenjo
publisher.none.fl_str_mv Cuerpo Médico del Hospital Nacional Almanzor Aguinaga Asenjo
dc.source.none.fl_str_mv Revista del Cuerpo Médico Hospital Nacional Almanzor Aguinaga Asenjo; Vol. 18 No. 4 (2025): Early Publication; e2194
Revista del Cuerpo Médico Hospital Nacional Almanzor Aguinaga Asenjo; Vol. 18 Núm. 4 (2025): Publicación Anticipada; e2194
2227-4731
2225-5109
10.35434/rcmhnaaa.2025.184
reponame:Revista del Cuerpo Médico Hospital Nacional Almanzor Aguinaga Asenjo
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reponame_str Revista del Cuerpo Médico Hospital Nacional Almanzor Aguinaga Asenjo
collection Revista del Cuerpo Médico Hospital Nacional Almanzor Aguinaga Asenjo
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repository.mail.fl_str_mv
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spelling Evolution of the regulatory framework for health care of migrants and refugees in Peru: Toward inclusive care supported by digital technologiesEvolución del marco normativo de la atención de salud de los migrantes y refugiados en el Perú: Hacia una atención inclusiva apoyada en tecnologías digitalesGalán-Rodas, EdenCrisostomo, NubiaDíaz-Vélez, CristianCurioso, Walter H.Galán-Rodas, EdenCrisostomo, Nubia Díaz-Vélez, CristianCurioso, Walter H.MigrantesRefugiadosAcceso a los Servicios de SaludSalud Digital TelesaludMigrantsRefugeesHealth Services Accessibility Health Policy Digital HealthTelemedicine Peru has experienced a sustained increase in migratory flows and asylum applications since 2017, requiring adaptations in the health system’s responses to guarantee the right to health without discrimination. This article reviews the evolution of the national and international regulatory framework applicable to the care of migrants and refugees in the country, identifies persistent gaps in effective access (irregular migration status; economic, administrative, cultural, and discrimination-related barriers), and analyzes the enabling role of digital health in delivering inclusive care. A review of laws, decrees, resolutions, and technical guidelines, as well as directives from multilateral organizations, was conducted to map progress and opportunities. The article proposes the responsible use of telehealth, interoperable electronic health records, digital identity and verification, mobile applications, and resources incorporating artificial intelligence to improve continuity of care, vaccination, mental health, and the management of chronic and infectious diseases, with due consideration of ethics, data protection, equity, and algorithmic governance. Finally, recommendations are offered to close the gap between policy and practice, strengthen interoperability, reduce administrative and economic barriers, and build digital capacities among health personnel and both migrant and host populations, as a pathway toward truly universal and sustainable coverage.El Perú ha experimentado desde 2017 un incremento sostenido de flujos migratorios y de solicitudes de refugio, lo que ha exigido adaptar las respuestas del sistema de salud para garantizar el derecho a la salud sin discriminación. Este artículo revisa la evolución del marco normativo nacional e internacional aplicable a la atención de personas migrantes y refugiadas en el país, identifica brechas persistentes en el acceso efectivo (situación migratoria irregular, barreras económicas, administrativas, culturales y de discriminación), y analiza el papel habilitador de la salud digital para una atención inclusiva. Se realizó una revisión de leyes, decretos, resoluciones y lineamientos técnicos, así como de directrices de organismos multilaterales, se mapean avances y oportunidades. Se propone un uso responsable de telesalud, historia clínica electrónica interoperable, identidad y verificación digital, aplicaciones móviles, recursos y aplicaciones que incluyan inteligencia artificial para mejorar la continuidad de cuidados, la vacunación, la salud mental y la gestión de enfermedades crónicas e infecciosas, con las consideraciones éticas, de protección de datos, equidad y gobernanza algorítmica. Finalmente, se plantean recomendaciones para cerrar la brecha entre norma y práctica, fortalecer la interoperabilidad, reducir barreras administrativas y económicas, y consolidar capacidades digitales en el personal y en la población migrante y de acogida, como vía para una cobertura verdaderamente universal y sostenible.Cuerpo Médico del Hospital Nacional Almanzor Aguinaga Asenjo2026-01-10info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://cmhnaaa.org.pe/index.php/rcmhnaaa/article/view/219410.35434/rcmhnaaa.2025.184.2194Revista del Cuerpo Médico Hospital Nacional Almanzor Aguinaga Asenjo; Vol. 18 No. 4 (2025): Early Publication; e2194Revista del Cuerpo Médico Hospital Nacional Almanzor Aguinaga Asenjo; Vol. 18 Núm. 4 (2025): Publicación Anticipada; e21942227-47312225-510910.35434/rcmhnaaa.2025.184reponame:Revista del Cuerpo Médico Hospital Nacional Almanzor Aguinaga Asenjoinstname:Cuerpo Médico Hospital Nacional Almanzor Aguinaga Asenjoinstacron:HNAAAspahttps://cmhnaaa.org.pe/index.php/rcmhnaaa/article/view/2194/1129Derechos de autor 2026 Eden Galán-Rodas, Nubia Crisostomo, Cristian Díaz-Vélez, Walter H. Curiosohttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessoai:cmhnaaa.org.pe:article/21942026-02-04T05:09:12Z
score 13.411838
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