title: [How is the implementation of the new legal framework for health care affecting HIV-infected immigrants in an irregular situation in Spain?].
abstract: BACKGROUND
  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.
authors.affiliation: Medicina Tropical, Servicio de Enfermedades Infecciosas, IRYCIS, Hospital Ramón y Cajal, Madrid, España. Electronic address: jose.perezmolina@gmail.com.
authors.forename: José A
authors.initials: JA
authors.lastname: Pérez-Molina
authors.affiliation: Unidad de VIH, i+12, Hospital 12 de Octubre, Madrid, España.
authors.forename: Federico
authors.initials: F
authors.lastname: Pulido
mesh_terms: D019380:Anti-HIV Agents / Q000627:therapeutic use; D001291:Attitude of Health Personnel; D015658:HIV Infections / Q000188:drug therapy / Q000453:epidemiology* / Q000517:prevention & control; D015276:Health Care Rationing / Q000331:legislation & jurisprudence*; D019538:Health Care Surveys; D006282:Health Personnel / Q000523:psychology; D006284:Health Plan Implementation; D006297:Health Services Accessibility / Q000331:legislation & jurisprudence*; D054625:Healthcare Disparities / Q000331:legislation & jurisprudence*; D006801:Humans; D017057:Medically Uninsured; D009313:National Health Programs / Q000331:legislation & jurisprudence*; D009938:Organizations; D011364:Professional Practice; D013030:Spain / Q000453:epidemiology; D000069756:Undocumented Immigrants / Q000331:legislation & jurisprudence*
chemical_list: D019380:Anti-HIV Agents
keywords: Derechos humanos; HIV; Human rights; Immigration; Inmigración; Laws; Legislación; VIH