Varvin Sverre, Aasland Olaf Gjerløw
Nasjonalt kompetansesenter om vold og traumatisk stress, Kirkeveien 166 0407, Oslo, Norway.
Tidsskr Nor Laegeforen. 2009 Aug 13;129(15):1488-90. doi: 10.4045/tidsskr.08.0212.
The refugee patient's complex problems represent a challenge for primary and secondary health care. Language problems and cultural differences may cause difficulties in understanding symptoms and ailments. We have assessed how physicians relate to and perceive their competence for treating this patient group.
A questionnaire covering health political and work- related themes is sent to a representative sample of Norwegian physicians every second year. In 2006 11 questions were included on physicians' experience with having refugees and asylum seekers as patients.
The majority reported to have middle-level competence in treating this patient group. 28 % of regular GPs assessed their competence to be low. 29 % of regular GPs reported how they liked to work with these patients as "below middle level" or "low". 70 % of regular GPs and 55 % of psychiatrists said it was difficult or impossible to get advice and guidance from experts. 51 % reported to have bad experience with referring to a psychiatrist or a psychiatric hospital department. Doctors reported to often not know whether their patients had been traumatised.
The regular GP (who often has the main responsibility for treating these patients) experience that the general conditions for treatment and rehabilitation are insufficient and that psychiatric health services do not offer adequate help.
难民患者的复杂问题给初级和二级医疗保健带来了挑战。语言问题和文化差异可能导致在理解症状和疾病方面出现困难。我们评估了医生如何看待并认识到自己治疗这类患者群体的能力。
每隔一年向挪威医生的代表性样本发送一份涵盖卫生政策和工作相关主题的问卷。2006年，问卷中包含了11个关于医生诊治难民和寻求庇护者患者经历的问题。
大多数医生表示在治疗这类患者群体方面具备中等水平的能力。28%的普通全科医生认为自己的能力较低。29%的普通全科医生表示他们与这些患者合作的意愿为“低于中等水平”或“低”。70%的普通全科医生和55%的精神科医生表示很难或无法从专家那里获得建议和指导。51%的医生报告称在转诊至精神科医生或精神科医院科室方面有不好的经历。医生们报告说常常不知道他们的患者是否受过创伤。
普通全科医生（通常主要负责治疗这些患者）认为治疗和康复的总体条件不足，精神卫生服务提供的帮助不够。
