Department of Pediatrics, Rhode Island Hospital and Alpert Medical School of Brown University, Providence, RI 02903, USA.
J Immigr Minor Health. 2012 Aug;14(4):583-8. doi: 10.1007/s10903-011-9530-1.
Refugee children can have significant health problems. Our objective was to describe health status and health care utilization of refugee children after resettlement. A retrospective chart review of refugee children was performed. Initial laboratory data was extracted. Primary care visits, emergency room visits, and subspecialty referrals in the first 15 months from arrival were recorded. The sample included 198 refugees, many with positive initial screening tests. After arrival, 21% had an emergency department visit, 40% had a primary care sick visit, and 71% had a primary care follow-up. Mean number of visits ranged from 0.3 for emergency department to 1.9 for follow-up. Fifty-seven percent were referred to at least one subspecialist. Refugee children had substantial disease burden at arrival. Most had primary care follow-up visits and subspecialty referral after resettlement. These visits were largely for problems identified on initial screening and for general pediatric illnesses.
难民儿童可能存在严重的健康问题。我们的目的是描述难民儿童重新安置后的健康状况和卫生保健利用情况。对难民儿童进行了回顾性图表审查。提取了初始实验室数据。记录了抵达后 15 个月内的初级保健就诊、急诊就诊和专科转诊情况。该样本包括 198 名难民，其中许多人最初的筛查检测呈阳性。抵达后，21%的人去了急诊，40%的人去了初级保健门诊，71%的人去了初级保健随访。急诊就诊的平均就诊次数为 0.3 次，随访就诊次数为 1.9 次。57%的人至少被转介给了一名专科医生。难民儿童抵达时的疾病负担很大。大多数人在重新安置后接受了初级保健随访和专科转诊。这些就诊主要是为了发现最初筛查中发现的问题以及一般儿科疾病。
