Department of Neurology, Room 627 Pathology Building, Johns Hopkins Hospital, The Johns Hopkins University, 600 North Wolfe Street, Baltimore, MD 21287, USA.
Bull World Health Organ. 2012 Jun 1;90(6):444-51. doi: 10.2471/BLT.11.097048. Epub 2012 Apr 11.
To determine the range and burden of health services utilization among Iraqi refugees receiving health assistance in Jordan, a country of first asylum.
Medical conditions, diagnosed in accordance with the tenth revision of the International classification of diseases, were actively monitored from 1 January to 31 December 2010 using a pilot centralized database in Jordan called the Refugee Assistance Information System.
There were 27 166 medical visits by 7642 Iraqi refugees (mean age: 37.4 years; 49% male; 70% from Baghdad; 6% disabled; 3% with a history of torture). Chronic diseases were common, including essential hypertension (22% of refugees), visual disturbances (12%), joint disorders (11%) and type II diabetes mellitus (11%). The most common reasons for seeking acute care were upper respiratory tract infection (11%), supervision of normal pregnancy (4%) and urinary disorders (3%). The conditions requiring the highest number of visits per refugee were cerebrovascular disease (1.46 visits), senile cataract (1.46) and glaucoma (1.44). Sponsored care included 31 747 referrals or consultations to a specialty service, 18 432 drug dispensations, 2307 laboratory studies and 1090 X-rays. The specialties most commonly required were ophthalmology, dentistry, gynaecology and orthopaedic surgery.
Iraqi refugees in countries of first asylum and resettlement require targeted health services, health education and sustainable prevention and control strategies for predominantly chronic diseases.
确定在约旦（第一收容国）接受医疗援助的伊拉克难民的卫生服务利用范围和负担。
2010 年 1 月 1 日至 12 月 31 日，利用约旦名为难民援助信息系统的试点集中数据库，主动监测根据国际疾病分类第十次修订版诊断的医疗状况。
共有 7642 名伊拉克难民（平均年龄 37.4 岁；49%为男性；70%来自巴格达；6%残疾；3%有酷刑史）接受了 27166 次医疗访问。慢性病很常见，包括原发性高血压（22%的难民）、视力障碍（12%）、关节疾病（11%）和 2 型糖尿病（11%）。寻求急性护理的最常见原因是上呼吸道感染（11%）、正常妊娠监护（4%）和泌尿系统疾病（3%）。每个难民需要就诊次数最多的疾病是脑血管病（1.46 次）、老年性白内障（1.46 次）和青光眼（1.44 次）。有赞助的护理包括 31747 次转诊或专科咨询、18432 次药物配给、2307 次实验室检查和 1090 次 X 光检查。最常需要的专科是眼科、牙科、妇科和矫形外科。
第一收容国和重新安置国的伊拉克难民需要有针对性的卫生服务、健康教育和可持续的预防和控制策略，主要针对慢性病。
