Alkahtani S, Cherrill J, Millward C, Grayson K, Hilliam R, Sammons H, Choonara I
Academic Division of Child Health, University of Nottingham, Derbyshire Children's Hospital, Derby, UK.
Department of Clinical Psychology, Derbyshire Children's Hospital, Derby, UK.
BMJ Open. 2014 Dec 18;4(12):e006421. doi: 10.1136/bmjopen-2014-006421.
To explore access to primary healthcare and drug therapy by refugee children in the East Midlands region of England.
Interviews with refugees with children and a control group of British parents with children.
East Midlands region of England.
50 refugees with children and a control group of 50 parents with children.
Number of medicines used by children in the last month and the past 6 months. Health of parents and children. Registration with a general practitioner (GP).
All families in both groups were registered with a GP. There was no difference in the number of children in the two groups experiencing illnesses .In the last month, 30 refugee children received 60 medicines and 31 control children 63 medicines. In the past 6 months, 48 refugee children received 108 medicines and 43 control children 96 medicines. There was no difference between the two groups of children in relation to the likelihood of receiving any medicines in either the last month (P=0.839) or the past 6 months (p=0.81). Children in the refugee group were more likely to receive prescribed medicines for the last month (p=0.008) and the past 6 months (p<0.001). They were also less likely to receive over the counter (OTC) medicines in the past 6 months (p=0.009).
The refugee children in this study in the East Midlands had access to primary healthcare, medicines and a family doctor. They were more likely to receive prescribed medicines and less likely to receive OTC medicines, especially paracetamol.
探讨英格兰东米德兰兹地区难民儿童获得初级医疗保健和药物治疗的情况。
对有孩子的难民以及有孩子的英国父母对照组进行访谈。
英格兰东米德兰兹地区。
50名有孩子的难民和50名有孩子的父母组成的对照组。
儿童在过去一个月和过去6个月使用的药物数量。父母和儿童的健康状况。在全科医生（GP）处登记情况。
两组中的所有家庭都在全科医生处登记。两组中患病儿童的数量没有差异。在过去一个月，30名难民儿童接受了60种药物治疗，31名对照组儿童接受了63种药物治疗。在过去6个月，48名难民儿童接受了108种药物治疗，43名对照组儿童接受了96种药物治疗。在过去一个月（P = 0.839）或过去6个月（P = 0.81）接受任何药物治疗的可能性在两组儿童之间没有差异。难民组的儿童在过去一个月（P = 0.008）和过去6个月（P<0.001）更有可能接受处方药治疗。在过去6个月，他们接受非处方药（OTC）治疗的可能性也较小（P = 0.009）。
在东米德兰兹地区这项研究中的难民儿童能够获得初级医疗保健、药物和家庭医生服务。他们更有可能接受处方药治疗，接受非处方药治疗的可能性较小，尤其是扑热息痛。
