Ay Merve, Arcos González Pedro, Castro Delgado Rafael
Department of Medicine, Unit for Research in Emergency and Disaster, University of Oviedo, Oviedo, Spain.
Department of Medicine, Unit for Research in Emergency and Disaster, University of Oviedo, Oviedo, Spain
Int J Health Serv. 2016 Jul;46(3):566-89. doi: 10.1177/0020731416636831. Epub 2016 Mar 9.
The aims of this study were to identify the most needed health care services, accessibility of various health care services, and barriers to access as perceived by a group of Syrian refugees living in non-camp settings in Jordan and to compare accessibility among different groups. The study was conducted in the Amman, Irbid, Karak, and Maan governorates of Jordan. This is a cross-sectional, analytical, observational study using convenience and snowball sampling for data collection. A structured questionnaire was included in an ongoing needs assessment of a Jordanian nongovernment organization in April 2014, with a total of 196 surveys conducted. In addition to the prevalent acute and communicable diseases, chronic diseases and dental problems were common. Preventive and primary health care were more accessible than advanced services. Structural and financial barriers hindered access. The specific survey location and governorate were associated with a difference in reported access. Registration status, health provider, duration, and out-of-pocket payment did not affect accessibility. The capacities of health facilities at different levels should be increased. Enhanced information sharing among health providers can improve identification of needs and gaps.
本研究的目的是确定最需要的医疗保健服务、各种医疗保健服务的可及性，以及居住在约旦非难民营地区的一群叙利亚难民所感知到的就医障碍，并比较不同群体之间的可及性。该研究在约旦的安曼、伊尔比德、卡拉克和马安省进行。这是一项横断面分析观察性研究，采用便利抽样和滚雪球抽样收集数据。2014年4月，一份结构化问卷被纳入约旦一个非政府组织正在进行的需求评估中，共进行了196次调查。除了常见的急性和传染病外，慢性病和牙科问题也很普遍。预防和初级卫生保健比高级服务更容易获得。结构和经济障碍阻碍了就医。具体的调查地点和省份与报告的可及性差异有关。登记状态、医疗服务提供者、持续时间和自付费用不影响可及性。应提高不同级别卫生设施的能力。加强卫生服务提供者之间的信息共享可以改善对需求和差距的识别。
