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在伊斯坦布尔生活的叙利亚难民的健康和医疗保健服务获取情况。

Health and health care access for Syrian refugees living in İstanbul.

机构信息

Bezmialem Vakif University, İstanbul, Turkey.

University of Sheffield, Sheffield, UK.

出版信息

Int J Public Health. 2018 Jun;63(5):601-608. doi: 10.1007/s00038-018-1096-4. Epub 2018 Apr 9.

DOI:10.1007/s00038-018-1096-4
PMID:29629476
Abstract

OBJECTIVES

The study was conducted to assess the health needs of urban refugees living in İstanbul.

METHODS

A mixed methods approach was adopted to interview Syrian women from households, doctors, decision makers and NGO representatives. The data were collected between June and October 2015.

RESULTS

The main challenges were the cost of living in İstanbul, increased rent and language barrier. Almost half (49.6%) of the interviewed women did not know about free health care rights for Syrians. In the last 30 days preceding the interview, 58.6% of the participants sought health care primarily through state hospitals, primary health care centres and pharmacies. The participants had difficulty in accessing health care due to the language barrier and a lack of knowledge of the Turkish health care system. Waiting time at hospitals and negative attitudes of health care staff reduced satisfaction in these services.

CONCLUSIONS

In relation to life in Turkey, the main issues for Syrian refugees were not directly related to health. They have been given the right to access health care, although had many difficulties in understanding and accessing services in a crowded city.

摘要

目的

本研究旨在评估居住在伊斯坦布尔的城市难民的健康需求。

方法

采用混合方法对家庭中的叙利亚妇女、医生、决策者和非政府组织代表进行访谈。数据收集于 2015 年 6 月至 10 月之间。

结果

主要挑战是在伊斯坦布尔的生活成本增加、租金上涨和语言障碍。接受采访的妇女中几乎有一半(49.6%)不知道叙利亚人享有免费医疗保健权利。在接受采访前的 30 天内,58.6%的参与者主要通过公立医院、初级保健中心和药店寻求医疗保健。由于语言障碍和对土耳其医疗保健系统缺乏了解,参与者在获得医疗保健方面存在困难。医院的等待时间和医疗保健人员的负面态度降低了对这些服务的满意度。

结论

就土耳其的生活而言,叙利亚难民的主要问题与健康无关。尽管在拥挤的城市中理解和获得服务存在许多困难,但他们已被赋予获得医疗保健的权利。

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