Institute of Family Medicine, University Hospital Schleswig-Holstein, Campus Luebeck, Ratzeburger Allee 160, 23538, Luebeck, Germany.
BMC Int Health Hum Rights. 2019 Jun 13;19(1):20. doi: 10.1186/s12914-019-0205-7.
The aim of this systematic review was to identify quality indicators (QI) developed for health care for refugees.
We conducted a systematic review of international QI databases such as the Agency for Health care Research and Quality in addition to a systematic search in PubMed, Cochrane library and Web of Science, using the terms "refugee" and "quality indicator", complemented by a search in reference lists and grey literature. All papers which included QIs for refugees, especially for health care were included. In a first step all existing QIs were screened for their relevance to refugees. In a second step, all health care QIs were extracted. In a final step, these health care QIs were classified into process, structure and outcome indicators.
Of 474 papers, 23 were selected for a full-text review. Of these 23 publications, 6 contained 115 QIs for health and health care for refugees. The main health care topics identified were reproductive health, health care service and health status.
Most indicators were indicators for outcome and structure quality, the smallest group were process indicators. Within the area of refugee health care, most QIs that have been found were QIs regarding reproductive health. QI databases do not yet include indicators specifically related to refugees.
本系统评价旨在确定针对难民医疗保健制定的质量指标（QI）。
我们在 Agency for Health care Research and Quality 等国际 QI 数据库中进行了系统评价，并在 PubMed、Cochrane 图书馆和 Web of Science 中进行了系统搜索，使用了“难民”和“质量指标”这两个术语，还对参考文献和灰色文献进行了搜索。所有包含难民 QI 的论文，特别是针对医疗保健的 QI，都被包括在内。在第一步中，我们对所有现有的 QI 进行了筛选，以确定其与难民的相关性。在第二步中，提取了所有医疗保健 QI。在最后一步，这些医疗保健 QI 被分为过程、结构和结果指标。
在 474 篇论文中，有 23 篇被选作全文审查。在这 23 篇出版物中，有 6 篇包含了 115 项针对难民的健康和医疗保健 QI。确定的主要医疗保健主题包括生殖健康、医疗保健服务和健康状况。
大多数指标是结果和结构质量的指标，最小的一组是过程指标。在难民医疗保健领域，发现的大多数 QI 是与生殖健康相关的 QI。QI 数据库尚未包括专门针对难民的指标。
