评估土耳其境内叙利亚难民的慢性病卫生服务提供情况和治疗障碍：文献回顾和利益攸关方访谈。
Evaluating the Provision of Health Services and Barriers to Treatment for Chronic Diseases among Syrian Refugees in Turkey: A Review of Literature and Stakeholder Interviews.
机构信息
School of Medicine, Yale University, New Haven, CT 06520, USA.
Department of Chronic Disease Epidemiology, Yale School of Public Health, New Haven, CT 06510, USA.
出版信息
Int J Environ Res Public Health. 2019 Jul 25;16(15):2660. doi: 10.3390/ijerph16152660.
Abstract
BACKGROUND
While Turkey hosts the largest number of Syrian refugees, the provision of health services for chronic disease among Syrian refugees in Turkey has been inadequate and understudied. This paper explores Turkish healthcare policies surrounding Syrian refugees' access to health services for chronic diseases.
METHODS
We conducted a literature review and supplementary stakeholder interviews to evaluate the provision of chronic health services and the most common barriers to healthcare access among Syrian refugees in Turkey.
RESULTS
Though access to treatment for displaced Syrians has improved throughout the past five years, five primary barriers persist: registration procedure regulations, navigation of a new health system, language barriers, fear of adverse treatment, and cost.
CONCLUSIONS
To drive improvements in healthcare for chronic diseases among Syrian refugees in Turkey, we recommend making registration procedures more accessible, developing more healthcare options in patients' native language, increasing human resources, and advocating for more research surrounding chronic health conditions among refugees.
摘要
背景
土耳其是接纳叙利亚难民人数最多的国家，但该国为叙利亚难民提供慢性病医疗服务的工作一直做得不够，且相关研究也很少。本文探讨了土耳其的医疗保健政策，了解其如何为叙利亚难民获取慢性病医疗服务提供便利。
方法
我们对文献进行了回顾，并进行了补充利益攸关方访谈，以评估土耳其为叙利亚难民提供慢性病医疗服务的情况，以及他们在获取医疗服务方面最常见的障碍。
结果
尽管过去五年中，流离失所的叙利亚人获得治疗的机会有所改善，但仍存在五个主要障碍：登记程序规定、新卫生系统的使用、语言障碍、对治疗不利的恐惧和费用。
结论
为了改善土耳其境内叙利亚难民的慢性病医疗服务，我们建议使登记程序更加便捷，在患者的母语中开发更多的医疗保健选择，增加人力资源，并倡导针对难民的慢性病进行更多的研究。
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本文引用的文献
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Public Health. 2019 Jul;172:146-152. doi: 10.1016/j.puhe.2019.05.004. Epub 2019 Jun 22.
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