土耳其家庭医生对叙利亚难民患者的看法和经验：一项定性研究。
Views and experiences of family physicians about Syrian refugee patients in Turkey: a qualitative research.
机构信息
Hacettepe University, Faculty of Medicine, Department of Family Medicine, Ankara, Turkey.
Hacettepe University, Faculty of Medicine, Department of Geriatrics, Ankara, Turkey.
出版信息
Prim Health Care Res Dev. 2021 May 26;22:e19. doi: 10.1017/S1463423621000190.
AIM
The aim of this study was to describe the attitudes, views and solution proposals of family physicians (FPs) about primary healthcare problems of Syrian refugee patients. This study would be the very first study for Turkey that evaluates the attitudes, views and solution proposals of FPs about primary healthcare problems of Syrian refugee patients.
BACKGROUND
Following the anti-regime demonstrations that started in March 2011, the developments in Syria created one of the biggest humanitarian crises in the world and the largest number of asylum seekers continue to be hosted in Turkey. There are some studies evaluating asylum seekers' access to healthcare services in Europe, and the common result is that refugees have free access to primary healthcare services in most countries; however, they face many obstacles when accessing primary healthcare services. While there are studies in the literature evaluating the situation of access to primary healthcare services from the perspective of asylum seekers; there are few studies evaluating the opinions/views of FPs.
METHODS
A qualitative methodology informed by the grounded theory was used to guide the research. A total of 20 FPs were interviewed face to face through semi-structured interviews, using 12 questions about their lived experience and views caring of refugee population. Interviews were analysed thematically.
FINDING
The following themes were revealed: Benefiting from Primary Health Care Services, Benefiting from Rights, Differences Between the Approach/Attitudes of Turkish Citizens and Refugees, Barriers to Healthcare Delivery, Training Needs of Physicians, Solution proposals. FPs reported that there is a need for support in primary care and a need for training them and refugees in this regard and they specified refugee healthcare centres are the best healthcare centres for refugees; however, the number of these and provided services should be increased.
目的
本研究旨在描述家庭医生（FPs）对叙利亚难民患者初级保健问题的态度、观点和解决方案建议。这项研究将是土耳其评估家庭医生对叙利亚难民患者初级保健问题的态度、观点和解决方案建议的首例研究。
背景
自 2011 年 3 月开始的反政权示威活动以来，叙利亚的局势发展造成了世界上最大的人道主义危机之一，最大数量的寻求庇护者继续在土耳其得到收容。有一些研究评估了欧洲寻求庇护者获得医疗保健服务的情况，共同的结果是，在大多数国家，难民可以免费获得初级保健服务；然而，他们在获得初级保健服务时面临许多障碍。虽然文献中有一些研究从寻求庇护者的角度评估获得初级保健服务的情况；但很少有研究评估家庭医生的意见/观点。
方法
本研究采用扎根理论指导的定性方法。通过半结构化访谈，对 20 名家庭医生进行了面对面访谈，共提出了 12 个关于他们照顾难民人口的亲身经历和观点的问题。采用主题分析法对访谈进行分析。
结果
揭示了以下主题：从初级卫生保健服务中受益、从权利中受益、土耳其公民和难民的态度/方法差异、医疗服务提供的障碍、医生的培训需求、解决方案建议。家庭医生报告说，初级保健方面需要支持，需要在这方面对他们和难民进行培训，他们指出难民保健中心是难民的最佳保健中心；然而，这些中心的数量和提供的服务应该增加。
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