2019 年叙利亚战争受害者的医疗援助：来自慈善组织的有组织医疗保健支持报告。

Medical aid to war victims in Syria in 2019: a report of organized healthcare support from a charity organization.

机构信息

Department of Neurosurgery, Medical University of Warsaw, Warsaw, Poland.

Faculty of Theology, Cardinal Stefan Wyszynski University in Warsaw, Warsaw, Poland.

出版信息

BMC Health Serv Res. 2022 Sep 10;22(1):1145. doi: 10.1186/s12913-022-08507-z.

DOI:10.1186/s12913-022-08507-z

PMID:36088314

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9463839/

Abstract

BACKGROUND

In 2011, a civil war started in Syria, which is on-going and has reached a death toll of over 400,000 people. Humanitarian organizations, including Aid to The Church in Need (ACN), have strived to provide help and medical support to the civilian victims.

METHODS

We performed a retrospective analysis of data gathered in ACN projects in Syria in 2019. The datasets included descriptions of diseases, treatments, costs, cities, and hospitals. For each patient, we assigned the following additional categories: type of help (treatment, diagnosis, or nonmedical), type of treatment (medical or surgical), medical specialty, gross anatomic region, and presence of trauma.

RESULTS

A total of 3835 patients benefited from ACN support in Syria in 2019. The majority of financial support went towards treatment (78.4%), while other support went towards nonmedical help (15.7%) or providing a diagnosis (5.9%). Among treatments, 66.6% were medical and 33.4% surgical. The most common medical specialty was internal medicine (48.4%), followed by public health (13.7%) and surgery (7.3%). Anatomic region was undefined in 68.3% of cases and, when defined, was most commonly the abdominal cavity and pelvis (13%). The vast majority of cases 95.1%) were not associated with trauma. Procedural costs were highest in the Valley of Christians region, and lowest in Tartous. Network graphs were used to visualize the three most common diagnoses and treatments for each medical specialty.

CONCLUSIONS

The present report describes the treatment of war victims in Syria in 2019. The patients lacked the most basic medical or surgical healthcare. Charity organizations, like ACN, constitute a valuable source of information about the healthcare of war victims. Unfortunately, the methods of describing medical treatment provided to civilian victims remain underdeveloped. Future studies will require the cooperation of healthcare providers, humanists, and social workers. The present findings can help to optimize the provision of humanitarian help by charity organizations, by tailoring projects to the specific needs of Syrian war victims.

摘要

背景

2011 年，叙利亚内战爆发，目前仍在持续，已有超过 40 万人死亡。援助苦难中的教会组织（Aid to The Church in Need，简称 ACN）等人道主义组织一直在努力为平民受害者提供帮助和医疗支持。

方法

我们对 2019 年 ACN 在叙利亚项目中收集的数据进行了回顾性分析。数据集包括疾病描述、治疗、费用、城市和医院。我们为每位患者分配了以下附加类别：帮助类型（治疗、诊断或非医疗）、治疗类型（医疗或手术）、医疗专业、大体解剖区域和创伤情况。

结果

2019 年，共有 3835 名患者受益于 ACN 在叙利亚的支持。大部分资金用于治疗（78.4%），其他支持用于非医疗帮助（15.7%）或提供诊断（5.9%）。在治疗中，66.6%为医疗，33.4%为手术。最常见的医疗专业是内科（48.4%），其次是公共卫生（13.7%）和外科（7.3%）。解剖区域在 68.3%的病例中未定义，当定义时，最常见的是腹腔和骨盆（13%）。绝大多数病例（95.1%）与创伤无关。基督教河谷地区的程序费用最高，塔尔图斯地区最低。网络图用于可视化每个医疗专业的三种最常见的诊断和治疗方法。

结论

本报告描述了 2019 年叙利亚战争受害者的治疗情况。这些患者缺乏最基本的医疗或手术保健。像 ACN 这样的慈善组织是了解战争受害者医疗保健情况的宝贵信息来源。不幸的是，描述向平民受害者提供的医疗治疗的方法仍不发达。未来的研究将需要医疗保健提供者、人道主义者和社会工作者的合作。本研究结果可以帮助慈善组织优化对叙利亚战争受害者的人道主义援助，根据他们的具体需求定制项目。