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一位难民母亲的视角:作为土耳其移民的医疗保健满意度及获得医疗服务的情况

A refugee mother's perspective: Healthcare satisfaction and access to health services as an immigrant in Turkiye.

作者信息

Durmaz Nihal, Ulukol Betul, Bilirer Selen, Erguder Toker

机构信息

Deparment of Pediatrics, Gulhane Training and Research Hospital, Ankara, Turkiye.

Department of Social Pediatrics, Ankara University Faculty of Medicine, Ankara, Turkiye.

出版信息

North Clin Istanb. 2023 Mar 28;10(2):146-156. doi: 10.14744/nci.2023.97597. eCollection 2023.

Abstract

OBJECTIVE

The civil war that broke out in Syria in 2011 caused 3.7 million Syrians to migrate to Turkiye. Being particularly vulnerable women refugees may experience problems with access to healthcare services. This study aimed to determine the health problems of refugees in Ankara, their access to and use of these services.

METHODS

Healthcare-related levels of refugee mothers were assessed using a questionnaire and the study was conducted with the participation of 310 refugee mothers who presented to the Refugee Health Center, between 15 September 2017 and 15 December 2018.

RESULTS

Among the participants, 28.4% were minors who were between the ages of 15 and 18 years. The mean age of the mothers was 31.18±13.84 years, while the mean age of the fathers was 32.37±10.76 years. During their residence in Ankara, the participants preferred Refugee Health Centers (94%) and State Hospitals (83%) for healthcare. Of the participants, 42.1% stated that one or more family members had health problems, which necessitated regular hospital visits. In this study, 95.2% of participants stated that they were satisfied with the healthcare services they were receiving.

CONCLUSION

Although state hospitals were frequently used, refugees were also able to find solutions to their health problems through Refugee Health Centers. Nevertheless, while using other healthcare institutions, the biggest issue for the refugees was the language barrier. The high rates of adolescent pregnancy, disabilities, and chronic diseases were found to be among the main health problems of refugees. Women refugees seemed disadvantaged in education, language, income and employment.

摘要

目的

2011年叙利亚爆发的内战致使370万叙利亚人移民至土耳其。女性难民尤为脆弱,可能在获取医疗服务方面面临问题。本研究旨在确定安卡拉难民的健康问题、他们获取及使用这些服务的情况。

方法

采用问卷调查评估难民母亲与医疗保健相关的情况,该研究于2017年9月15日至2018年12月15日期间,在310名前往难民健康中心的难民母亲参与下进行。

结果

参与者中,28.4%为15至18岁的未成年人。母亲的平均年龄为31.18±13.84岁,父亲的平均年龄为32.37±10.76岁。在安卡拉居住期间,参与者就医时更倾向于难民健康中心(94%)和国家医院(83%)。42.1%的参与者表示,一名或多名家庭成员存在健康问题,需要定期就医。在本研究中,95.2%的参与者表示对所接受的医疗服务感到满意。

结论

尽管国家医院被频繁使用,但难民也能够通过难民健康中心解决他们的健康问题。然而,在使用其他医疗机构时,难民面临的最大问题是语言障碍。青少年怀孕、残疾和慢性病的高发生率被发现是难民的主要健康问题之一。女性难民在教育、语言、收入和就业方面似乎处于劣势。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ddb/10170389/4e0b5e3ad7d8/NCI-10-146-g001.jpg

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