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全球难民群体未得到满足的外科手术需求:一篇综述

The unmet surgical needs of global refugee populations: A perspective review.

作者信息

Awuah Wireko Andrew, Adebusoye Favour Tope, Ferreira Tomas, Azeem Saleha, Bharadwaj Hareesha Rishab, Akpan Aniekeme Amos, Wellington Jack, Zia Muhammad Robass, Kumar Harendra, Khalid Amna, Abdul-Rahman Toufik, Isik Arda

机构信息

Sumy State University, Sumy, Ukraine.

School of Clinical Medicine, University of Cambridge, Cambridge, UK.

出版信息

SAGE Open Med. 2023 Oct 10;11:20503121231204492. doi: 10.1177/20503121231204492. eCollection 2023.

Abstract

The global refugee community, including those forced to flee due to persecution, conflict, or violence, faces significant challenges in accessing healthcare, resulting in a higher prevalence of surgical disease. These challenges have a profound impact on morbidity and mortality rates, particularly in low- and middle-income countries where many immigrants seek refuge. Limited availability of medical facilities, an inadequate surgical workforce, financial constraints and linguistic and cultural barriers all contribute to reduced access to healthcare. Limited access to competent healthcare leads to poor health outcomes, increased morbidity and mortality rates and suboptimal surgical results for refugees. To address these challenges, a multifaceted approach is necessary. This includes increased funding for healthcare initiatives, workforce recruitment and training and improved coordination between aid organisations and local healthcare systems. Strategies for managing surgical conditions in the global refugee community encompass the development of targeted public health programmes, removing legal barriers, establishing healthcare facilities to enhance surgical access and prioritising disease prevention among refugees.

摘要

全球难民群体,包括那些因迫害、冲突或暴力而被迫逃离的人,在获得医疗保健方面面临重大挑战,导致外科疾病的患病率更高。这些挑战对发病率和死亡率产生了深远影响,尤其是在许多移民寻求庇护的低收入和中等收入国家。医疗设施供应有限、外科医疗人员不足、资金限制以及语言和文化障碍都导致获得医疗保健的机会减少。难民获得合格医疗保健的机会有限,导致健康状况不佳、发病率和死亡率上升以及手术效果不理想。为应对这些挑战,需要采取多方面的方法。这包括增加对医疗保健倡议的资金投入、招募和培训工作人员,以及改善援助组织与当地医疗系统之间的协调。全球难民群体中外科疾病的管理策略包括制定有针对性的公共卫生计划、消除法律障碍、建立医疗设施以增加手术机会,以及在难民中优先开展疾病预防工作。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7559/10566266/71587e333331/10.1177_20503121231204492-fig1.jpg

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