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土耳其家庭医生对难民患者及初级卫生保健的看法:一项定性研究。

Perspectives of Turkish family physicians towards refugee patients and primary health care: A qualitative study.

作者信息

Tuz Canan, Abdulkader Beyza Nur, Gültekin İlknur, Selçuk Kübra Nur, Alper Züleyha

机构信息

Bursa Uludag University, Faculty of Medicine, Department of Family Medicine, Turkey.

Bursa Uludag University, Faculty of Medicine, Department of Medical Education, Turkey.

出版信息

Heliyon. 2024 Nov 13;10(22):e40377. doi: 10.1016/j.heliyon.2024.e40377. eCollection 2024 Nov 30.

Abstract

OBJECTIVES

The increasing number of refugees in various regions of our country has led to socio-economic issues and challenges in the healthcare system. This study aims to investigate family physicians' perspectives in Turkey regarding refugees' social lives and healthcare services.

DESIGN

This is a qualitative cross-sectional study using phenomenological research design. The study was carried out with family physicians in health care centers. Three online focus group interviews were conducted to collect the data. The interviews proceeded with semistructured questions about their perceptions of refugee health and their challenges while working with refugee patients. The research data were descriptively presented and supported by quotes obtained from interviews with the participants.

RESULTS

A total of 24 family physicians were reached through three online sessions for data collection. Of the 24 participating family physicians, 10 were men and 14 were women. On average, the physicians had eight years of medical experience, and the average number of registered immigrant populations in the family health units was around 100 patients. After consulting the domain experts, a final determination of 4 different themes was made. These themes were identified as follows: experience, emotions, and thoughts; encountered challenges, and proposed solutions.

CONCLUSIONS

Family physicians face difficulties adapting to healthcare systems and face challenges in scheduling appointments and accessing advanced medical investigations when seeking hospital services.

摘要

目的

我国各地区难民数量不断增加,这给社会经济带来了问题,并给医疗系统带来了挑战。本研究旨在调查土耳其家庭医生对难民社会生活和医疗服务的看法。

设计

这是一项采用现象学研究设计的定性横断面研究。该研究在医疗中心与家庭医生开展。进行了三次在线焦点小组访谈以收集数据。访谈围绕他们对难民健康的看法以及为难民患者提供服务时所面临的挑战等半结构化问题展开。研究数据以描述性方式呈现,并辅以从对参与者的访谈中获得的引述作为支撑。

结果

通过三次在线会议共联系到24名家庭医生参与数据收集。在这24名参与的家庭医生中,男性10名,女性14名。这些医生平均有八年的医疗经验,家庭健康单位登记的移民人口平均数量约为100名患者。在咨询领域专家后,最终确定了4个不同的主题。这些主题如下:经历、情感和想法;遇到的挑战以及提出的解决方案。

结论

家庭医生在适应医疗系统方面面临困难,在寻求医院服务时,在安排预约和获得高级医疗检查方面面临挑战。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/66fc/11609651/c260bac044b9/gr1.jpg

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