Araştırma Makalesi
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Bir hastane yetişkin acil servisine başvuran Suriyeli mülteci hastaların retrospektif incelenmesi

Yıl 2021, , 29 - 34, 03.04.2021

Ensar Durmuş , Fatih Güneysu

https://doi.org/10.22391/fppc.822513

Öz

Giriş: Savaşlar ve siyasi değişiklikler nedeniyle ülkelerden büyük ölçekli göç meydana gelebilir. Milyonlarca insan ikamet ettikleri yerleri terk edip başka ülkelere sığınır ve gittikleri ülkenin sosyolojik, ekonomik ve sağlık sistemlerini etkiler.
Yöntem: 01/03 / 2018-31 / 12/2019 tarihleri arasında Sakarya Üniversitesi Eğitim ve Araştırma Hastanesi yetişkin acil servisine başvuran geçici koruma altındaki Suriyeliler geriye dönük olarak incelendi. Böylelikle Suriyeli sığınmacıların acil servislere etkisinin incelenmesi amaçlanmıştır.
Bulgular: 2710'u erkek, 1600'ü kadın olmak üzere toplam 4310 Suriyeli hasta başvurusu yapıldı. Yeşil polikliniğe başvuran hastaların 3607'si (%83,7), hastaların 175'i (%4,1) adli vakadır. Adli vakaların 151'i (%86,3) Suriyeli erkek hastalara aittir. Hastaların çoğu genç yetişkin olup, ortalama hasta yaşı 30,8 ± 10,71 ve ortanca yaş 28'dir.
Sonuç: Suriyelilerin yetişkin acil servisinde daha çok yeşil kliniğe başvurduğu, erkek ve genç hastaların daha fazla başvurduğu, bu başvurular arasında adli vakaların küçük bir payın yer aldığı ve genellikle acil olmayan vakaların acil servisi kullandıkları sonucuna varıldı. Sığınmacılara, acil olmayan durumlarda birinci basamak sağlık hizmetine başvurmaları konusunda gerekli bilgilendirme yapılıp, bu yönde sağlık altyapısı örgütlenmesi acil servis iş yükünü azaltabilir.

Anahtar Kelimeler

Acil servis mülteciler Suriye

Kaynakça

  • 1. [Syrians under temporary protection] (in Turkish). T.C. Ministry of Interior General Directorate of GOC Administration. Mar. 05, 2020. Available at: https://www.goc.gov.tr/gecici-koruma5638 (Access Date: 12.03.2020)
  • 2. Kurt F. Demographic characteristics and treatment costs of immigrant patients in the pediatric emergency department. Turkish J Pediat Dis. 2019;6:413-7. https://doi.org/10.12956/tjpd.2018.381
  • 3. Karadag O, Altintas KH. Refugees and health. TAF Prev Med Bull. 2010;9(1):55-62.
  • 4. Kordeve MK. Access to health services of Syrian refugees: a field research. J Health Manage 2017;1(2):1-12.
  • 5. Yorulmaz O, Yakut SG. Investigating socioeconomic determinants of crime rates in Turkey: A robust approach to path analysis. Marmara Uni J Econ Administrative Sci 2017;39(1):307-22. https://doi.org/10.14780/muiibd.329943
  • 6. Kenes HC. The role of metaphor in discriminatory hegemony: the use of metaphor in reporting of Syrians. Gaziantep Uni J Soc Sci 2016;15(2):253-80. https://doi.org/10.21547/jss.256727
  • 7. [Syrians fill hospital emergencies] (in Turkish). Available at: https://www.yenimesaj.com.tr/suriyeliler-hastane-acillerini-doldurdu-H1242608.htm (Access Date: April 22, 2020).
  • 8. Ozdemir AS. [Mistakes About Syrians] (in Turkish). Available at: https://multeciler.org.tr/suriyelilerle-ilgili-dogru-bilinen-yanlislar/ (Access Date: April 22, 2020).
  • 9. [Emergency personnel riot against Syrians] (in Turkish). Available at: https://www.yenicaggazetesi.com.tr/acil-servis-personelinin-suriyeli-isyani-261723h.htm (Access Date: April 22, 2020).
  • 10. Alper M. [Top 100 hospitals in each branch-2017 number of public hospitals examination, hospitalization, intensive care, surgery, emergency service and births] (in Turkish). Republic of Turkey Ministry of Health Directorate General of Public Hospitals Statistics, Analysis, Reporting and Strategic Management Department Page. Available at: https://khgmistatistikdb.saglik.gov.tr/TR,43819/her-bransta-ilk-100-hastane-2017-yili-kamu-hastaneleri-muayene-yatis-yogun-bakim-ameliyat-acil-servis-ve-dogum-sayilari.html (Access Date: March 12, 2020).
  • 11. George D, Mallery P. IBM SPSS Statistics 23 step by step: a simple guide and reference (14th ed.). Routledge;2016. https://doi.org/10.4324/9781315545899
  • 12. Guess MA, Tanabe KO, Nelson AE, Nguyen S, Hauck FR, Scharf RJ. Emergency department and primary care use by refugees compared to non-refugee controls. J Immigrant Minority Health. 2019;21:793–800. https://doi.org/10.1007/s10903-018-0795-5
  • 13. Credé SH, Such E, Mason S. International migrants’ use of emergency departments in Europe compared with non-migrants use: a systematic review. Eur J Pub Health. 2018;28:61–73. https://doi.org/10.1093/eurpub/ckx057
  • 14. Mahmoud I, Eley R, Hou XY. Subjective reasons why immigrant patients attend the emergency department. BMC Emerg Med. 2015;15:4. https://doi.org/10.1186/s12873-015-0031-8
  • 15. Tarraf W, Vega W, Gonzalez HM. Emergency department services use among immigrant and non-immigrant groups in the United States. J Immigrant Minority Health. 2014;16(4):595–606. https://doi.org/10.1007/s10903-013-9802-z
  • 16. Baykan N, Aslaner MA. The use of emergency department and outpatient clinics by Syrian refugees. J Glob Health. 2019;9(2):020404. https://doi.org/10.7189/jogh.09.020404
  • 17. Gulacti U, Lok U, Polat H. Emergency department visits of Syrian refugees and the cost of their healthcare. Pathog Glob Health. 2017;111(5): 219-24. https://doi.org/10.1080/20477724.2017.1349061
  • 18. Karakus A, Yengil E, Akkucuk S, Cevik C, Zeren C, Uruc V. The reflection of the Syrian civil war to emergency department and assessment of hospital costs. National Trauma Emergency Surg J 2013;19:429–33. https://doi.org/10.5505/tjtes.2013.78910
  • 19. Yuzbasioglu Y, Isik GC. Retrospective analysis of forensic cases in refugees admitted to emergency department. Am J Emerg Med 2019;37(9):1691-3. https://doi.org/10.1016/j.ajem.2018.12.010

Retrospective analysis of Syrian refugee patients admitted to a hospital adult emergency service

Yıl 2021, , 29 - 34, 03.04.2021

Ensar Durmuş , Fatih Güneysu

https://doi.org/10.22391/fppc.822513

Öz

Introduction: Due to wars and political changes, large-scale migration can occur from countries. Millions of people leave their places of residence and take refuge in other countries and affect the sociological, economic and health systems of the country they go to.
Methods: Syrians under temporary protection, who applied to Sakarya University Training and Research Hospital adult emergency room between 01/03/2018-31/12/2019, were examined retrospectively. Thus, it was aimed to examine the effect of Syrian refugees on emergency services.
Results: A total of 4310 Syrian patient applications are made, of which 2710 are male and 1600 are female. 3607 (83.7%) of the patients applied to the green outpatient clinic, 175 of the patients (4.1%) are forensic cases. 151 (86.3%) of forensic cases belong to male Syrian patients. Most of the patients are young adults, the average patient age is 30.8 ± 10.71 and the median age is 28.
Conclusion: It was concluded that Syrians mostly apply to the green clinic in the adult emergency department, male and young patients apply more, forensic cases occupy a small proportion among these applications, and generally non-emergency cases use the emergency service. Refugees can be informed about applying to primary health care in non-emergency situations and organizing health infrastructure in this direction can reduce the emergency service workload.

Anahtar Kelimeler

Emergency service refugees Syria

Kaynakça

  • 1. [Syrians under temporary protection] (in Turkish). T.C. Ministry of Interior General Directorate of GOC Administration. Mar. 05, 2020. Available at: https://www.goc.gov.tr/gecici-koruma5638 (Access Date: 12.03.2020)
  • 2. Kurt F. Demographic characteristics and treatment costs of immigrant patients in the pediatric emergency department. Turkish J Pediat Dis. 2019;6:413-7. https://doi.org/10.12956/tjpd.2018.381
  • 3. Karadag O, Altintas KH. Refugees and health. TAF Prev Med Bull. 2010;9(1):55-62.
  • 4. Kordeve MK. Access to health services of Syrian refugees: a field research. J Health Manage 2017;1(2):1-12.
  • 5. Yorulmaz O, Yakut SG. Investigating socioeconomic determinants of crime rates in Turkey: A robust approach to path analysis. Marmara Uni J Econ Administrative Sci 2017;39(1):307-22. https://doi.org/10.14780/muiibd.329943
  • 6. Kenes HC. The role of metaphor in discriminatory hegemony: the use of metaphor in reporting of Syrians. Gaziantep Uni J Soc Sci 2016;15(2):253-80. https://doi.org/10.21547/jss.256727
  • 7. [Syrians fill hospital emergencies] (in Turkish). Available at: https://www.yenimesaj.com.tr/suriyeliler-hastane-acillerini-doldurdu-H1242608.htm (Access Date: April 22, 2020).
  • 8. Ozdemir AS. [Mistakes About Syrians] (in Turkish). Available at: https://multeciler.org.tr/suriyelilerle-ilgili-dogru-bilinen-yanlislar/ (Access Date: April 22, 2020).
  • 9. [Emergency personnel riot against Syrians] (in Turkish). Available at: https://www.yenicaggazetesi.com.tr/acil-servis-personelinin-suriyeli-isyani-261723h.htm (Access Date: April 22, 2020).
  • 10. Alper M. [Top 100 hospitals in each branch-2017 number of public hospitals examination, hospitalization, intensive care, surgery, emergency service and births] (in Turkish). Republic of Turkey Ministry of Health Directorate General of Public Hospitals Statistics, Analysis, Reporting and Strategic Management Department Page. Available at: https://khgmistatistikdb.saglik.gov.tr/TR,43819/her-bransta-ilk-100-hastane-2017-yili-kamu-hastaneleri-muayene-yatis-yogun-bakim-ameliyat-acil-servis-ve-dogum-sayilari.html (Access Date: March 12, 2020).
  • 11. George D, Mallery P. IBM SPSS Statistics 23 step by step: a simple guide and reference (14th ed.). Routledge;2016. https://doi.org/10.4324/9781315545899
  • 12. Guess MA, Tanabe KO, Nelson AE, Nguyen S, Hauck FR, Scharf RJ. Emergency department and primary care use by refugees compared to non-refugee controls. J Immigrant Minority Health. 2019;21:793–800. https://doi.org/10.1007/s10903-018-0795-5
  • 13. Credé SH, Such E, Mason S. International migrants’ use of emergency departments in Europe compared with non-migrants use: a systematic review. Eur J Pub Health. 2018;28:61–73. https://doi.org/10.1093/eurpub/ckx057
  • 14. Mahmoud I, Eley R, Hou XY. Subjective reasons why immigrant patients attend the emergency department. BMC Emerg Med. 2015;15:4. https://doi.org/10.1186/s12873-015-0031-8
  • 15. Tarraf W, Vega W, Gonzalez HM. Emergency department services use among immigrant and non-immigrant groups in the United States. J Immigrant Minority Health. 2014;16(4):595–606. https://doi.org/10.1007/s10903-013-9802-z
  • 16. Baykan N, Aslaner MA. The use of emergency department and outpatient clinics by Syrian refugees. J Glob Health. 2019;9(2):020404. https://doi.org/10.7189/jogh.09.020404
  • 17. Gulacti U, Lok U, Polat H. Emergency department visits of Syrian refugees and the cost of their healthcare. Pathog Glob Health. 2017;111(5): 219-24. https://doi.org/10.1080/20477724.2017.1349061
  • 18. Karakus A, Yengil E, Akkucuk S, Cevik C, Zeren C, Uruc V. The reflection of the Syrian civil war to emergency department and assessment of hospital costs. National Trauma Emergency Surg J 2013;19:429–33. https://doi.org/10.5505/tjtes.2013.78910
  • 19. Yuzbasioglu Y, Isik GC. Retrospective analysis of forensic cases in refugees admitted to emergency department. Am J Emerg Med 2019;37(9):1691-3. https://doi.org/10.1016/j.ajem.2018.12.010
Toplam 19 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Acil Tıp
Bölüm Araştırma Makalesi (Original Article)
Yazarlar

Ensar Durmuş 0000-0001-7722-6639

Fatih Güneysu 0000-0002-8433-3763

Yayımlanma Tarihi 3 Nisan 2021
Gönderilme Tarihi 6 Kasım 2020
Kabul Tarihi 16 Şubat 2021
Yayımlandığı Sayı Yıl 2021

Kaynak Göster

APA Durmuş, E., & Güneysu, F. (2021). Retrospective analysis of Syrian refugee patients admitted to a hospital adult emergency service. Family Practice and Palliative Care, 6(1), 29-34. https://doi.org/10.22391/fppc.822513
AMA Durmuş E, Güneysu F. Retrospective analysis of Syrian refugee patients admitted to a hospital adult emergency service. Fam Pract Palliat Care. Nisan 2021;6(1):29-34. doi:10.22391/fppc.822513
Chicago Durmuş, Ensar, ve Fatih Güneysu. “Retrospective Analysis of Syrian Refugee Patients Admitted to a Hospital Adult Emergency Service”. Family Practice and Palliative Care 6, sy. 1 (Nisan 2021): 29-34. https://doi.org/10.22391/fppc.822513.
EndNote Durmuş E, Güneysu F (01 Nisan 2021) Retrospective analysis of Syrian refugee patients admitted to a hospital adult emergency service. Family Practice and Palliative Care 6 1 29–34.
IEEE E. Durmuş ve F. Güneysu, “Retrospective analysis of Syrian refugee patients admitted to a hospital adult emergency service”, Fam Pract Palliat Care, c. 6, sy. 1, ss. 29–34, 2021, doi: 10.22391/fppc.822513.
ISNAD Durmuş, Ensar - Güneysu, Fatih. “Retrospective Analysis of Syrian Refugee Patients Admitted to a Hospital Adult Emergency Service”. Family Practice and Palliative Care 6/1 (Nisan 2021), 29-34. https://doi.org/10.22391/fppc.822513.
JAMA Durmuş E, Güneysu F. Retrospective analysis of Syrian refugee patients admitted to a hospital adult emergency service. Fam Pract Palliat Care. 2021;6:29–34.
MLA Durmuş, Ensar ve Fatih Güneysu. “Retrospective Analysis of Syrian Refugee Patients Admitted to a Hospital Adult Emergency Service”. Family Practice and Palliative Care, c. 6, sy. 1, 2021, ss. 29-34, doi:10.22391/fppc.822513.
Vancouver Durmuş E, Güneysu F. Retrospective analysis of Syrian refugee patients admitted to a hospital adult emergency service. Fam Pract Palliat Care. 2021;6(1):29-34.

Family Practice and Palliative Care      ISSN 2458-8865       E-ISSN 2459-1505