Umut PAYZA, Zeynep KARAKAYA, Fatih Esad TOPAL, Serkan BİLGİN, Ahmet KAYALI, Ecem ERMETE GÜLER

Comparison of the usage habits of healthcare systems of the imigrants and local residents

Turkey is one of the most popular immigration countries because of the wars that are ongoing in its southern border and its location on access routes to Europe. Migrations continue because of wars and political turmoil. The increasing number of migrants requires revising the public healthcare planning. In our study, we compared the behaviors of immigrants and local people. We examined to which extent immigrants used the clinics of our hospital. We interpreted the adequacy of the current healthcare system for migrants. We analyzed the hospital admissions of migrants and local residents who applied to our hospital between January 2014 and December 2018 in retrospective fashion. We determined the rates of referral to clinics. We determined that the highest referral rates of the migrants were made to emergency services, gynecology and obstetrics. We observed that the birth rates increased in migrants in the following period. However, despite the traumas, immigrants did not use psychiatric units. The existing healthcare and social policies must be revised by considering especially the needs of immigrants and their use of healthcare systems. We believe that primary healthcare services must be delivered equally to all individuals to reduce the intensity of emergency services, gynecology and obstetrics departments, and pediatric services. We also believe that the trauma that iscaused by immigration must not be underestimated.

Keywords:

Imigrants, Residents, Health Policy,

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REFERENCES:1. General Directorate of Migration Management. http://www.goc.gov.tr2. Cummings, C., & Pacitto, J. (2015, Aralık). Why People Move: Understanding the Drivers and Trends of Migration to Europe. 12 28, 2015 tarihinde http://www.odi.org/: http://www.odi.org/sites/odi.org.uk/files/odi-assets/publications-opinion files/101573. Russo, Veronica; Santarelli, Simona; Magrini, Laura; Moscatelli, Paolo; Altomonte, Fiorella; Cremonesi, Giulia; Battista, Stefania; Maggiorotto, Matteo; Pinto, Natalia; Maroccia, Alessio; Glorioso, Nicola; Sircana, Antonio; Moro, Marta; Pugliese, Francesco Rocco; Revello, Alessandra; Di Somma, Salvatore. Multicentre Italian analysis on cardiovascular diseases: impact of immigrants’ referral to emergency department, Journal of Cardiovascular Medicine, Volume18, Number 3, March 2017, pp. 136-143(8) Doi: https://doi.org/10.2459/JCM.00000000000002214. Chan TC, Krishel SJ, Bramwell Kj, Clark RF: Survey of illegal immigrants seen in an emergency department. West J Med 1996; 164:212-2165. Andrea Buron, Francesc Cots, Oscar Garcia, Oriol Vall and Xavier Castells Hospital emergency department utilisation rates among the immigrant population in Barcelona, Spain BMC Health Services Research 2008, 8:51 http://www.biomedcentral.com/1472-6963/8/516. Steven A. Camarota and Karen Zeigler The Declining Fertility of Immigrants and Natives. Centre for Immıgrants Studies, September 20177. Mary M Reed, John M Westfall, Caroline Bublitz, Catherine Battaglia and Alexandra Fickenscher Birth outcomes in Colorado's undocumented immigrant population BMC Public Health20055:100 https://doi.org/10.1186/1471-2458-5-1008. J. David Kinzie, Immigrants and Refugees: The Psychiatric Perspective. Published; December.1.2006, Research Art. https://doi.org/10.1177/13634615060707829. Laurence J. Kirmayer, MD, Lavanya Narasiah, MD MSc, Marie Munoz, MD, Meb Rashid, MD, Andrew G. Ryder, PhD, Jaswant Guzder, MD, Ghayda Hassan, PhD, Cécile Rousseau, MD MSc, and Kevin Pottie, MD MClSc, for the Canadian Collaboration for Immigrant and Refugee Health (CCIRH). Common mental health problems in immigrants and refugees: general approach in primary care, CMAJ. 2011 Sep 6; 183(12): E959–E967. PMCID: PMC3168672 doi: 10.1503/cmaj.090292