Ezgi AGADAYI, Emine Ozer KUCUK, Aybuke Demir ALSANCAK, Seval Gonderen CAKMAK, Rabia KAHVECI

Türkiye’de bir eğitim araştırma hastanesine başvuran Suriyeli göçmenlerin elektronik tıbbi kayıtlarının retrospektif analizi

Amaç: Suriyeliler iç çatışmalar sebebiyle, başta Türkiye olmak üzere; Lübnan, Ürdün ve Irak’a yoğun ve toplu göçler gerçekleştirmişlerdir. Sağlık hizmetlerine erişebilirlik kriz durumlarında büyük bir öneme sahiptir. Bu çalışmada amacımız, Ankara ilinde bulunan üçüncü basamak bir hastaneye başvuran Suriyeli mülteci hastaların özelliklerini ve sağlık hizmetlerine erişim sıklıklarını ortaya koymaktır.Gereç ve Yöntemler: Retrospektif tanımlayıcı araştırmamıza, Ankara Numune Eğitim ve Araştırma Hastanesi’ne 03.2014-02.2017 tarihleri arasında başvuran Suriye uyruklu hastalar, yaş sınırı aranmaksızın dahil edilmiştir. Hastaların; kayıtlı oldukları iller, yaş, cinsiyet, hasta sayısı, poliklinik, yatış ve acil başvuru sayısı, ICD (Hastalıkların Uluslararası Sınıflaması) tanı kodu sıklığı, ameliyat olma durumu, ameliyat grubu ve görüntüleme istenme oranları incelenmiştir.Bulgular: Başvuran toplam Suriyeli sayısı 2205’tir. İlk 3 ICD tanı kodu grubu “Semptomlar ve anormal klinik ve laboratuvar bulguları (R00-R99)”, Sağlık durumu ve sağlık hizmetlerinden yararlanmayı etkileyen faktörler (Z00-Z99)” ve “Kas-iskelet ve bağ dokusu hastalıkları (M00-M99)”dır. En sık başvurulan klinik Acil Tıp’tır. Sonuçlar: Başvuruların çoğu birinci basamakta tanı ve tedavi edilebilecek problemlerdir. Suriyeli hastaların hasta ve maliyet açısından aile hekimleri tarafından yakından takip edilebilmelerinin daha etkili olacağı düşünülmektedir.

Anahtar Kelimeler:

Mülteci, sağlık hizmeti, sığınmacı

Retrospective analysis of electronic medical records of Syrian immigrants admitted to a training and research hospital in Turkey

Aim: The Syrian citizens mass-migrated mostly to Turkey along with Lebanon, Jordan, and Iraq because of internal conflicts. Having access to health care is of great importance in such crisis situations. The aim of this study is to reveal the characteristics and the frequency of admission to health services of Syrian refugee patients, who have admitted to a tertiary hospital in Ankara.Material and Methods: The patients of Syrian nationality who have admitted to Ankara Numune Training and Research Hospital between 03.2014 - 02.2017 were included irrespective of their age in this descriptive retrospective study. Medical records were reviewed for available information such as the registered province, age, gender, number of patients, outpatient clinic, number of hospital admissions and emergency applications, the frequency of the diagnosis international classification of diseases (ICD) code, surgery status, surgery type, and the frequency of imaging requests. Results: The total number of Syrian citizens was 2,205. The top three ICD diagnosis codes are “Symptoms, signs, and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)”, “Factors influencing health status and contact with health services (Z00-Z99)” and “Diseases of the musculoskeletal system and connective tissue (M00-M99)”. The most frequented clinic was the emergency medicine. Conclusion: Most of the applications are the problems that could be diagnosed and treated in primary care. It is thought to be more effective that Syrian patients could be followed closely by family physicians, in term of patients and cost.

Keywords:

Refugee, healthcare, asylum seeker,

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