Journal of global health
Volume 9, Issue 2, 2019

The use of emergency department and outpatient clinics by Syrian refugees (Article) (Open Access)

Baykan N. , Aslaner M.A.
  • a Nevşehir State Hospital, Emergency Department, Nevşehir, Turkey
  • b Nevşehir State Hospital, Emergency Department, Nevşehir, Turkey

Abstract

Background: Displacement after a war or an armed conflict always leads to unexpected health problems, both among migrating people and in places to which new people have migrated. This study aimed to determine the health care needs and trends of Syrian patients. Methods: This retrospective study was conducted in a secondary care hospital in the city of Nevşehir, in central Turkey, between January 2013 and December 2017. All Syrian patients who visited the outpatient clinics and emergency department (ED) were enrolled in the study. Results: Over a span of five years, 41 723 Syrian patients visited the hospital's outpatient clinics and ED. The patients' median age was 23 (inter-quartile range (IQR) = 7-34), and 57.7% of them were female. In 2017, one-third of the Syrian patients visited the ED, a rate that was higher than that found among local patients (30.3% vs 25.0%, P < 0.001, respectively). The rate of pediatric clinic admissions among Syrian patients was about four times greater than the rate of local patients (20.1% vs 5.2%, P < 0.001, respectively), and Syrians' rate of admission to the obstetrics and gynecology clinic was about three times greater than the rate of local patients' admissions (12.3% vs 4.3%, P < 0.001, respectively). Conclusions: This study showed that Syrian patients' visits to the hospital, and especially the ED, are increasing. Further, the needs and expectations of these patients in terms of health care are different from local demands. New approaches should be applied to provide an appropriate use of health care facilities.

Author Keywords

[No Keywords available]

Index Keywords

refugee Syrian Arab Republic human Refugees ethnology Young Adult Humans Adolescent male female Ambulatory Care Facilities outpatient department Retrospective Studies adult Syria Turkey hospital emergency service Emergency Service, Hospital turkey (bird) retrospective study Child

Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85071758276&doi=10.7189%2fjogh.09.020404&partnerID=40&md5=d14fc5f59a535e249d8d6c8096b1702e

DOI: 10.7189/jogh.09.020404
ISSN: 20472986
Original Language: English