PMID- 31489187
OWN - NLM
STAT- MEDLINE
DCOM- 20190911
LR  - 20231013
IS  - 2047-2986 (Electronic)
IS  - 2047-2978 (Print)
IS  - 2047-2978 (Linking)
VI  - 9
IP  - 2
DP  - 2019 Dec
TI  - The use of emergency department and outpatient clinics by Syrian refugees.
PG  - 020404
LID - 10.7189/jogh.09.020404 [doi]
LID - 020404
AB  - 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 Nevsehir, 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.
FAU - Baykan, Necmi
AU  - Baykan N
AD  - Nevsehir State Hospital, Emergency Department, Nevsehir, Turkey.
FAU - Aslaner, Mehmet Ali
AU  - Aslaner MA
AD  - Nevsehir State Hospital, Emergency Department, Nevsehir, Turkey.
LA  - eng
PT  - Journal Article
PL  - Scotland
TA  - J Glob Health
JT  - Journal of global health
JID - 101578780
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Ambulatory Care Facilities/*statistics & numerical data
MH  - Child
MH  - Emergency Service, Hospital/*statistics & numerical data
MH  - Female
MH  - Humans
MH  - Male
MH  - Refugees/*statistics & numerical data
MH  - Retrospective Studies
MH  - Syria/ethnology
MH  - Turkey
MH  - Young Adult
PMC - PMC6708588
COIS- Competing interests: The authors have completed the Unified Competing Interest 
      form at www.icmje.org/coi_disclosure.pdf (available on request from the 
      corresponding author) and declare no competing interests.
EDAT- 2019/09/07 06:00
MHDA- 2019/09/12 06:00
PMCR- 2019/08/25
CRDT- 2019/09/07 06:00
PHST- 2019/09/07 06:00 [entrez]
PHST- 2019/09/07 06:00 [pubmed]
PHST- 2019/09/12 06:00 [medline]
PHST- 2019/08/25 00:00 [pmc-release]
AID - jogh-09-020404 [pii]
AID - 10.7189/jogh.09.020404 [doi]
PST - ppublish
SO  - J Glob Health. 2019 Dec;9(2):020404. doi: 10.7189/jogh.09.020404.