Health Care Organization in Poland in Light of the Refugee Crisis Related to the Military Conflict in Ukraine

Prusaczyk, Artur; Bogdan, Magdalena; Vinker, Shlomo; Gujski, Mariusz; Żuk, Paweł; Kowalska-Bobko, Iwona; Karczmarz, Sabina; Oberska, Joanna; Lewtak, Katarzyna

doi:10.3390/ijerph20053831

Cited by 6 publications

(1 citation statement)

References 51 publications

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“…In the aspect of the healthcare system of these European countries, it is also important that people coming from Ukraine with chronic and oncological diseases, often without full medical documentation or a language barrier, cause numerous difficulties in specialized care for these patients [39]. The current situation, which manifests itself in the inevitable and long-term increase in demand for a larger and more diverse population, prompts the necessary restructuring of the healthcare system in Poland to ensure optimal and effective access to health services [40]. Tuberculosis still remains a significant public health problem in the 21st century.…”

Section: Discussionmentioning

confidence: 99%

The Impact of the War in Ukraine on the Epidemiological Situation of Tuberculosis in Europe

Wilczek,

Brzyska,

Bogucka

et al. 2023

JCM

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Ukraine is at the forefront of one of the largest outbreaks of tuberculosis (TB) in Europe, including multidrug-resistant tuberculosis. Due to the ongoing armed conflict in this area, there is a significant number of refugees from Ukraine to other European countries. The aim of the study is to emphasize the essence of the problem of the increased incidence of tuberculosis, taking into account the impact of the armed conflict in Ukraine, resulting in the intensification of migration movements. A descriptive epidemiological method was used as the research method. The material was collected by analyzing source statistical data from WHO and statistical yearbooks of selected European countries. Particularly, Ukrainian refugees in Poland, Germany, the Czech Republic, and Slovakia are at higher risk of contracting tuberculosis due to factors like migration stress, poor nutrition, and comorbidities. Epidemiological data from these countries show a rise in tuberculosis cases among foreigners, emphasizing the need for European specialists to be more vigilant in this unique situation, focusing on refugees and other vulnerable populations. More research and collaborative efforts are essential to closely monitor and prevent the severe outcomes of tuberculosis transmission.

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Section: Discussionmentioning

confidence: 99%

The Impact of the War in Ukraine on the Epidemiological Situation of Tuberculosis in Europe

Wilczek,

Brzyska,

Bogucka

et al. 2023

JCM

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Hospitalizations and deaths among people coinfected with HIV and HCV

Zarębska-Michaluk,

Rzymski,

Kanecki

et al. 2024

Sci Rep

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Coinfection with human immunodeficiency virus (HIV) and hepatitis C virus (HCV) remains a significant public health challenge. This retrospective, population-based study assessed the trends in hospitalization rates among patients co-infected with HCV and HIV in Poland in 2012–2022, encompassing the COVID-19 pandemic and massive influx of war refugees from Ukraine, the demographics and clinical characteristics among hospitalized patients, including in-hospital case fatality rates. Most hospitalized patients were over 40 years old (mean ± SD: 41.7 ± 8.9 years) and were men (74%). The mean annual hospitalization rate was estimated at 1.33 per 10 5 and was three-fold lower in the pandemic period (mean 0.51 per 10 5 ) than in the pre-pandemic era (mean 1.63 per 10 5 ). In turn, the in-hospital case-fatality rates increased during the pandemic in men (from a mean of 1.83 to 3.93) but not in women (a mean of 1.53 in both periods). There was no significant increase in hospitalization rates in 2022, during which the significant inflow of war refugees in Ukraine occurred. The epidemiological situation of people (co)infected with HIV and HCV in Poland requires further monitoring, though it did not escalate in the studied period due to the influx of war refugees from Ukraine.

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An educational approach to develop intercultural nursing care for refugees from Ukraine: A qualitative study

Larson,

Choufani,

Płaszewska‐Żywko

2024

International Nursing Review

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AimTo describe how nurses and nursing students in Poland and the United States perceive the practice of intercultural care of refugees from Ukraine.BackgroundMillions of Ukrainian citizens sought safety in other countries when Russia invaded Ukraine in February 2022.IntroductionNurses in Poland and the United States are positioned to provide nursing care for refugees from Ukraine yet lack intercultural knowledge, skills, and attitudes to meet refugee needs.MethodsThis education‐focused qualitative description study was conducted in Spring 2023. Eighteen MSN and BSN students from one university in Poland and one university in the United States completed an international virtual exchange course that concentrated on the health and well‐being of refugees from Ukraine. Students’ reflection papers generated the data for this study. Content analysis was used to systematically structure the data, and themes were inductively derived for an initial understanding of intercultural care for refugees. The COREQ guidelines were followed for reporting study findings.ResultsMajor themes were troubled communication, overlooked trauma‐informed care, and compromised vaccine status. Language differences, a gap in nursing knowledge, and cultural variations impeded intercultural care.DiscussionTo address intercultural care for refugees from Ukraine, macro‐ and microlevel factors should be considered. Healthcare facilities need certified interpreters or adequate language‐access technology for nurses. Nursing programs might evaluate content on trauma‐informed care and cultural competency to meet the needs of war‐affected refugees. Leaders from Ukrainian refugee communities could partner with nurses to deliver culturally relevant information to increase vaccine uptake.ImplicationsNurses should advocate for inclusion of the WHO competency standards of care for refugees in healthcare policies with emphasis on communication and evidence‐informed practice. Placing Ukrainian community leaders on health councils could bridge the gap between refugees and mainstream society.

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Health Care Organization in Poland in Light of the Refugee Crisis Related to the Military Conflict in Ukraine

Cited by 6 publications

References 51 publications

The Impact of the War in Ukraine on the Epidemiological Situation of Tuberculosis in Europe

The Impact of the War in Ukraine on the Epidemiological Situation of Tuberculosis in Europe

Hospitalizations and deaths among people coinfected with HIV and HCV

An educational approach to develop intercultural nursing care for refugees from Ukraine: A qualitative study

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