Impact of the Refugee Crisis on the Greek Healthcare System: A Long Road to Ithaca

Kotsiou, Ourania S.; Kotsios, Panagiotis; Srivastava, David; Kotsios, Vaios; Gourgoulianis, Konstantinos; Exadaktylos, Aristomenis K.

doi:10.3390/ijerph15081790

Cited by 49 publications

(88 citation statements)

References 77 publications

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“…Another systematic review showed differences in caesarean section rates by place of the refugee/migrant woman's origin and the host country [33]. In particular there were higher overall caesarean rates for Sub-Saharan African, Somali and South Asian women; higher emer- [36]. This massive demographic and social change to Greece's country occurs at a time of severe economic crisis [37].…”

Section: Mode Of Obstetrical Deliverymentioning

confidence: 99%

Obstetric Care among Refugees: The Complex Interplay of Barriers to Care, Culture, Health Resources and the Healthcare Infrastructure of Host Countries

Hesham¹,

Hesham²,

Goodman³

2019

OJOG

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There is a worldwide increase in the rate of caesarean sections. With recent migration patterns and the influx of refugees into high-income countries, migrants and refugees are also subjected to the increase in caesarean section rates. This article explores known information about the obstetrical experiences of refugee and displaced women. Pregnancy care varies depending on the location of the displaced women. Obstetrical care in refugee centers in Greece is examined as an example of the overall challenges facing European countries as they juggle the influx of refugees. Challenges to obstetrical care include physician shortage and the ongoing economic crisis in Greece. Refugees are some of the world's most vulnerable populations and overall their obstetrical outcomes are worse than women of the host communities. Providers in refugee centers must be supported and educated in best obstetrical practices including labor management and a judicious use of caesarean deliveries. Increased outreach and training of maternal health worker can improve reproductive healthcare for refugees in non-camp environments.

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Section: Mode Of Obstetrical Deliverymentioning

confidence: 99%

Obstetric Care among Refugees: The Complex Interplay of Barriers to Care, Culture, Health Resources and the Healthcare Infrastructure of Host Countries

Hesham¹,

Hesham²,

Goodman³

2019

OJOG

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Section: Introductionmentioning

confidence: 99%

“…Greece is called the country of "Xenios Zeus", the Ancient Greek god of foreigners and hospitality [1]. However, Greece has been grappling with a severe socio-economic crisis since 2009 [1]. From the period 2015-2016, Greece experienced an unprecedented influx of refugees and migrants fleeing their home countries in the Middle East because of war, which created what is now known as the most massive displacement of a people since World War II [1,2].…”

Section: Introductionmentioning

confidence: 99%

“…However, Greece has been grappling with a severe socio-economic crisis since 2009 [1]. From the period 2015-2016, Greece experienced an unprecedented influx of refugees and migrants fleeing their home countries in the Middle East because of war, which created what is now known as the most massive displacement of a people since World War II [1,2]. The rapid entry of refugees into Greece raised the critical issue of health policy [1,2].…”

Section: Introductionmentioning

confidence: 99%

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Enhanced Public Interest in Response to the Refugee and Healthcare Crises in Greece

Kotsiou

Kotsios

Gourgoulianis

2020

IJERPH

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Background: The Greek National Health System (NHS) has been profoundly affected by the synergy of the economic and refugee crises. We aimed at evaluating the public interest regarding refugee and healthcare issues in Greece. Methods: Google Trends was employed to normalize traffic data on a scale from 0 to 100, presented as monthly relative search volume (RSV) for the search term queries: “refugees”, “health”, “diseases”, “hospital”, and “economic crisis” in Greece, from the period 2008 to 2020. Cross-country comparisons in selected European countries were made. Results: The analysis of RSV data showed an upward trend for the keyword “refugee”, in Greece, in the last five years, with two remarkable peaks from 2015 to 2016 and from 2019 to the present. Interest regarding refugees was more prevalent in the Aegean islands compared to the mainland. The mass influx of refugees has been linked to disease-related concerns. The search terms “hospital” and “health” have been the most popular and constantly quested topics since the beginning of the economic crisis in Greece, in 2009. Similar trends existed across Europe. Conclusion: There is an urgent need for effective public awareness of current politico-ethical and social-economic conditions. The patterns of public interest can formulate public policy.

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“…Fragile states are major sources of mass migration leading to refugee crisis and disruption of health systems of the receiving countries [17,18]. Leaving fragile states behind will create dangerous pockets of serious infectious diseases that might affect the whole world.…”

mentioning

confidence: 99%

Health-related publications on people living in fragile states in the alert zone: a bibliometric analysis

Sweileh¹

2020

Preprint

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Abstract Background: Fragile states pose a global challenge. Assessing health research activity on people living in these states can help identify neglected health domains in fragile settings. The objective of the current study was to assess and describe health research activity on people living in fragile states in the alert zone. Method: A bibliometric method was applied using SciVerse Scopus. Research articles published on people in fragile states in the alert zone were retrieved and analyzed. The Fragile State Index (FSI) score was used for selection of states in the alert zone. The analysis was limited to one year; 2018. Results: The search query found 2299 research articles giving an average of 2 research articles per one million population per year in the selected fragile states. The number of research articles per one million population was not significantly correlated (p=0.053; r= - 0.349) with FSI scores. However, it was significantly correlated with the extent of international research collaboration (P<0.01, r=065). Research on communicable diseases was the largest research domain (763 articles; 33.2%) followed by maternal/women’s health (430 articles; 18.7%), non-communicable diseases (291 articles; 12.7%), health system/policy (271 articles; 11.8%) and psychosocial and mental health (89; 3.9%). There were three research themes in the research domain of infectious diseases: HIV/AIDS; water-borne infectious diseases; and miscellaneous infectious diseases such as tuberculosis and malaria. The top ten cited articles were mainly on infectious diseases, particularly on malaria and Lassa fever. Of all the retrieved documents, 727 (31.6%) research articles appeared in national/regional journals while the remaining appeared in international journals. The World Health organization was the most active funding organization for research on fragile states. Top ten active institutions were mainly based in fragile states with the lowest FSI score, specifically Ethiopia, Uganda, Nigeria, and Pakistan. Conclusion: Research on fragile states was relatively low. Research on mental health and health system/policy should be encouraged. Collaboration and funding might help academic institutions in fragile states to make health problems in these countries more visible

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Impact of the Refugee Crisis on the Greek Healthcare System: A Long Road to Ithaca

Cited by 49 publications

References 77 publications

Obstetric Care among Refugees: The Complex Interplay of Barriers to Care, Culture, Health Resources and the Healthcare Infrastructure of Host Countries

Obstetric Care among Refugees: The Complex Interplay of Barriers to Care, Culture, Health Resources and the Healthcare Infrastructure of Host Countries

Enhanced Public Interest in Response to the Refugee and Healthcare Crises in Greece

Health-related publications on people living in fragile states in the alert zone: a bibliometric analysis

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