Public Hospital Utilization among Syrian Refugees in Turkey

Akbulut, Yasemin; Göktaş, Bayram; Kutlu, Gamze

doi:10.5812/jhealthscope.13405

Cited by 3 publications

(3 citation statements)

References 11 publications

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“…Doocy et al similarly reported that the primary reasons for hospitalization among Syrian refugees in Jordan were injuries (20.7%), cardiovascular diseases (13.7%), respiratory diseases (12.2%), and conditions of the digestive system (7%) [ 25 ]. In Turkey, the most common diagnoses among Syrian refugees were respiratory diseases (14.4%), diseases of the eye and adnexa (12.6%), and cases of injuries, poisoning, or other consequences of external causes (10.7%) [ 26 ]. However, it's notable that in our study, only 0.3% of hospital admissions were due to diseases of the eye and adnexa.…”

Section: Discussionmentioning

confidence: 99%

Syrian Refugees Seeking Hospital Care in Beirut: A Cross-Sectional Study of Reasons for Hospital Admissions

Ibrahim¹,

Zein²,

Sater³

et al. 2023

Cureus

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Introduction: Lebanon has the highest Syrian refugee density worldwide. The influx of Syrian refugees has had various impacts on Lebanon, with one of the most significant effects observed in the already exhausted healthcare system. This study aimed to determine the reasons for hospitalization among registered Syrian refugees in Beirut who were admitted to Rafik Hariri University Hospital (RHUH) between December 2017 and June 2020.Methods: Data from 7,480 diagnosed cases were collected from the RHUH archives between December 2017 and June 2020 and were analyzed using SPSS (IBM Corp., Armonk, NY, USA). The collected data included information related to demographics, admission date, primary diagnosis, and other related medical problems. Variations and correlations were then tested.Results: Of the cases, 73.4% were females; the mean age was 28 ± 16.23 years. Fifty-seven percent of the admitted cases were solely due to pregnancy, childbirth, and puerperium reasons, and 91.14% of the deliveries were single deliveries by cesarean section. Common reasons for hospitalization were injuries (5.8%) and diseases of the digestive system (6.8%), circulatory system (4.7%), and respiratory system (4.4%). Non-communicable diseases (NCDs) constituted 61% of all hospital admissions, while only 6.6% belonged to communicable diseases. Reasons for hospitalization and the type of diagnosed diseases were associated with gender and age groups (p-values <0.001). Conclusion:The major reasons for hospitalization among Syrian refugees were related to pregnancies and NCDs. The burden of the Syrian refugee influx on the Lebanese healthcare system can be alleviated by improving community health education, public health services, and conditions for refugees.

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Section: Discussionmentioning

confidence: 99%

Syrian Refugees Seeking Hospital Care in Beirut: A Cross-Sectional Study of Reasons for Hospital Admissions

Ibrahim¹,

Zein²,

Sater³

et al. 2023

Cureus

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“…Possible explanations include that some of this population did not require such services or that doctors did not explain all preventive service options while examining these patients. Although doctors in primary care units tend to listen to patients carefully, they do not have enough information to advise patients about tests or recommended procedures (26). In order to establish a high level of health awareness and reduce illnesses in society, doctors should pay attention to all available preventive screenings and counseling sessions.…”

Section: Discussionmentioning

confidence: 99%

Utilization of Preventive Care Services at a University Hospital in Saudi Arabia

et al. 2021

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Background: Chronic diseases have significant impacts on health systems worldwide and are a leading cause of death. Early diagnosis and treatment of chronic diseases are the best ways to reduce mortality and morbidity. Objectives: The aim of this study was to evaluate public access to preventive services for chronic diseases in Jeddah, Saudi Arabia. Methods: A survey of university hospital visitors was conducted in 2019. Participants were randomly selected and asked to fill a 16-question survey, including demographics, health care utilization, and type of preventive services. The chi-square test (SPSS) was used to identify any significant association between age and gender using the variable of preventive screening or counseling. Results: The majority of individuals who completed the survey (250 participants) were young, married, and male bachelor’s degree holders. About 71% of the participants received counseling services for either smoking, physical activity, weight, diet, or sleeping. More than half (58%) had undergone screening services, including breast cancer, colon cancer, diabetes, hypertension, or weight management. Chi-square analysis showed that females had a significant (P < 0.01) positive statistical relationship with the utilization of diabetes and breast cancer screening services, while males were more associated (P < 0.01) with smoking and weight-related counseling than females. Conclusions: The study demonstrated an insufficient use of preventive services and that sociodemographic differences (such as age and gender) could influence the utilization of various preventive services. Females were significantly positively associated with breast cancer and diabetes-related preventive services as these diseases are highly prevalent among females. Public education and awareness campaigns are needed to broadcast the importance of preventive services and promote better understanding and management of chronic diseases.

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“…They showed that the number of births was 103347, deaths 3460, operations 260212, emergency and outpatients 8849518, and inpatients 252470 in 2014 to 2015. Total health spending for the public hospitals was approximately $ 338392896 in the same years for Syrian refugees in Turkey (12). Accordingly, people exhibit different behaviors when faced with symptoms of illness and feel the need for medical services, including correct or unusual treatmentseeking behaviors.…”

Section: Iran's Health System Has Experienced Various Reformsmentioning

confidence: 99%

Who Uses The Health Services More? A Descriptive Study of Excessive Users’ Profile and Causes

Ferdosi

Rezayatmand

Abbas³

et al. 2019

Health Scope

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Background: Identifying the causes of health services overutilization is an effective way of preventing misspending of insurance organizations' resources. Objectives: The present study was conducted to identifying demographic factors and the causes of health services overutilization among those insured by the Iran Health Insurance Organization (IHIO). Methods: The present cross-sectional study was conducted in 2017. The study population consisted of excessive users insured by IHIO in Isfahan province, of whom, 175 were randomly selected. Data obtained by the IHIO medical information system, insurance booklets and a data collection form was analyzed in SPSS-22 using descriptive statistics at a significant level of 0.05. Then, they were categorized based on their main referral cause. Results: About 1.2 percent of the people insured by the IHIO in Isfahan province are among the health service over users. Participants' mean age was 50.7 ± 15.8 years. Among them, 56.6 percent were female. Mean frequency of physicians' visits were 16.3 ± 11.7 (more than 10 times greater than others) and the mean of paraclinical services usage was 19 ± 13.08 (more than 12 times greater than others) in the first 8 months of 2017. Mean of all physicians' visits among females was 18.47 ± 14.7 and means of paraclinical services usage among them was 20.63 ± 14.83. The most common causes of health services over utilization among the insured included complicated medical problems (chronic disease 47.42 percent, being elderly 17.14 percent and pregnancy 6.28 percent), health anxiety disorder (HAD) (24 percent), and administrative causes (breaking or missing papers) 2.9 percent. Conclusions: According to the findings, people with complicated and chronic illness account for the majority of the over users. Others with health anxiety are in the next category. Then, identifying the over user group, their demographic characteristics, and their causative categorization can lead to a variety of solutions to suit each category. This study recommends insurance organizations to pay more attention to the service-seeking behaviors of different population groups and to consider utilization review studies as an important research approach.

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Public Hospital Utilization among Syrian Refugees in Turkey

Cited by 3 publications

References 11 publications

Syrian Refugees Seeking Hospital Care in Beirut: A Cross-Sectional Study of Reasons for Hospital Admissions

Syrian Refugees Seeking Hospital Care in Beirut: A Cross-Sectional Study of Reasons for Hospital Admissions

Utilization of Preventive Care Services at a University Hospital in Saudi Arabia

Who Uses The Health Services More? A Descriptive Study of Excessive Users’ Profile and Causes

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