Retrospective analysis of electronic medical records of Syrian immigrants admitted to a training and research hospital in Turkey

Year 2018, , 307 - 312, 28.12.2018

Ezgi Ağadayı , Emine Özer Küçük , Aybüke Demir Alsancak Seval Gönderen Çakmak , Rabia Kahveci

https://doi.org/10.18663/tjcl.400029

Cited By: 1

Abstract

Aim: The
Syrian citizens mass-migrated mostly to Turkey along with Lebanon, Jordan, and
Iraq because of internal conflicts. Having access to health care is of great
importance in such crisis situations. The
aim of this study is to reveal the characteristics and the frequency of
admission to health services of Syrian refugee patients, who have admitted to a
tertiary hospital in Ankara.

Material and Methods: The patients of Syrian nationality who have admitted
to Ankara Numune Training and Research Hospital between 03.2014 - 02.2017 were
included irrespective of their age in this descriptive retrospective study. Medical
records were reviewed for available information such as the registered
province, age, gender, number of patients, outpatient clinic, number of
hospital admissions and emergency applications, the frequency of the diagnosis
international classification of diseases (ICD) code, surgery status, surgery
type, and the frequency of imaging requests.

Results: The total number of Syrian citizens was 2,205. The top
three ICD diagnosis codes are “Symptoms, signs, and abnormal clinical and
laboratory findings, not elsewhere classified (R00-R99)”, “Factors influencing
health status and contact with health services (Z00-Z99)” and “Diseases of the
musculoskeletal system and connective tissue (M00-M99)”. The most frequented
clinic was the emergency medicine.

Conclusion: Most of the
applications are the problems that could be diagnosed and treated in primary
care. It is thought to be more effective that Syrian patients could be followed
closely by family physicians, in term of patients and cost. 

Keywords

Refugee, healthcare, asylum seeker

Türkiye’de bir eğitim araştırma hastanesine başvuran Suriyeli göçmenlerin elektronik tıbbi kayıtlarının retrospektif analizi

Abstract

Amaç: Suriyeliler iç çatışmalar sebebiyle, başta Türkiye olmak
üzere; Lübnan, Ürdün ve Irak’a yoğun ve toplu göçler gerçekleştirmişlerdir.
Sağlık hizmetlerine erişebilirlik kriz durumlarında büyük bir öneme sahiptir.
Bu çalışmada amacımız, Ankara ilinde bulunan üçüncü basamak bir hastaneye
başvuran Suriyeli mülteci hastaların özelliklerini ve sağlık hizmetlerine
erişim sıklıklarını ortaya koymaktır.

Gereç ve Yöntemler:
Retrospektif tanımlayıcı araştırmamıza, Ankara Numune
Eğitim ve Araştırma Hastanesi’ne 03.2014-02.2017 tarihleri arasında başvuran
Suriye uyruklu hastalar, yaş sınırı aranmaksızın dahil edilmiştir. Hastaların;
kayıtlı oldukları iller, yaş, cinsiyet, hasta sayısı, poliklinik, yatış ve acil
başvuru sayısı, ICD (Hastalıkların Uluslararası Sınıflaması) tanı kodu sıklığı,
ameliyat olma durumu, ameliyat grubu ve görüntüleme istenme oranları
incelenmiştir.

Bulgular: Başvuran toplam Suriyeli sayısı 2205’tir. İlk 3 ICD tanı
kodu grubu “Semptomlar ve anormal klinik ve laboratuvar bulguları (R00-R99)”, Sağlık
durumu ve sağlık hizmetlerinden yararlanmayı etkileyen faktörler (Z00-Z99)” ve “Kas-iskelet
ve bağ dokusu hastalıkları (M00-M99)”dır. En sık başvurulan klinik Acil
Tıp’tır.

Sonuçlar: Başvuruların çoğu birinci basamakta tanı ve tedavi
edilebilecek problemlerdir. Suriyeli
hastaların hasta ve maliyet açısından aile hekimleri tarafından yakından takip
edilebilmelerinin daha etkili olacağı düşünülmektedir. 

Keywords

Mülteci, sağlık hizmeti, sığınmacı

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