Immigrant Child Health Through the Eyes of Orthopedics: Is There a Difference Between Local Children

Öz

Background: The number of immigrant children admitted to public sector healthcare facilities is increasing. However, comparatively few studies investigated its effects on health systems, especially in the orthopedics discipline. This research investigates if there is a significant difference in admission to orthopedics and traumatology outpatient clinics (O&T) between immigrants and local children. Materials and Methods: Immigrant (IP) and local patients (LP) under 18 admitted to the O&T of a tertiary hospital between 2019-2021 were included in this retrospective study. Demographic data of patients, number of admission in a year, place of admission, the reason for admission, treatment method, radiological imaging, and diagnoses (soft tissue trauma (STT), developmental hip dysplasia (DDH), etc.) were evaluated for both groups. Results: 1009 patients were included (n=481 LP, n=528 IP). The number of admissions was higher in IP between 1 and 2 years (p=0.02). The consultations of IP from the emergency department and other departments were statistically higher than those of LP (p<0.001). Fracture/complications and STT are the most common diagnoses in local and immigrant groups. The third most common diagnosis was DDH in LP and general examination in IP. Examinations with MRI and no radiological imaging were more frequent in IP than in LP. Conclusions: It is noteworthy that the number of admissions to O&T and consultations from other services is higher in IP than the LP. Increasing physicians' awareness of cultural differences and expectations and providing health education to immigrant families through professional translators in their preferred language can diminish the load on healthcare.

Anahtar Kelimeler

• Children
• health
• immigrant
• orthopedic and traumatology
• refugees

Ortopedi Gözüyle Göçmen Çocuk Sağlığı: Yerel Çocuklardan Farkı Var mı?

Öz

Amaç: Kamu sektörü sağlık kuruluşlarına başvuran göçmen çocukların sayısı artmaktadır. Bununla birlikte, özellikle ortopedi disiplininde nispeten az sayıda çalışma sağlık sistemleri üzerindeki etkilerini araştırmıştır. Bu araştırma, göçmenler ve yerel çocuklar arasında ortopedi ve travmatoloji polikliniklerine (O&T) kabulde anlamlı bir fark olup olmadığını araştırmaktadır. Materyal ve metod: Retrospektif bu çalışmaya, 2019-2021 yılları arasında üçüncü basamak bir hastanenin O&T'sine başvuran 18 yaşın altındaki göçmen ve yerel hastalar dahil edildi. Hastaların demografik verileri, bir yıl içindeki başvuru sayısı, başvuru yeri, başvuru nedeni, tedavi yöntemi, radyolojik görüntüleme ve tanıları (yumuşak doku travması (YDT), gelişimsel kalça displazisi (GKD) vb.) her iki grup için değerlendirildi. Bulgular: Çalışmaya 481 göçmen ve 528 yerel çocuk olmak üzere 1009 hasta dahil edildi. Başvuru sayısı göçmen çocuklarda 1-2 yaş arasında daha yüksekti (p=0,02). Göçmen çocukların acil servis ve diğer bölümlerden konsültasyonları yerel çocuklardan istatistiksel olarak daha yüksekti (p<0,001). Kırık/komplikasyonlar ve YDT yerel ve göçmen gruplarda en sık görülen tanılardır. Üçüncü en sık tanı yerel çocuklarda GKD ve göçmen çocuklarda genel muayene idi. MRG ve radyolojik görüntüleme istenmeyen incelemeler göçmen çocuklarda daha sıktı. Sonuç: O&T'ye kabul ve diğer hizmetlerden konsültasyon sayısının göçmen çocuklarda daha yüksek olması dikkat çekicidir. Hekimlerin kültürel farklılıklar ve beklentiler konusundaki farkındalığını artırmak ve göçmen ailelere tercih ettikleri dilde profesyonel tercümanlar aracılığıyla sağlık eğitimi vermek sağlık üzerindeki bu yükü azaltabilir.

Anahtar Kelimeler

• Çocuk
• sağlık
• göçmen
• ortopedi ve travmatoloji
• mülteci

Kaynakça

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