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Access to Health Care in the COVID-19 Pandemic: How is Children’s Health Affected?

Yıl 2021, Cilt 21, Sayı 2, 149 - 156, 20.09.2021

Öz

COVID-19 was declared a pandemic by the World Health Organization on March 11, 2020. Due to the high contagiousness of the disease, changes have been made in the provision of health services all over the world, and health authorities have made calls to reduce hospital admissions except for urgent reasons. Access to non-COVID-19 healthcare services has declined sharply due to the restrictions imposed to prevent viral spread, fears about the uncertainty of the disease, the redirection of healthcare professionals to the follow-up, treatment and care of infected patients, the lack of personal protective equipment, and the financial difficulties brought on by the pandemic. The population most affected by this situation caused by COVID-19 has undoubtedly been children. Due to changes in health service delivery, maternal and child health services have been interrupted, and immunization rates have decreased greatly. The closure of outpatient clinics, inpatient services and the conversion of operating rooms to intensive care units in order to intervene with infected patients have caused delays in the diagnosis and treatment of acute or chronic diseases in children. Children with chronic diseases experienced shortages of drugs or medical equipment, and children who needed rehabilitation services could not receive supportive care. In addition, preventive mental health services could not be maintained with the closure of schools. Decreases in access to health services may have negative consequences on childhood mortality and morbidity all over the world, especially in low and middle-income countries. It is important to examine the data in the world in terms of maintaining the achievements for child health and planning health services in Turkey. Therefore, this review aimed to examine the effects of the decrease in access to health services on child health during the global epidemic process. 

Kaynakça

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COVID-19 Pandemisinde Sağlık Hizmetlerine Erişim: Çocuk Sağlığı Nasıl Etkilendi?

Yıl 2021, Cilt 21, Sayı 2, 149 - 156, 20.09.2021

Öz

COVID-19, Dünya Sağlık Örgütü tarafından 11 Mart 2020 tarihinde pandemi olarak ilan edilmiştir. Hastalığın yüksek bulaşıcılığı nedeniyle tüm dünyada sağlık hizmetleri sunumunda değişikliklere gidilmiş, sağlık otoriteleri acil nedenler dışında hastane başvurularının azaltılması çağrıları yapmıştır. Viral yayılımı önlemek için uygulanan kısıtlamalar, hastalığın belirsizliğine ilişkin korkular, sağlık profesyonellerinin enfekte hastaların takibi, tedavisi ve bakımına yönlendirilmesi, kişisel koruyucu ekipman eksikliği ve pandeminin getirdiği finansal zorluklar nedeniyle COVID-19 dışı sağlık hizmetlerine erişim oranlarında keskin bir düşüş yaşanmıştır. COVID-19’un neden olduğu bu durumdan en çok etkilenen popülasyon şüphesiz ki çocuklar olmuştur. Sağlık hizmeti sunumundaki değişiklikler nedeniyle ana-çocuk sağlığı hizmetleri sekteye uğramış, bağışıklama oranları büyük ölçüde azalmıştır. Enfekte hastalara müdahale edebilmek için polikliniklerin kapatılması, yataklı servisler ve ameliyathanelerin yoğun bakımlara dönüştürülmesi çocukların akut veya kronik hastalıklarının tanı ve tedavilerinde gecikmelere neden olmuştur. Kronik hastalığı olan çocuklar ilaç veya tıbbi ekipman sıkıntısı yaşamış, rehabilitasyon hizmetlerine ihtiyaç duyan çocuklar destekleyici bakım alamamışlardır. Ayrıca okulların kapatılmasıyla koruyucu ruh sağlığı hizmetleri sürdürüle- memiştir. Sağlık hizmetlerine erişim oranlarındaki azalmalar, başta düşük ve orta gelirli ülkeler olmak üzere tüm dünyada çocukluk çağı mortalite ve morbiditesi üzerinde olumsuz sonuçlar doğurabilir. Türkiye’de çocuk sağlığına yönelik kazanımların sürdürülmesi ve sağlık hizmetlerinin planlanması açısından dünyadaki verilerin incelenmesi önemlidir. Dolayısıyla bu derlemede, küresel salgın sürecinde sağlık hizmetlerine erişimdeki azalmanın çocuk sağlığı üzerindeki etkilerinin incelenmesi amaçlanmıştır

Kaynakça

  • 1. Qazi SH, Saleem A, Pirzada AN, Hamid LR, Dogar SA, Das JK. Challenges to delivering pediatric surgery services in the midst of COVID 19 crisis: experience from a tertiary care hospital of Pakistan. Pediatr Surg Int 2020;36(11):1267-73. doi:10.1007/ s00383-020-04721-0. google scholar
  • 2. Silvagni D, Baggio L, Lo Tartaro Meragliotta P. Neonatal and pediatric emergency room visits in a tertiary center during the COVID-19 pandemic in Italy. Pediatr Rep 2021;13(2):168-76. doi:10.3390/pediatric13020023. google scholar
  • 3. Taddei M, Bulgheroni S. Facing the real time challenges of the COVID-19 emergency for child neuropsychology service in Milan. Res Dev Disabil 2020;107:103786. doi:10.1016/j.ridd.2020.103786. google scholar
  • 4. Poppe M, Aguiar B, Sousa R, Oom P. The impact of the COVID-19 pandemic on children’s health in Portugal: The parental perspective. Acta Med Port 2021;34(5):355-61. doi:10.20344/amp.14805. google scholar
  • 5. Wirrell EC, Grinspan ZM, Knupp KG, vd. Care delivery for children with epilepsy during the COVID-19 pandemic: An international survey of clinicians. J Child Neurol 2020;35(13):924-33. doi:10.1177/0883073820940189. google scholar
  • 6. Bong CL, Brasher C, Chikumba E, Mcdougall R, Mellin-Olsen J, Enright A. The COVID-19 pandemic: Effects on low- and middle-income countries. Anesth Analg Published online 2020:86-92. doi:10.1213/ANE.0000000000004846. google scholar
  • 7. Dayal D, Gupta S, Raithatha D, Jayashree M. Missing during COVID-19 lockdown: Children with onset of type 1 diabetes. Acta Paediatr Int J Paediatr 2020;109(10):2144-6. doi:10.1111/apa.15443. google scholar
  • 8. Zar HJ, Dawa J, Fischer GB, Castro-Rodriguez JA. Challenges of COVID-19 in children in low- and middle-income countries. Paediatr Respir Rev 2020;35:70-4. doi:10.1016/j.prrv.2020.06.016. google scholar
  • 9. Menendez C, Gonzalez R, Donnay F, Leke RGF. Avoiding indirect effects of COVID-19 on maternal and child health. Lancet Glob Heal 2020;8(7):863-4. doi:10.1016/S2214-109X(20)30239-4. google scholar
  • 10. Lazzerini M, Barbi E, Apicella A, Marchetti F, Cardinale F, Trobia G. Delayed access or provision of care in Italy resulting from fear of COVID-19. Lancet Child Adolesc Heal 2020;4(5):10-1. doi:10.1016/ S2352-4642(20)30108-5. google scholar
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Ayrıntılar

Birincil Dil Türkçe
Konular Pediatri
Bölüm Araştırma Makaleleri
Yazarlar

Zeynep AKÖZLÜ
Maltepe Üniversitesi, Meslek Yüksekokulu Tıbbi Hizmetler ve Teknikler Bölümü, İstanbul, Türkiye 2
0000-0003-4561-4025
Türkiye


Özlem ÖZTÜRK ŞAHİN (Sorumlu Yazar)
Karabük Üniversitesi, Sağlık Bilimleri Fakültesi Hemşirelik Bölümü, Çocuk Sağlığı ve Hastalıkları Hemşireliği Anabilim Dalı, Karabük, Türkiye
0000-0001-8781-3706
Türkiye

Destekleyen Kurum -
Proje Numarası -
Teşekkür -
Yayımlanma Tarihi 20 Eylül 2021
Yayınlandığı Sayı Yıl 2021, Cilt 21, Sayı 2

Kaynak Göster

Bibtex @derleme { jchild953569, journal = {Çocuk Dergisi}, issn = {}, eissn = {1308-8491}, address = {Çocuk Dergisi Yayın Kurulu Sekreterliği İstanbul Tıp Fakültesi, Çocuk Sağlığı ve Hastalıkları Anabilim Dalı Çapa, 34390, İstanbul}, publisher = {İstanbul Üniversitesi}, year = {2021}, volume = {21}, pages = {149 - 156}, doi = {}, title = {COVID-19 Pandemisinde Sağlık Hizmetlerine Erişim: Çocuk Sağlığı Nasıl Etkilendi?}, key = {cite}, author = {Aközlü, Zeynep and Öztürk Şahin, Özlem} }
APA Aközlü, Z. & Öztürk Şahin, Ö. (2021). COVID-19 Pandemisinde Sağlık Hizmetlerine Erişim: Çocuk Sağlığı Nasıl Etkilendi? . Çocuk Dergisi , 21 (2) , 149-156 . Retrieved from https://dergipark.org.tr/tr/pub/jchild/issue/64961/953569
MLA Aközlü, Z. , Öztürk Şahin, Ö. "COVID-19 Pandemisinde Sağlık Hizmetlerine Erişim: Çocuk Sağlığı Nasıl Etkilendi?" . Çocuk Dergisi 21 (2021 ): 149-156 <https://dergipark.org.tr/tr/pub/jchild/issue/64961/953569>
Chicago Aközlü, Z. , Öztürk Şahin, Ö. "COVID-19 Pandemisinde Sağlık Hizmetlerine Erişim: Çocuk Sağlığı Nasıl Etkilendi?". Çocuk Dergisi 21 (2021 ): 149-156
RIS TY - JOUR T1 - COVID-19 Pandemisinde Sağlık Hizmetlerine Erişim: Çocuk Sağlığı Nasıl Etkilendi? AU - Zeynep Aközlü , Özlem Öztürk Şahin Y1 - 2021 PY - 2021 N1 - DO - T2 - Çocuk Dergisi JF - Journal JO - JOR SP - 149 EP - 156 VL - 21 IS - 2 SN - -1308-8491 M3 - UR - Y2 - 2021 ER -
EndNote %0 Çocuk Dergisi COVID-19 Pandemisinde Sağlık Hizmetlerine Erişim: Çocuk Sağlığı Nasıl Etkilendi? %A Zeynep Aközlü , Özlem Öztürk Şahin %T COVID-19 Pandemisinde Sağlık Hizmetlerine Erişim: Çocuk Sağlığı Nasıl Etkilendi? %D 2021 %J Çocuk Dergisi %P -1308-8491 %V 21 %N 2 %R %U
ISNAD Aközlü, Zeynep , Öztürk Şahin, Özlem . "COVID-19 Pandemisinde Sağlık Hizmetlerine Erişim: Çocuk Sağlığı Nasıl Etkilendi?". Çocuk Dergisi 21 / 2 (Eylül 2021): 149-156 .
AMA Aközlü Z. , Öztürk Şahin Ö. COVID-19 Pandemisinde Sağlık Hizmetlerine Erişim: Çocuk Sağlığı Nasıl Etkilendi?. Çocuk Dergisi. 2021; 21(2): 149-156.
Vancouver Aközlü Z. , Öztürk Şahin Ö. COVID-19 Pandemisinde Sağlık Hizmetlerine Erişim: Çocuk Sağlığı Nasıl Etkilendi?. Çocuk Dergisi. 2021; 21(2): 149-156.
IEEE Z. Aközlü ve Ö. Öztürk Şahin , "COVID-19 Pandemisinde Sağlık Hizmetlerine Erişim: Çocuk Sağlığı Nasıl Etkilendi?", Çocuk Dergisi, c. 21, sayı. 2, ss. 149-156, Eyl. 2021