Evaluation of Syrian Refugees from the Perspective of Gynaecology and Obstetrics in a Border Region: 8 Years of Experience

Öz

Objective: This retrospective study aimed to evaluate the gynaecological and obstetric aspects of Syrian refugees in a border region over an 8-year period, with a specific focus on healthcare utilization patterns in gynecology and obstetrics. The objective was to ascertain the impact of Syrian refugees on healthcare services in Sanliurfa province, comparing their experiences with Turkish patients, particularly in the field of gynecology and obstetrics practice. Materials and Methods: The study included female patients over 18 seeking medical care at gynaecology and obstetrics outpatient clinics and emergency departments in the specified border region between 2011 and 2019. Electronic medical records were comprehensively reviewed. Statistical analyses were conducted using IBM SPSS Statistics 26.0, employing descriptive statistics and comparative analyses to assess differences within the study population. Results: The study focused on 1,557,878 patients, with 95.2% being Turkish and 4.8% Syrian refugees. Significant differences were observed in demographic characteristics, hospitalization rates, and reasons for hospital applications, particularly in pregnancy-related conditions, highlighting variations in healthcare utilization patterns between Turkish and Syrian refugee patients. Conclusion: The findings underscore the multifaceted challenges posed by refugee patients on health systems, necessitating a comprehensive and compassionate approach. Innovative strategies are essential to address the diverse needs arising from language barriers, cultural differences, and mental health concerns. This study provides valuable insights for governments, policymakers, and healthcare providers to improve service delivery, resource allocation, and equitable healthcare for both host and refugee populations.

Anahtar Kelimeler

• Gynecoloygy
• Obstetrics
• Outpatients
• Refugees
• Turkiye

Destekleyen Kurum

No financal support

Etik Beyan

The study received ethical approval from the Harran University Ethics Commitee.

Suriye Mültecilerinin Jinekoloji ve Obstetrik Açısından Değerlendirilmesi: Sınır Bölgesinde 8 Yıllık Deneyim

Öz

Amaç: Bu retrospektif çalışmanın amacı, sınır bölgesinde yaşayan Suriye mültecilerinin jinekolojik ve obstetrik yönlerini 8 yıllık bir süreçte değerlendirmek ve özellikle jinekoloji ve obstetri alanındaki sağlık hizmeti kullanım desenlerini incelemektir. Çalışmanın hedefi, Suriye mültecilerinin sağlık hizmetlerine etkisini ortaya koymak ve Şanlıurfa ilindeki deneyimlerini Türk hastalar ile karşılaştırmak, özellikle kadın hastalıkları ve doğum uygulamaları açısından farklılıkları değerlendirmektir. Gereç ve Yöntem: Çalışmaya, 2011 ile 2019 tarihleri arasında sınır bölgesindeki kadın hastalıkları ve doğum poliklinikleri ile acil servislerine başvuran 18 yaş üzeri kadın hastalar dahil edilmiştir. Elektronik tıbbi kayıtlar kapsamlı şekilde incelenmiştir. İstatistiksel analizler IBM SPSS Statistics 26.0 programı ile yapılmış, tanımlayıcı istatistikler ve karşılaştırmalı analizler kullanılarak çalışma popülasyonundaki farklılıklar değerlendirilmiştir. Bulgular: Çalışma kapsamında toplam 1.557.878 hasta incelenmiş, bunların %95,2’si Türk, %4,8’i ise Suriye mültecisi olarak saptanmıştır. Demografik özellikler, hastaneye yatış oranları ve başvuru nedenleri arasında anlamlı farklılıklar bulunmuştur. Özellikle gebelikle ilişkili durumlarda belirgin farklılıklar gözlenmiş, Türk ve Suriyeli mülteci hastalar arasında sağlık hizmeti kullanım kalıplarının değişkenlik gösterdiği belirlenmiştir. Sonuç: Bulgular, mülteci hastaların sağlık sistemleri üzerinde oluşturduğu çok yönlü zorlukların altını çizmektedir. Dil engeli, kültürel farklılıklar ve ruh sağlığı sorunlarından kaynaklanan çeşitli ihtiyaçların karşılanması için kapsamlı ve insancıl bir yaklaşım gereklidir. Yenilikçi stratejiler, hem ev sahibi hem de mülteci topluluklar için hizmet sunumunu, kaynak tahsisini ve adil sağlık hizmetlerini geliştirmek açısından önemlidir. Bu çalışma; hükümetlere, politika yapıcılara ve sağlık hizmeti sunucularına hizmet kalitesini artırmaya yönelik değerli bilgiler sunmaktadır.

Anahtar Kelimeler

• Jinekoloji
• obstetri
• ayaktan hastalar
• Mülteciler
• Türkiye

Kaynakça

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