A Comparative Analysis of the Aspects and Costs of Emergency Department Visits of Syrian Refugees with Turkish People and Former Refugees (Afghan People)

Tufan ALATLI

doi:https://doi.org/10.16899/jcm.814458

Article Details

A Comparative Analysis of the Aspects and Costs of Emergency Department Visits of Syrian Refugees with Turkish People and Former Refugees (Afghan People)

Authors:

Tufan ALATLI

Publisher:

Rabia YILMAZ

Main Topics:

Promotion of health

Journal:

Journal of Contemporary Medicine 2020 Vol.10 Issue 4, pp.516-520

Document Type:

Article

Publication Date:

12/2020

Document Language:

English

Document ID (Org No.):

2000496905

Frequency:

Bimonthly

eISSN:

2667-7180

DOI:

https://doi.org/10.16899/jcm.814458

Abstract:

 

Aim: Compare the emergency department (ED) use characteristics of old and new refugees and the local people and to investigate whether it brings a different financial burden on the economy of the country.

Materials and Methods: Syrian, Afghan, and Turkish patients who presented to the emergency department between January 1, 2016, and December 31, 2019, were randomly assigned to groups of 1000 people. The data were analyzed retrospectively.

Results: Syrian patients presented to the ED with simpler etiologies 1.573 times more (Triage 4-5) compared to Turkish patients (p=0.009). The rate of visits by females was higher in those with triage1-2-3 than those with triage 4-5 (p=0.001). There was no difference between during-working-hours or outside-working-hours visits of those with triage 1-2-3. The average per capita cost of Turkish patients was found to be 109.60±73.36 Turkish Liras (TL), while it was between 96.20±35.61 and 95.24±28.24 TL for Syrian and Afghan patients. No difference was found in terms of per capita costs between nationalities (p=0.766).

Conclusion: Refugees should be trained about the health system after they are admitted to the country, health literacy training programs should be planned for individuals in society from a young age, primary healthcare services should be used more effectively.

 

Amaç: Eski ve yeni göçmenler ile yerli halkın Acil servis kullanım özelliklerini karşılaştırarak ülke ekonomisine farklı bir mali yük getirip getirmediğini incelemektir.

Materyal-Metod: 01.01.2016- 31.12.2019 arasında Acil Servise başvuran Suriyeli, Afgan ve Türk hastalar rastgele örnekleme yoluyla 1000’er kişilik gruplara ayrıldı. Veriler retrospektif olarak incelendi.

Bulgular: Suriyeli hastalar Türk hastalara kıyasla AS’e 1.573 kat daha fazla daha basit etyolojiler (Triaj 4-5) ile başvurmakta olduğu görülmüştür (p=0.009). Triajı 1-2-3 olanlarda kadın başvuru oranının Triajı 4-5 olanlara kıyasla daha yüksek olduğu saptanmıştır (p=0.001). Triaj 1-2-3 olanların mesai içi veya dışı başvuruları arasında farklılık saptanmamıştır. Türk hastaların ortalama kişi başı maliyeti 109,60±73,36 TL olarak saptanmıştır. Suriyeli ve Afgan hastaların ortalama kişi başı maliyeti 96,20±35,61 – 95,24±28,24 TL olarak saptanmıştır. Uyruklar arasında kişi başı maliyetleri karşılaştırıldığında fark saptanmamıştır (p=0.766).

Sonuç: Mülteciler ülkeye kabul edildikten sonra sağlık sistemi hakkında eğitim verilmesi, daha küçük yaşlardan itibaren topluma sağlık okuryazarlığı eğitimleri planlaması, birinci basamak sağlık hizmetlerinin daha etkili kullanılmasının sağlanması uygun olacaktır.

Article Details

A Comparative Analysis of the Aspects and Costs of Emergency Department Visits of Syrian Refugees with Turkish People and Former Refugees (Afghan People)

Authors: Tufan ALATLI

Publisher: Rabia YILMAZ

Main Topics: Promotion of health

Journal: Journal of Contemporary Medicine 2020 Vol.10 Issue 4, pp.516-520

Document Type: Article

Publication Date: 12/2020

Document Language: English

Document ID (Org No.): 2000496905

Frequency: Bimonthly

eISSN: 2667-7180

DOI: https://doi.org/10.16899/jcm.814458

Issues

Authors:

Tufan ALATLI

Publisher:

Rabia YILMAZ

Main Topics:

Promotion of health

Journal:

Journal of Contemporary Medicine 2020 Vol.10 Issue 4, pp.516-520

Document Type:

Article

Publication Date:

12/2020

Document Language:

English

Document ID (Org No.):

2000496905

Frequency:

Bimonthly

eISSN:

2667-7180

DOI:

https://doi.org/10.16899/jcm.814458