Health Service Access and Utilization among Syrian Refugees and Affected Host Communities in Lebanon
Health Service Access and Utilization among Syrian Refugees and Affected Host Communities in Lebanon
复制标题
DOI：
10.1093/jrs/fex014
复制
发表时间：
2018-03-01
影响因子：
1.7
通讯作者：
Doocy, Shannon
中科院分区：
文献类型：
--
作者：
Lyles, Emily;Hanquart, Baptiste;Doocy, Shannon
叙利亚难民涌入黎巴嫩给卫生系统造成了巨大负担。2015年初对叙利亚难民和黎巴嫩收容社区进行了一项调查，以描述寻求保健的行为和获得服务的情况。共调查了1 376个难民和686个收容社区家庭，采用了按规模按概率比例抽样的整群设计。与收容社区相比，难民获得保健和药品的情况较差;这两个群体获得保健的主要障碍是费用。加强初级保健服务，教育社区如何合理就医和在家治疗轻症，可以减少保健费用，减轻黎巴嫩保健系统的负担。在国际社会的支持下，为难民和弱势黎巴嫩人实现全民医疗保健的卫生系统改革可有助于确保难民融入社会，并为难民提供费用更低、更可持续的医疗服务。
The influx of Syrian refugees into Lebanon poses an immense burden on the health system. A survey of Syrian refugees and Lebanese host communities was conducted in early 2015 to characterize health-seeking behaviours and service access. A total of 1,376 refugee and 686 host community households were surveyed using cluster design with probability-proportional-to-size sampling. Access to health care and medication was worse among refugees as compared to the host community; the primary barrier to care in both groups was cost. Strengthening primary health services and educating communities about rational care-seeking and home treatment of mild illness may decrease heath costs and reduce the burden on the Lebanese health system. Health system reform towards universal health care for refugees and vulnerable Lebanese that is supported by the international community could help to ensure integration and provide less costly and more sustainable health services access for refugees.