将叙利亚难民纳入黎巴嫩的医疗保健系统2011-2022年:一种混合方法研究
Gladys Honein-AbouHaidar1, Lama Bou-Karroum2,3, Sarah E Parkinson4
1Hariri School of Nursing, American University of Beirut, Beirut, Lebanon.
Conflict and health
|June 1, 2024
概括
叙利亚难民在黎巴嫩得到了初级保健,但私有化的系统和经济危机限制了他们获得专业服务的机会. 国际资金支持初级保健,但公平获得医疗保健仍然面临挑战.
科学领域:
- 公共卫生 公共卫生
- 卫生系统研究 卫生系统研究
- 强迫移民研究 强迫移民研究
背景情况:
- 黎巴嫩接纳了150万叙利亚难民,占该国人口的25%.
- 难民医疗保健被整合到黎巴嫩国家卫生系统中.
- 研究期间 (2011-2022) 涵盖经济危机和COVID-19大流行.
研究的目的:
- 描述叙利亚难民卫生服务融入黎巴嫩国家卫生系统的情况.
- 分析经济危机和COVID-19对难民和东道人口获得医疗保健的影响.
- 识别难民在低资源环境中的医疗保健整合的挑战和促进者.
主要方法:
- 混合方法方法利用文档审查 (政策,法律) 的方法.
- 与政策制定者,利益相关者和卫生工作者进行半结构化访谈.
- 与难民和东道主群体的焦点小组讨论;分析卫生系统指标.
主要成果:
- 初级医疗保健需求增加,但通过国际资金维持,维持医生密度.
- 一个私有化,分散的医疗保健系统阻碍了难民获得二级/三级护理.
- 经济危机使两种人口的获取情况都变得更糟,导致药品短缺和价格上,尽管公共系统提供了常见的药物和疫苗.
结论:
- 将难民纳入国家卫生系统对于可持续发展和全民健康覆盖至关重要.
- 低资源环境中的挑战包括私有化,碎片化,高自费成本和对经济冲击的脆弱性.
- 加强国家卫生系统,以帮助难民融入社会,需要解决系统的弱点,确保公平的接入.
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