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      Syrian Refugee Access to and Quality of Healthcare in Turkey : A Call to Streamline and Simplify the Process

      research-article
      1 ,
      International Perspectives in Psychology
      Hogrefe Publishing
      policy brief, refugee, Turkey, Syria, healthcare, access, quality

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          Abstract

          Abstract. Although Turkey affirms the right to health regardless of citizenship status, as defined by the Declaration of Human Rights, there are gaps in the legislation and administration regarding the conditions for which an individual must fulfill as a Syrian refugee to access healthcare in Turkey ( Mardin, 2017). One of the greatest healthcare access barriers is not gaining status under the temporary protection regulation (TPR) as a Syrian refugee ( Mardin, 2017). Even after gaining status under the TPR, individuals are bound to the city in which they have registered and are designated, outside of which they are ineligible for healthcare ( Mardin, 2017). This limits the autonomy of the individual when making appropriate resettlement decisions within Turkey. This process also poses an additional burden on healthcare professionals to act as healthcare access “gatekeeper” ( Mardin, 2017). This policy brief seeks to outline both the challenges Syrian refugees face in accessing quality healthcare in Turkey and provide reformation suggestions to allow for a more streamlined approach. Furthermore, suggestions are made with consideration of lessening the burden of Turkey’s healthcare system as the host country.

          Impact and Implications

          The failure to effectively respond to the Syrian refugee crisis in Turkey has left thousands of individuals without access to quality healthcare and continues to burden the health and administrative system in Turkey. It is critical for health systems in host countries like Turkey to respond to the needs of vulnerable individuals by providing comprehensive care while considering their other resettlement needs. By identifying areas of improvement to streamline and simplify Turkey's healthcare response, the recommendations could enhance the well-being of Syrian refugees. Furthermore, this model could be applied to other host countries to better accommodate and care for displaced individuals around the globe.

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          Most cited references12

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          Evaluating the Provision of Health Services and Barriers to Treatment for Chronic Diseases among Syrian Refugees in Turkey: A Review of Literature and Stakeholder Interviews

          Background: While Turkey hosts the largest number of Syrian refugees, the provision of health services for chronic disease among Syrian refugees in Turkey has been inadequate and understudied. This paper explores Turkish healthcare policies surrounding Syrian refugees’ access to health services for chronic diseases. Methods: We conducted a literature review and supplementary stakeholder interviews to evaluate the provision of chronic health services and the most common barriers to healthcare access among Syrian refugees in Turkey. Results: Though access to treatment for displaced Syrians has improved throughout the past five years, five primary barriers persist: registration procedure regulations, navigation of a new health system, language barriers, fear of adverse treatment, and cost. Conclusions: To drive improvements in healthcare for chronic diseases among Syrian refugees in Turkey, we recommend making registration procedures more accessible, developing more healthcare options in patients’ native language, increasing human resources, and advocating for more research surrounding chronic health conditions among refugees.
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            Health needs and access to health care: the case of Syrian refugees in Turkey

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              Comorbid mental and physical health and health access in Cambodian refugees in the US.

              Little research has been conducted on the prevalence of physical health problems in Cambodian refugees and the relationship between their mental and physical health. We identified the relationship between mental and physical health problems and barriers to healthcare access in Cambodian refugee adults. We used a cross-sectional survey design with a snowball sample of 136 Cambodian refugee adult residents of Connecticut and Western Massachusetts. 61% reported being diagnosed with three or more physical conditions and 73% with depression, posttraumatic stress disorder (PTSD) or both. Language and transportation problems were the primary barriers to accessing care. Participants with probable comorbid PTSD and depression had 1.850 times more physical health problems than those without either condition (p > .001; CI 1.334-2.566). Age moderated this relationship. Participants who had been diagnosed with both depression and PTSD reported a consistent number of health conditions across the age span while those who had no mental health conditions or only one of the two reported fewer health conditions when they were younger and more when they were older. These two groups were significantly different from the group reporting both. There is a significant relationship between chronic comorbid mental and physical health diseases affecting Cambodian refugees resettled in the US Having comorbid depression and PTSD puts Cambodian refugees at risk for physical health problems no matter their age. It is vital that those treating Cambodian genocide survivors identify and treat their prevalent comorbid health conditions. Language and transportation barriers must be addressed to improve access to mental and physical health care in this population.
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                Author and article information

                Contributors
                Journal
                ipp
                International Perspectives in Psychology
                Research, Practice, Consultation
                Hogrefe Publishing
                2157-3883
                2157-3891
                February 17, 2021
                January 2021
                : 10
                : 1
                : 55-57
                Affiliations
                [ 1 ]Global Health, McMaster University, Hamilton, ON, Canada
                Author notes
                En Chi Chen, Global Health, McMaster University, 1280 Main Street W, Hamilton, ON L8S 4L8, Canada, angelachen110@ 123456shaw.ca
                Author information
                https://orcid.org/0000-0002-8516-739X
                Article
                ipp_10_1_55
                10.1027/2157-3891/a000005
                a4708ff8-305d-4e59-86ec-0299fbe95132
                Copyright @ 2021
                History
                : June 23, 2020
                : November 13, 2020
                : January 2, 2021
                Categories
                Policy Brief

                Sociology,Assessment, Evaluation & Research methods,Political science,Psychology,General behavioral science,Public health
                access,healthcare,policy brief,Syria,refugee,Turkey,quality

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