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Gümüşhane Devlet Hastanesine Başvuran Göçmen Gruplarının Poliklinik Hizmetlerinin Ve Maliyetlerinin Analizi

Yıl 2021, Cilt: 12 Sayı: 3, 1068 - 1078, 25.09.2021

Öz

Bu çalışmanın amacı, Gümüşhane Devlet Hastanesi (GDH)’ne 2014, 2015 ve 2016 yıllarında başvuran göçmen gruplarının demografik özelliklerini (göçmenlerin yaşı, cinsiyeti, tanısı, uyruğu, poliklinik hizmetleri) incelemek ve GDH’ne maliyetlerini (hem yıllara göre maliyet hem de toplam maliyet) tespit etmektir. Çalışmada “Betimsel İçerik Analizi” yöntemi kullanılmıştır. Bu çalışmada kullanılan veriler GDH’den gerekli izinler alındıktan sonra dijital ortamda dosya şeklinde teslim alınmıştır. Verileri analiz etmek için SPSS 21 paket programı kullanılmıştır. Bu araştırmanın sonucu, sağlık sisteminde göçmen gruplarına yönelik yapılan harcamaların yönetilmesinde ve planlamasında idarecilere, yöneticilere ve karar vericilere fikir verecektir. 2014 yılında göçmen grupların GDH’ne başvuru sayıları 699 iken, 2015 ve 2016 yıllarında ise 977 ve 1445’tir. 2014, 2015 ve 2016 yıllarında göçmen gruplar GDH’ne 3.121 kez başvurmuşlardır. 3 yıl boyunca GDH’ne başvuru yapan göçmen grupların çoğunlukla Afganistan İslam Cumhuriyeti vatandaşları olduğu görülmektedir. 3 yıl boyunca yapılan başvuruların cinsiyet ve yaş durumları incelendiğinde, genel olarak 16-30 yaş grubundaki göçmenlerin ve kadınların başvuru yaptığı görülmektedir. Göçmen grupların GDH’ne en çok Kas-İskelet ve Bağ Dokusu Hastalıkları ve Solunun Sistemi Hastalıkları tanısı ile başvurduğu görülmektedir. Ayrıca 2014, 2015 ve 2016 yıllarında en fazla başvuru Acil Polikliniğine olmuştur. Göçmen grupların GDH’ne maliyetleri incelendiğinde; 2014 yılında 32.999,57 TL, 2015 yılında 43.059,04 TL ve 2016 yılında 64.958,37 TL olduğu görülmüştür. 2014, 2015 ve 2016 yıllarında göçmen grupların GDH’ne toplam 141.011,98 TL maliyeti olmuştur. Sonuç olarak her geçen yıl göçmen grupların hastaneye maliyetlerinin ve sayılarının arttığı tespit edilmiştir.

Kaynakça

  • Alkar, E., & Atasoy, E. (2020). Türkiye’de Göç Üzerine Yapılan Doktora Tezlerine Yönelik Bir İçerik Analizi. Tesam Akademi, 7(1), 67-89.
  • Amel Association International. Amel Monthly Update On Syrian Refugees. 2014. [Accessed 2015 February 5th]. Available from: http://www.amelassociation.org/.
  • Bischoff, A., Denhaerynck, K., Schneider, M., & Battegay, E. (2011). The cost of war and the cost of health xare-an epidemiological study of asylum seekers. Swiss medical weekly, 141, w13252.
  • Bronstein, I., & Montgomery, P. (2011). Psychological distress in refugee children: a systematic review. Clinical child and family psychology review, 14(1), 44-56.
  • Chatterjee, R., Das, L. K., & Dabral, A. (2020). Stressors of disaster-induced displacement and migration in India. In Urban Ecology (pp. 71-89). Elsevier.
  • Dempsey, K. E., & McDowell, S. (2019). Disaster depictions and geopolitical representations in Europe’s migration ‘Crisis’. Geoforum 98. 153–160.
  • Göç İdaresi Genel Müdürlüğü. (2017). 2016 Türkiye Göç Raporu. T.C. İçişleri Bakanlığı Göç İdaresi Genel Müdürlüğü Yayınları. Yayın No:40. Ankara.
  • Hadgkiss, E. J., & Renzaho, A. M. (2014). The physical health status, service utilisation and barriers to accessing care for asylum seekers residing in the community: a systematic review of the literature. Australian Health Review, 38(2), 142-159.
  • International Organization for Migration (IOM). (2004). Glossary on Migration. International Migration Law. Perruchoud. R. (Ed.) Geneva. International Organization for Migration (IOM). (2004). Glossary on Migration. International Organization for Migration 5. Redpath, R. P. (Ed.) Geneva. International Organization for Migration (IOM). (2018). World migration report 2018. The UN Migration Agency. McAuliffe. M., and Ruhs. M. (Ed.) Geneva. https://www.iom.int/wmr.
  • International Organization for Migration (IOM). (2020). World migration report 2020. McAuliffe. M., and Khadria. B. (Ed.) Geneva. https://www.iom.int/wmr.
  • Karakuş, A., Yengil, E., Akkücük, S., Cevik, C., Zeren, C., & Uruc, V. (2013). The reflection of the Syrian civil war on the emergency department and assessment of hospital costs. Turkish Journal of Trauma and Emergency Surgery, 19(5), 429-433.
  • Matias, D. M. S. (2020). Climate humanitarian visa: international migration opportunities as post-disaster humanitarian intervention. Climatic Change, 1-14.
  • Muir, J. A., Cope, M. R., Angeningsih, L. R., & Jackson, J. E. (2020). To move home or move on? Investigating the impact of recovery aid on migration status as a potential tool for disaster risk reduction in the aftermath of volcanic eruptions in Merapi, Indonesia. International Journal of Disaster Risk Reduction, 46, 101478.
  • Murshidi, M. M., Hijjawi, M. Q. B., Jeriesat, S., & Eltom, A. (2013). Syrian refugees and Jordan's health sector. The Lancet, 382(9888), 206-207.
  • Oguz, S., Tuygun, N., Polat, E., Akça, H., & Karacan, C. D. (2016). War and children: Effect of Syria civil war on a pediatric emergency department, 750 km away from the border. Cocuk Acil ve Yogun Bakım, 3(3), 135.
  • Pan, C. Y. (2020). Protections from natural disasters as local public goods: Migration and local adaptations. Regional Science and Urban Economics, 85, 103592.
  • Pfortmueller, C. A., Stotz, M., Lindner, G., Müller, T., Rodondi, N., & Exadaktylos, A. K. (2013). Multimorbidity in adult asylum seekers: a first overview. PLoS One, 8(12), e82671.
  • Russo, G., Vita, S., Miglietta, A., Terrazzini, N., Sannella, A., & Vullo, V. (2016). Health profile and disease determinants among asylum seekers: a cross-sectional retrospective study from an Italian reception centre. Journal of Public Health, 38(2), 212-222.
  • Tahirbegolli, B., Çavdar, S., Sümer, E. Ç., Akdeniz, S. I., & Vehid, S. (2016). Outpatient admissions and hospital costs of Syrian refugees in a Turkish university hospital. Saudi medical journal, 37(7), 809.
  • Turan, M., Kaya, A. A., & Sezen, İ. (2018). Türkiye’deki Suriyeli Misafirler ve İlişkilendirilen Bulaşıcı Hastalıklar. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, 7(4), 119-127.
  • United Nations. (2017). International Migration Report 2017: Highlights. Department of Economic and Social Affairs, Population Division (ST/ESA/SER.A/404).
  • United Nations. (2019). International Migration Report 2019. Department of Economic and Social Affairs, Population Division (ST/ESA/SER.A/438).
  • Varol, N, ve Gülteki̇n, T. (2016). Etkin Bir Göç Faktörü: Afetler. Antropoloji Dergisi, (32), 43-51. DOI: 10.1501/antro_0000000337
  • Yamashita, R. (2020). Relationship between citizens' risk perceptions formed by disaster information and migration decision-making: Evidence from Japan. Progress in Disaster Science, 5, 100056.
  • Yurtseven, A., Özcan, G., & Saz, E. U. (2015). Çocuk Acil Servise Başvuran Suriyeli Hastalarla Türk Hastaların Karşılaştırılması: Ege Üniversitesi Deneyimi. Turk J Pediatr Emerg Intensive Care Med, 2(3), 133-136.

Analysis of Polyclinic Services and Costs of Immigrant Groups Applying to Gümüşhane State Hospital

Yıl 2021, Cilt: 12 Sayı: 3, 1068 - 1078, 25.09.2021

Öz

The aim of this study is to examine the demographic characteristics (age, gender, diagnosis, nationality, outpatient clinic services of immigrants) of immigrant groups who applied to Gumushane State Hospital (GSH) in 2014, 2015, and 2016, and to examine their costs (both cost by years and total cost) is to determine. The method of "Descriptive Content Analysis" was used in the study. The data used in this study were received in digital form in the form of files after obtaining the necessary permissions from GSH. SPSS 21 package program was used to analyze the data. The result of this research will give an idea to administrators, managers, and decision-makers in the management and planning of expenditures for immigrant groups in the health system. While the number of applications of immigrant groups to GSH was 699 in 2014, it was 977 and 1445 in 2015 and 2016. Immigrant groups applied to GSH 3,121 times in 2014, 2015, and 2016. It is seen that the immigrant groups who applied to GSH for 3 years are mostly citizens of the Islamic Republic of Afghanistan. When the gender and age status of the applications made for 3 years are examined, it is seen that immigrants and women in the 16-30 age group generally apply. It is seen that immigrant groups apply to GSH mostly with the diagnosis of Musculoskeletal and Connective Tissue Diseases and Diseases of the Left System Diseases. In addition, in 2014, 2015, and 2016, the highest number of admissions were made to the Emergency Polyclinic. When the costs of immigrant groups to GSH are examined; It was found to be 32,999.57 TL in 2014, 43,059.04 TL in 2015, and 64,958.37 TL in 2016. In 2014, 2015, and 2016, immigrant groups had a total cost of 141,011.98 TL for GSH. As a result, it has been determined that the costs and numbers of immigrant groups to hospitals increase every year.

Kaynakça

  • Alkar, E., & Atasoy, E. (2020). Türkiye’de Göç Üzerine Yapılan Doktora Tezlerine Yönelik Bir İçerik Analizi. Tesam Akademi, 7(1), 67-89.
  • Amel Association International. Amel Monthly Update On Syrian Refugees. 2014. [Accessed 2015 February 5th]. Available from: http://www.amelassociation.org/.
  • Bischoff, A., Denhaerynck, K., Schneider, M., & Battegay, E. (2011). The cost of war and the cost of health xare-an epidemiological study of asylum seekers. Swiss medical weekly, 141, w13252.
  • Bronstein, I., & Montgomery, P. (2011). Psychological distress in refugee children: a systematic review. Clinical child and family psychology review, 14(1), 44-56.
  • Chatterjee, R., Das, L. K., & Dabral, A. (2020). Stressors of disaster-induced displacement and migration in India. In Urban Ecology (pp. 71-89). Elsevier.
  • Dempsey, K. E., & McDowell, S. (2019). Disaster depictions and geopolitical representations in Europe’s migration ‘Crisis’. Geoforum 98. 153–160.
  • Göç İdaresi Genel Müdürlüğü. (2017). 2016 Türkiye Göç Raporu. T.C. İçişleri Bakanlığı Göç İdaresi Genel Müdürlüğü Yayınları. Yayın No:40. Ankara.
  • Hadgkiss, E. J., & Renzaho, A. M. (2014). The physical health status, service utilisation and barriers to accessing care for asylum seekers residing in the community: a systematic review of the literature. Australian Health Review, 38(2), 142-159.
  • International Organization for Migration (IOM). (2004). Glossary on Migration. International Migration Law. Perruchoud. R. (Ed.) Geneva. International Organization for Migration (IOM). (2004). Glossary on Migration. International Organization for Migration 5. Redpath, R. P. (Ed.) Geneva. International Organization for Migration (IOM). (2018). World migration report 2018. The UN Migration Agency. McAuliffe. M., and Ruhs. M. (Ed.) Geneva. https://www.iom.int/wmr.
  • International Organization for Migration (IOM). (2020). World migration report 2020. McAuliffe. M., and Khadria. B. (Ed.) Geneva. https://www.iom.int/wmr.
  • Karakuş, A., Yengil, E., Akkücük, S., Cevik, C., Zeren, C., & Uruc, V. (2013). The reflection of the Syrian civil war on the emergency department and assessment of hospital costs. Turkish Journal of Trauma and Emergency Surgery, 19(5), 429-433.
  • Matias, D. M. S. (2020). Climate humanitarian visa: international migration opportunities as post-disaster humanitarian intervention. Climatic Change, 1-14.
  • Muir, J. A., Cope, M. R., Angeningsih, L. R., & Jackson, J. E. (2020). To move home or move on? Investigating the impact of recovery aid on migration status as a potential tool for disaster risk reduction in the aftermath of volcanic eruptions in Merapi, Indonesia. International Journal of Disaster Risk Reduction, 46, 101478.
  • Murshidi, M. M., Hijjawi, M. Q. B., Jeriesat, S., & Eltom, A. (2013). Syrian refugees and Jordan's health sector. The Lancet, 382(9888), 206-207.
  • Oguz, S., Tuygun, N., Polat, E., Akça, H., & Karacan, C. D. (2016). War and children: Effect of Syria civil war on a pediatric emergency department, 750 km away from the border. Cocuk Acil ve Yogun Bakım, 3(3), 135.
  • Pan, C. Y. (2020). Protections from natural disasters as local public goods: Migration and local adaptations. Regional Science and Urban Economics, 85, 103592.
  • Pfortmueller, C. A., Stotz, M., Lindner, G., Müller, T., Rodondi, N., & Exadaktylos, A. K. (2013). Multimorbidity in adult asylum seekers: a first overview. PLoS One, 8(12), e82671.
  • Russo, G., Vita, S., Miglietta, A., Terrazzini, N., Sannella, A., & Vullo, V. (2016). Health profile and disease determinants among asylum seekers: a cross-sectional retrospective study from an Italian reception centre. Journal of Public Health, 38(2), 212-222.
  • Tahirbegolli, B., Çavdar, S., Sümer, E. Ç., Akdeniz, S. I., & Vehid, S. (2016). Outpatient admissions and hospital costs of Syrian refugees in a Turkish university hospital. Saudi medical journal, 37(7), 809.
  • Turan, M., Kaya, A. A., & Sezen, İ. (2018). Türkiye’deki Suriyeli Misafirler ve İlişkilendirilen Bulaşıcı Hastalıklar. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, 7(4), 119-127.
  • United Nations. (2017). International Migration Report 2017: Highlights. Department of Economic and Social Affairs, Population Division (ST/ESA/SER.A/404).
  • United Nations. (2019). International Migration Report 2019. Department of Economic and Social Affairs, Population Division (ST/ESA/SER.A/438).
  • Varol, N, ve Gülteki̇n, T. (2016). Etkin Bir Göç Faktörü: Afetler. Antropoloji Dergisi, (32), 43-51. DOI: 10.1501/antro_0000000337
  • Yamashita, R. (2020). Relationship between citizens' risk perceptions formed by disaster information and migration decision-making: Evidence from Japan. Progress in Disaster Science, 5, 100056.
  • Yurtseven, A., Özcan, G., & Saz, E. U. (2015). Çocuk Acil Servise Başvuran Suriyeli Hastalarla Türk Hastaların Karşılaştırılması: Ege Üniversitesi Deneyimi. Turk J Pediatr Emerg Intensive Care Med, 2(3), 133-136.
Toplam 25 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Bölüm Makaleler
Yazarlar

Sevil Cengiz 0000-0002-3562-1793

İbrahim Kıymış 0000-0001-5411-7421

Yayımlanma Tarihi 25 Eylül 2021
Gönderilme Tarihi 22 Mayıs 2021
Yayımlandığı Sayı Yıl 2021 Cilt: 12 Sayı: 3

Kaynak Göster

APA Cengiz, S., & Kıymış, İ. (2021). Gümüşhane Devlet Hastanesine Başvuran Göçmen Gruplarının Poliklinik Hizmetlerinin Ve Maliyetlerinin Analizi. Gümüşhane Üniversitesi Sosyal Bilimler Dergisi, 12(3), 1068-1078. https://doi.org/10.36362/gumus.940800