Shannon Doocy, Emily Lyles, Ann Burton, Gilbert Burnham, and Laila Akhu-Zaheya review in the article the issue of the Jordanian health system.
Changes in the way of life the aging population leads to the transfer of diseases, including chronic conditions, concomitant diseases, and injuries, which are more complex and costly to manage. The emphasis placed on health systems threatens the protection of health needs and the population of the host country.In light of the growing challenges faced by the government in order to meet the needs for Syrian and other health care, this certain study was conducted in order to assess the use of health services among Syrian households in camps (Doocy et al., 2016). There was a survey done in June 2014 and its aim was to provide health-related behavior and certain issues related to access to assistance (Doocy et al.
, 2016). To achieve a national representative sample of one thousand five hundred fifty family homes for Syrian non-camps, a cluster project was used with a probability proportional to the size (Doocy et al., 2016) sample.
Differences in the characteristics of households by geographic region, type of facility, and sector used were studied using t-test methods and chi-square (Doocy et al., 2016). The results of the test have shown that patient care was high, and 86.1% of households reported that the adult sought medical help the last time they needed it (Doocy et al., 2016).
Approximately half (51.5%) of the services were requested in the public sector, 38.7% in the private institutions, and 9.8% in NGOs/charities (Doocy et al., 2016). Among those who seek care for adults, 87.4% were prescribed medication at their last visit, 89.
8% of them received medication (Doocy et al., 2016). In general, 51.
8% of households reported their own costs for medication or counseling on their last visit ($ 39.9 on average, median $ 4.2) (Doocy et al., 2016). The conclusion is that despite the high level of concern for the needs, the cost was important for accessing medical services to Syrian refugees in (Doocy et al., 2016) Jordan. The cessation of free access to health care from the time of the survey was likely to worsen the health equity (Doocy et al.
, 2016). Dependence on government institutions for primary and specialized care places a heavy burden on the Jordanian health (Doocy et al., 2016) system. In order to improve the accessibility of the health care services on an equitable basis, as for future decision-makers, it will include resources for noncommunicable diseases and other traditional inpatient services at the primary level and the establishment of solid health promotion programs for prevention and self-care (Doocy et al., 2016) strategies.The high use of aid among adult Syrian refugees in Jordan reflects a mixed picture of infections and infectious diseases, as well as injuries. Although this population accounts for half of the clinic visits for infectious or infectious diseases, non-communicable diseases are an equally common reason for seeking medical (Doocy et al., 2016) help.
The study showed that 43.4% of Syrian refugee families reported that one or more household members had previously been diagnosed with a chronic health condition. A similar (Doocy et al., 2016) UNHCR poll reported that 39.8% of Syrian refugee families reported a member with a chronic illness. The cost of clinical services for refugees provided by the Ministry of Health, UNHCR, and NGOs is higher than in other crises where noncommunicable diseases make up a smaller proportion of the disease burden among (Doocy et al., 2016) the refugees. What is important in this crisis, is the development of health promotion programs that are specifically aimed at refugees to assess the risk and control measures for refugees with non-communicable (Doocy et al.
, 2016) diseases. In other situations, the creation of targeted diagnostic and clinical services for patients with hypertension, cardiovascular, and diabetes disease has helped to improve the disease (Doocy et al., 2016) control. Providing support services and health education and establishing them specifically for refugees can help reduce the long-term costs while improving the quality of care for people with these (Doocy et al., 2016) conditions. While every attempt was made to create a reliable training project and its implementation with caution, it is necessary to say that the assessments have limitations.
The authors’ dependence on UNHCR registration data could lead to a sample bias if the geographical distribution of registered and unregistered households were (Doocy et al., 2016) different. Inside the clusters, if refugee households sent the interviewers to acquaintances rather than the closest households, in accordance with the request, bias could be (Doocy et al., 2016) envisaged. Using a small cluster size can reduce the similarity within the associated design effect and cluster. The sample bias that was made for logistic purposes can also contribute to evasion if there are systematic differences between households where no one was at home in comparison with the (Doocy et al.
, 2016) respondents. Finally, the interviews were conducted by the Jordanians which could lead to a higher rejection, indecision or influence on the part of Syrian refugees to answer certain questions than if the interviews were conducted by (Doocy et al., 2016) Syrians. The authors of the article have made a conclusion that Syrian refugees in camps of Jordan have difficulty accessing health services mainly because of the costs. This barrier was likely to worsen after the transition in 2014 from free to subsidized health services and the gradual deterioration of the economic situation that occurs in many refugee families as a result of the prolonged (Doocy et al.
, 2016) displacement. The dependency of refugees mainly from the public sector for primary and specialized care placed a heavy burden on the health sector in Jordan (Doocy et al., 2016). Increasing copayments for utilities and switching to the use of private sector services is likely to reduce the refugees’ access to services (Doocy et al., 2016). Alternative strategies can focus on moving more resources for noncommunicable diseases and other traditional inpatient services to the level of primary health care, creating refugee-oriented services and a strong health promotion program that focuses on prevention and greater self-care, and home management of (Doocy et al.
, 2016) the diseases. These efforts will not only benefit refugees but will also reduce the burden and financial burden on the health system, freeing up resources to take action to prioritize the equitable provision of health care between the host country groups and the national refugee (Doocy et al., 2016). The use of more related health professionals and support staff at the primary health care level and at the community level can also reduce health care (Doocy et al., 2016) costs.It is necessary to point out that the instruments used for the conduction of the survey and for the study of the issue, in general, are reliable and valid. Probably, there can be another way of research of the following topic but in fact, this is a very well-conducted and studied scientific article.
Definitely, the described above study and the results of it can help and enhance the social work practice.ReferencesDoocy, S., Lyles, E., Akhu-Zaheya, L., Burton, A., and Burnham, G. (2016).
Health serviceaccess and utilization among Syrian refugees in Jordan. Retrieved fromhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4946096/