关键词: Healthcare Post-earthquake Scoping review Turkey-Syria earthquakes Vulnerable groups

Mesh : Humans Earthquakes Turkey Syria Disasters Delivery of Health Care

来  源:   DOI:10.1186/s12889-024-18395-z   PDF(Pubmed)

Abstract:
BACKGROUND: Identifying healthcare services and also strengthening the healthcare systems to effectively deliver them in the aftermath of large-scale disasters like the 2023 Turkey-Syria earthquakes, especially for vulnerable groups cannot be emphasized enough. This study aimed at identifying the interventions undertaken or proposed for addressing the health needs or challenges of vulnerable groups immediately after the occurrence of the 2023 Turkey-Syria earthquakes, as well as for prioritizing their healthcare service delivery in the post-Turkey-Syria earthquake.
METHODS: In this scoping review compiled with the five steps of the Arksey and O\'Malley framework, five databases, including PubMed, Science Direct, Web of Science, OVID, and Google Scholar, were searched for studies published between March and April 2023 in line with the eligibility criteria. Interventions for enhancing post-earthquake healthcare services (PEHS) were grouped into seven (7) categories, adopted from previous guidelines and studies. Each one was assigned a default score of a value equal to one (1), which, in the end, was summed up.
RESULTS: Of the 115 total records initially screened, 29 articles were eligible for review. Different interventions they reported either undertaken or proposed to address the healthcare needs and challenges, especially faced by the most vulnerable groups in the aftermath of the Turkey-Syria earthquakes, were categorized into 7 PEHS. They were ranked with their scores as follows: humanitarian health relief (25); medical care (17); mental health and psychosocial support (10); health promotion, education, and awareness (9); disease surveillance and prevention (7); disability rehabilitation (7); and sexual and reproductive health (5).
CONCLUSIONS: Since there are no proper guidelines or recommendations about the specific or most significant PEHS to prioritize for vulnerable groups after the occurrence of large-scale earthquakes, this scoping review provides some insights that can help inform healthcare service delivery and prioritization for vulnerable groups in the post-2023 Turkey-Syria earthquakes and other similar disasters.
摘要:
背景:确定医疗保健服务并加强医疗保健系统,以在2023年土耳其-叙利亚地震等大规模灾难之后有效地提供这些服务,特别是对弱势群体的重视不够。这项研究旨在确定在2023年土耳其-叙利亚地震发生后立即为解决弱势群体的健康需求或挑战而采取或提议的干预措施。以及在土耳其-叙利亚地震后优先提供医疗服务。
方法:在使用Arksey和O\'Malley框架的五个步骤编译的范围审查中,五个数据库,包括PubMed,科学直接,WebofScience,OVID,和谷歌学者,搜索了2023年3月至4月间发表的符合资格标准的研究。加强震后医疗服务(PEHS)的干预措施分为七(7)类,从以前的指南和研究中采用。每个人都被分配一个等于一(1)的默认分数,which,最后,总结了。
结果:在最初筛选的115条记录中,29篇文章有资格审查。他们报告了为解决医疗保健需求和挑战而采取或提议采取的不同干预措施,特别是在土耳其-叙利亚地震后最脆弱的群体所面临的,分为7个PEHS。他们的得分排名如下:人道主义健康救济(25);医疗保健(17);心理健康和社会心理支持(10);健康促进,教育,(9);疾病监测和预防(7);残疾康复(7);性健康和生殖健康(5)。
结论:由于在发生大规模地震后,没有关于特定或最重要的PEHS优先考虑脆弱群体的适当指南或建议,这项范围界定审查提供了一些见解,有助于在2023年土耳其-叙利亚地震和其他类似灾难中为弱势群体提供医疗服务和确定优先次序.
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