In light of the growing challenges faced by governments to meet the needs for Syrian and other health care, this study was conducted to assess the use of health services among Syrian households in camps without a camp (Doocy et al., 2016). In June 2014, a survey was conducted to ensure health-related behavior and issues related to access to care (Doocy et al., 2016). To obtain a national representative sample of one thousand five hundred and fifty family homes for Syrian non-packets, a cluster project was used with a probability proportional to the sample (Doocy et al., 2016). Differences in the characteristics of households by geographic region, type of facility and sector used were studied using chi-square and t-test methods (Doocy et al., 2016). The results showed 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 services were requested in the public sector, 38.7% in private institutions and 9.8% in charitable organizations / NGOs (Doocy et al., 2016). Among those who seek help from adults, 87.4% were prescribed medications at their last visit, of which 89.8% received medicines (Doocy et al., 2016). A total of 51.8% of households reported their own costs for counseling or treatment for the last time ($ 39.9 on average, median $ 4.2) (Doocy et al., 2016). The conclusion is that, despite the high level of concern for needs, cost is important for accessing medical services for Syrian refugees in (Doocy et al., 2016), Jordan. The cessation of free access to health care from the time of the survey is likely to worsen health equity (Doocy et al., 2016). Dependence on government agencies for primary and specialized care places a heavy burden on Jordan’s health system (Doocy et al., 2016). In order to increase the availability of equitable health services, including for future decision-makers, it will include resources for non-communicable 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).The high use of assistance 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 clinic visits for infectious or infectious diseases, noncommunicable diseases are an equally common cause of seeking medical care (Doocy et al., 2016). 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 and similar (Doocy et al., 2016). A UNHCR poll showed that 39.8% of families of Syrian refugees reported a member with a chronic illness. The cost of medical services for refugees provided by the Ministry of Health, UNHCR and NGOs is higher than in other crises where noncommunicable diseases account for a smaller share of the disease burden among refugees (Doocy et al., 2016). Important in this crisis is the development of health promotion programs specifically designed for refugees to assess risk and control measures for refugees with non-communicable diseases (Doocy et al., 2016). In other situations, the creation of targeted clinical and diagnostic services for patients with hypertension, diabetes and cardiovascular diseases helped improve the control of the disease (Doocy et al., 2016). Creating them specifically for refugees and providing support services and health education can help reduce long-term costs while improving the quality of care for people with these (Doocy et al., 2016). Although every attempt was made to create a reliable training project and its implementation with caution, assessments have limitations. Dependence of authors on UNHCR registration data can lead to selective bias if the geographical distribution of registered and unregistered households (Doocy et al., 2016) is different. Within the clusters, if refugee households sent the interviewers to acquaintances, rather than to the nearest households, as requested, bias could be (Doocy et al., 2016). Using a small cluster size can reduce the similarity in the cluster and the associated design effect. The sample that was made for logistic purposes can also contribute to evasion if there are systematic differences between households where no one was at home compared to respondents (Doocy et al., 2016). Finally, the interviews were conducted by the Jordanians, which could lead to a higher rejection, indecision or influence of Syrian refugees to answer some questions than if the interviews were conducted by Doocy et al., 2016, by Syrians. The authors concluded that Syrian refugees in the camps in Jordan have difficulty accessing health services, mainly because of costs. This barrier is likely to worsen after the transition in 2014 from free to subsidized health services and the gradual deterioration in the economic situation that arises in many refugee families as a result of prolonged displacement (Doocy et al., 2016). 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). The increase in utility bills and the shift to private sector services is likely to reduce the access of refugees to services (Doocy et al., 2016). Alternative strategies can aim to attract more resources for noncommunicable diseases and other traditional inpatient services to the level of primary health care, the creation of refugee-oriented services and a strong health promotion program that focuses on the prevention and improvement of self-care and home management (Doocy and etc., 2016). 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 measures to prioritize equitable provision of health care between national refugee and host groups (Doocy et al., 2016), Use of more related health workers and support staff at the primary health care level and at the community level can also reduce health care costs (Doocy et al., 2016).It should be noted that the tools used to conduct the survey and to study the problem as a whole are reliable and valid. There may be another way of investigating the next topic, but in fact it is a very well conducted and studied scientific article. Definitely, the above study and its results can help and improve the practice of social work.


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