Results of a social support programme to provide treatment and improve health related quality of life in refugees and homeless people

JEADV clinical practice Pub Date : 2024-05-27 DOI:10.1002/jvc2.439

Adel Sammain, Marco Borghi, Aldo Morrone

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Abstract

Background

Currently, European and especially Italian healthcare systems are being challenged with providing medical care to an increasing number of refugees but also to the homeless living on the streets, in reception facilities or cohabitation. In 2022, over 200,000 irregular arrivals of migrants to Europe were recorded, coming from mainly African and also Asian countries and frequently via Mediterranean migration routes.

Objectives

This study aims to report the results of a social support programme to provide treatment and improve health-related quality of life (HrQoL) in refugees and homeless people.

Methods

Observational study during the year 2022, including patients with an immigration background visiting the Clinica dell'Istituto di S. Maria e S. Gallicano di Roma, Italy (IRCCS), or being homeless during this observational study.

Results

We have seen 210 patients. In 177 cases (84.3%), a definitive diagnosis is known. Most frequent skin conditions were infectious, allergic or due to secondary inflammation. We also saw rare cutaneous conditions like Madelung disease or Darier disease.

Conclusions

We provided dermatological consultation and treatment to this very vulnerable population, and our experience shows that this social support programme to enable access to dermatological consultation for the poor was able to improve not only the clinical condition but also the HrQoL 4 weeks after consultation and beginning of treatment.

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为难民和无家可归者提供治疗和改善与健康有关的生活质量的社会支持计划的成果

背景目前，欧洲，尤其是意大利的医疗系统正面临着向越来越多的难民以及流落街头、住在收容所或同居的无家可归者提供医疗服务的挑战。根据记录，2022 年有超过 20 万名非正常移民抵达欧洲，他们主要来自非洲和亚洲国家，经常经由地中海移民路线。本研究旨在报告一项社会支持计划的成果，该计划旨在为难民和无家可归者提供治疗并改善他们与健康相关的生活质量（HrQoL）。方法在2022年期间进行观察研究，包括在意大利罗马圣玛丽亚和圣加里卡诺研究所诊所（IRCCS）就诊的有移民背景的患者，或在观察研究期间无家可归的患者。结果我们共接诊了 210 名患者。其中 177 例（84.3%）已确诊。最常见的皮肤病是感染性、过敏性或继发性炎症。我们还发现了马德龙病或达里尔病等罕见的皮肤病。结论我们为这一非常弱势的人群提供了皮肤病咨询和治疗，我们的经验表明，这项为穷人提供皮肤病咨询的社会支持计划不仅能够改善临床状况，还能在咨询和开始治疗 4 周后改善 HrQoL。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

JEADV clinical practice

CiteScore

0.30

自引率

0.00%

发文量