Health Care Services Utilization and Health-Related Quality of Life of Syrian Refugees with Post-Traumatic Stress Symptoms in Germany (the Sanadak Trial)

dc.citation.issue7
dc.citation.volume18
dc.contributor.authorGrochtdreis T
dc.contributor.authorRöhr S
dc.contributor.authorJung FU
dc.contributor.authorNagl M
dc.contributor.authorRenner A
dc.contributor.authorKersting A
dc.contributor.authorRiedel-Heller SG
dc.contributor.authorKönig H-H
dc.contributor.authorDams J
dc.coverage.spatialSwitzerland
dc.date.accessioned2024-01-05T01:42:22Z
dc.date.accessioned2024-07-25T06:33:35Z
dc.date.available2021-03-25
dc.date.available2024-01-05T01:42:22Z
dc.date.available2024-07-25T06:33:35Z
dc.date.issued2021-04-01
dc.description.abstractRefugees who have fled from the ongoing civil war in Syria that arrived in Germany often develop post-traumatic stress symptoms (PTSS). The aim of this study was to determine health care services utilization (HCSU), health care costs and health-related quality of life (HrQoL) of Syrian refugees with mild to moderate PTSS without current treatment in Germany. The study was based on the baseline sample of a randomized controlled trial of a self-help app for Syrian refugees with PTSS (n = 133). HCSU and HrQoL based on the EQ-5D-5L and its visual analogue scale (EQ-VAS) were assessed with standardized interviews. Annual health care costs were calculated using extrapolated four-month HCSU and standardized unit costs. Associations between health care costs, HrQoL and PTSS severity were examined using generalized linear models. Overall, 85.0% of the sample utilized health care services within four months. The mean total annual health care costs were EUR 1920 per person. PTSS severity was not associated with health care costs. The EQ-5D-5L index score and the EQ-VAS score was 0.82 and 73.6, respectively. For Syrian refugees with higher PTSS severity, the EQ-5D-5L index score was lower (−0.17; p < 0.001). The HCSU and the resulting health care costs of Syrian refugees with mild to moderate PTSS without current treatment are low and those with a higher PTSS severity had a lower HrQoL.
dc.format.pagination3408-
dc.identifier.author-urlhttps://www.ncbi.nlm.nih.gov/pubmed/33806051
dc.identifier.citationGrochtdreis T, Röhr S, Jung FU, Nagl M, Renner A, Kersting A, Riedel-Heller SG, König H-H, Dams J. (2021). Health Care Services Utilization and Health-Related Quality of Life of Syrian Refugees with Post-Traumatic Stress Symptoms in Germany (the Sanadak Trial).. Int J Environ Res Public Health. 18. 7. (pp. 3408-).
dc.identifier.doi10.3390/ijerph18073408
dc.identifier.eissn1660-4601
dc.identifier.elements-typejournal-article
dc.identifier.issn1661-7827
dc.identifier.piiijerph18073408
dc.identifier.urihttps://mro.massey.ac.nz/handle/10179/70414
dc.languageeng
dc.publisherMDPI (Basel, Switzerland)
dc.relation.isPartOfInt J Environ Res Public Health
dc.rights(c) 2021 The Author/s
dc.rightsCC BY 4.0
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.subjectSyrian refugees
dc.subjecthealth care costs
dc.subjecthealth care services utilization
dc.subjecthealth-related quality of life
dc.subjectmental health
dc.subjectpost-traumatic stress
dc.subjectFacilities and Services Utilization
dc.subjectGermany
dc.subjectHumans
dc.subjectQuality of Life
dc.subjectRefugees
dc.subjectStress Disorders, Post-Traumatic
dc.subjectSyria
dc.titleHealth Care Services Utilization and Health-Related Quality of Life of Syrian Refugees with Post-Traumatic Stress Symptoms in Germany (the Sanadak Trial)
dc.typeJournal article
pubs.elements-id455101
pubs.organisational-groupOther
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