Access to Primary Healthcare by Ukrainian Beneficiaries of Temporary Protection in Rural Communities

Abstract

Aim
This study aimed to assess the primary healthcare services accessed by Ukrainian refugees in Ireland, their health needs, and consultation outcomes.

Methods
Ballyvaughan Medical Centre had 491 Ukrainians registered for GP services since March 2022. Data on age, gender, comorbidities, consultations, and outcomes were collected over 24 months.

Results
With conscription preventing Ukrainian males aged 18-60 from leaving, the cohort was predominantly female (322, 66%), including children (154, 31.4%), adults (282, 57.4%) and older adults (55, 11.2%). A total of 3,551 consultations were conducted: 1,910 (54%) with GPs, 774 (22%) with practice nurses, 860 (24%) as telephone consultations, and 7 (0.2%) out-of hours. Hypertension was the most common diagnosis (56 cases, 24%), followed by cardiovascular disease (54, 23.5%), gastrointestinal issues (25, 11%), major depressive disorder (18, 8%), and thyroid disorders (17, 7%). New diagnoses included hyperlipidaemia (33 cases, 40%) and depression (18, 22%). Monthly medications were needed for 167 (34%), and 236 (48%) required acute prescriptions. Hospital visits were provided for 66 (13%) Ukrainians, while 425 (87%) were managed in primary care.

Discussion
The study illustrates the complex health needs of Ukrainian refugees in Ireland and emphasizes the need for culturally and linguistically tailored care to address these health needs.