Rehabilitation utilization of non-migrant and migrant persons with back pain: A cohort study using different definitions of migrant background

Fauser, David; Banaschak, Hannes; Zimmer, Julia-Marie; Golla, André; Schmitt, Nadine; Mau, Wilfried; Bethge, Matthias

doi:10.1016/j.eclinm.2022.101351

Cited by 3 publications

(2 citation statements)

References 28 publications

(23 reference statements)

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“…In terms of nationality, however, there is a clear underrepresentation of children and adolescents of non-German nationality (14). A recent study with adults shows that in addition to underutilization among persons without German nationality, underutilization by persons with a migration history can also be assumed (15). Possible reasons for this are utilization barriers such as insufficient language skills, a different understanding of illness, or insufficient knowledge of the German health care system (16).…”

Section: Medical Rehabilitation For Children and Adolescentsmentioning

confidence: 99%

Increasing the use of medical rehabilitation by children and adolescents with migrant background through a multimodal information campaign: protocol of a trend study and accompanying process evaluation (MiMi-Reha-Kids, DRKS00019090)

Banaschak

Bartolini

Salman

et al. 2023

Front. Public Health

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BackgroundChronic illnesses can have an unfavorable impact on the participation opportunities of children and adolescents. The German health care system offers medical rehabilitation in order to prevent negative effects, however, migrant children and adolescents make use of this option less frequently than their peers without a migrant background. A multimodal information campaign was developed to increase the use of medical rehabilitation by children and adolescents with a migrant background, and to reduce disparities in health care.MethodsThe process evaluation will examine the implementation of a multimodal information campaign intended to increase the use of medical rehabilitation by migrant children and adolescents. The information campaign follows a low-threshold participatory approach. In a first step, persons from different migrant communities in Berlin and Hamburg are trained to become transcultural health mediators. These mediators then share their knowledge about chronic illnesses and medical rehabilitation with other families at information events held in their native language. The transcultural mediators also support migrant families in applying for medical rehabilitation. The effectiveness of the intervention will be tested by a trend study with repeated cross-sectional surveys. For this purpose, all families in the project regions of Berlin and Hamburg whose child has received medical rehabilitation are surveyed annually in order to be able to map changes in the proportions of children and adolescents with a migrant background over the course of the project.DiscussionThe study protocol describes a complex intervention to increase the use of medical rehabilitation by migrant children and adolescents, and the accompanying process evaluation and trend study. The intervention is intended to contribute to reducing health inequalities in Germany.ConclusionThe study described in this protocol will provide extensive data on the multimodal information campaign and can thus help organizations and institutions adapt or further develop similar measures for other regions.Clinical trial registrationGerman Clinical Trials Register (DRKS00019090).

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Section: Medical Rehabilitation For Children and Adolescentsmentioning

confidence: 99%

Increasing the use of medical rehabilitation by children and adolescents with migrant background through a multimodal information campaign: protocol of a trend study and accompanying process evaluation (MiMi-Reha-Kids, DRKS00019090)

Banaschak

Bartolini

Salman

et al. 2023

Front. Public Health

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“…Die medizinische Rehabilitation als Maßnahme zur Wiederherstellung eingeschränkter körperlicher und psychischer Funktionen ist vor diesem Hintergrund entscheidend und trägt maßgeblich zur Sicherung gesellschaftlicher Teilhabechancen bei. Allerdings nehmen Menschen mit Migrationshintergrund die medizinische Rehabilitation bei vielen Indikationen seltener in Anspruch als Menschen ohne Migrationshintergrund [3][4][5]. Im Hinblick auf die Behandlungsergebnisse am Ende der Rehabilitation zeigen Untersuchungen, dass Menschen mit Migrationshintergrund im Vergleich zu Personen ohne Migrationshintergrund ungünstigere Ergebnisse aufweisen [6][7][8].…”

Section: Introductionunclassified

Welche Versorgungserwartungen haben Rehabilitand*innen mit Migrationshintergrund im Verlauf der medizinischen Rehabilitation? – Eine qualitative Befragung

Yılmaz-Aslan

Aksakal

Langbrandtner

et al. 2023

Physikalische Medizin, Rehabilitationsmedizin, Kurortmedizin

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Zusammenfassung Hintergrund Menschen mit Migrationshintergrund sind im Vergleich zu Menschen ohne Migrationshintergrund mit ihrer Versorgung durchschnittlich unzufriedener und weisen ungünstigere Rehabilitationsergebnisse auf. Gründe hierfür werden u. a. in einer mangelnden interkulturellen Öffnung von Rehabilitationseinrichtungen vermutet. Auch unerfüllte Versorgungserwartungen hinsichtlich der Gestaltung von Rehabilitationsangeboten können dazu führen, dass rehabilitative Angebote erst spät und mit großen Vorbehalten in Anspruch genommen werden, und auch der Rehabilitationsprozess selbst beeinträchtigt wird. Über die Erwartungen, die Menschen mit Migrationshintergrund an die Versorgung haben und darüber, wie sie sich im Verlauf der Rehabilitation verändern, ist bisher nur wenig bekannt. Ziel der vorliegenden Studie ist es, Versorgungserwartungen exemplarisch bei Menschen mit türkischem Migrationshintergrund im Rehabilitationsverlauf zu untersuchen. Methodik Die Untersuchung basiert auf leitfadengestützten Einzelinterviews mit 32 Menschen mit türkischem Migrationshintergrund zu drei unterschiedlichen Phasen des Rehabilitationsprozesses, die in fünf Rehabilitationseinrichtungen in Nordrhein-Westfalen und Schleswig-Holstein durchgeführt wurden. Die Auswertung der Daten erfolgte mittels inhaltlich-strukturierender qualitativer Inhaltsanalyse. Ergebnisse Die Versorgungserwartungen von Rehabilitand*innen mit Migrationshintergrund sind individuell sehr unterschiedlich. Viele Befragte erhofften sich von der Rehabilitation vor allem eine Verbesserung der gesundheitlichen Situation, Schmerzlinderung und Erholung. Darüber hinaus äußerten sie den Wunsch nach einer individuellen Behandlung und einer intensiven ärztlichen Betreuung während der Rehabilitation. Die zu Beginn der Rehabilitation formulierten Versorgungserwartungen verändern sich teilweise im Verlauf der Rehabilitation, werden den befragten Rehabilitand*innen zufolge aber nicht oder nur teilweise erfüllt. Gründe für die Nichterfüllung liegen u. a. in einer unzureichenden ärztlichen Betreuung während der Rehabilitation. Schlussfolgerung Aus den Befragungen werden sehr vielfältige Erwartungen von Menschen mit türkischem Migrationshintergrund an die Rehabilitation deutlich, was sich durch die Heterogenität dieser Bevölkerungsgruppe erklärt. Die Ergebnisse weisen auf Potenziale und Ansatzpunkte zur Weiterentwicklung der rehabilitativen Versorgung in einer vielfältigen Gesellschaft hin. Diversitätssensible Instrumente, die der Vielfalt aller Rehabilitand*innen Rechnung tragen können, können hierbei einen wertvollen Beitrag leisten.

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Support from Physicians as a Key Enabling Factor for Rehabilitation Utilization in Migrants with Back Pain: A Longitudinal Analysis

Banaschak,

Fauser,

Sternberg

et al. 2024

Int. Migration & Integration

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In Germany, medical rehabilitation is provided to promote work ability and health in the case of chronic illness and to avoid early disability pensions. Studies have shown that employees with a history of migration are less likely to seek medical rehabilitation. The aim of this paper was to examine which factors influence the use of medical rehabilitation services in migrants with back pain.We used data from a German cohort study also including migrant employees aged 45 to 59 years. Participants reported back pain in the last 3 months and completed a baseline questionnaire in 2017. Data on rehabilitation utilization was extracted from administrative records covering the period until the end of 2018. Proportional hazard models were fitted to identify factors that were associated with utilized rehabilitation measures.Data of 552 participants were included, and 25 individuals utilized rehabilitation during follow-up. Sex (women: HR = 3.05; 95% CI: 1.10; 8.45), higher job insecurity (HR = 1.02; 95% CI: 1.00; 1.03), support from physicians and therapists (HR = 2.22; 95% CI: 1.52; 3.24), proportion of foreigners (HR = 3.27; 1.17; 9.15), and the self-reported need for rehabilitation (HR = 3.23; 95% CI: 1.12; 8.60) were associated with utilization.In summary, informational and practical support provided by physicians and therapists on medical rehabilitation services seems to be a key predictor of rehabilitation utilization. Our findings, therefore, support the call for transcultural competence to be more widely incorporated into the education of medical and health professionals to counteract health care disparities.

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Rehabilitation utilization of non-migrant and migrant persons with back pain: A cohort study using different definitions of migrant background

Cited by 3 publications

References 28 publications

Increasing the use of medical rehabilitation by children and adolescents with migrant background through a multimodal information campaign: protocol of a trend study and accompanying process evaluation (MiMi-Reha-Kids, DRKS00019090)

Increasing the use of medical rehabilitation by children and adolescents with migrant background through a multimodal information campaign: protocol of a trend study and accompanying process evaluation (MiMi-Reha-Kids, DRKS00019090)

Welche Versorgungserwartungen haben Rehabilitand*innen mit Migrationshintergrund im Verlauf der medizinischen Rehabilitation? – Eine qualitative Befragung

Support from Physicians as a Key Enabling Factor for Rehabilitation Utilization in Migrants with Back Pain: A Longitudinal Analysis

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