Unterstützung von Rehabilitationseinrichtungen bei der
                    Umsetzung einer diversitätssensiblen Versorgung: Entwicklung der
                        DiversityKAT-Handreichung

Aksakal, Tuğba; Mader, Maria; Erdsiek, Fabian; Annac, Kübra; Padberg, Dennis; Yılmaz-Aslan, Yüce; Razum, Oliver; Brzoska, Patrick

doi:10.1055/a-2138-9199

Cited by 2 publications

(1 citation statement)

References 31 publications

(50 reference statements)

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“…This is largely due to a lack of practical hands-on overviews of suitable instruments that can be consulted for that purpose. A recent project addressed that limitation for rehabilitative care in Germany by developing a manual ('DiversityKAT') with tools and recommendations that can assist rehabilitation facilities in the implementation of diversity-sensitive health care approaches [36].…”

Section: Discussionmentioning

confidence: 99%

Intersectional Differences in Health Care Outcomes among Patients with Musculoskeletal Disorders in Germany

Brzoska

Annaç

Yılmaz-Aslan

2023

Reports

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In all regions of the world, musculoskeletal disorders are a significant contributor to the burden of chronic illnesses. The effectiveness of treatments, such as rehabilitation, may vary intersectionally across demographic and other categories. The present study examines this intersectionality with respect to a lack of improvement in health conditions after rehabilitation of patients in Germany. Routine data from 298,617 patients aged 18–65 years residing in Germany who received rehabilitation because of arthropathies, dorsopathies, or soft tissue disorders during 2006–2016 were included in the analysis. Odds of the outcome were compared across demographic groups and across diagnostic sub-groups by means of multivariable logistic regression. Interaction terms were included to examine intersectional differences across these groups and over time. Women were more likely than men to have an impairment despite treatment (adjusted odds ratio [aOR] = 1.11; 95%-CI = 1.08, 1.13). In addition, patients in semi-skilled/unskilled employment were at higher odds of a poor outcome compared to patients in skilled positions (aOR = 1.13; 95%-CI = 1.10–1.17). Nationality also affected health care outcomes, with Turkish nationals and nationals from a Yugoslav successor state having higher odds of a poor outcome than Germans (aOR = 1.56; 95%-CI = 1.45–1.67 and aOR = 1.52; 95%-CI = 1.41–1.65, respectively). The findings highlight the importance of an intersectional perspective in health research and practice and can support the development of strategies and measures that aim to reduce disparities in health care.

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Section: Discussionmentioning

confidence: 99%

Intersectional Differences in Health Care Outcomes among Patients with Musculoskeletal Disorders in Germany

Brzoska

Annaç

Yılmaz-Aslan

2023

Reports

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Racism against healthcare users in inpatient care: a scoping review

Merz,

Aksakal,

Hibtay

et al. 2024

Int J Equity Health

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Background Racism in the healthcare system has become a burgeoning focus in health policy-making and research. Existing research has shown both interpersonal and structural forms of racism limiting access to quality healthcare for racialised healthcare users. Nevertheless, little is known about the specifics of racism in the inpatient sector, specifically hospitals and rehabilitation facilities. The aim of this scoping review is therefore to map the evidence on racial discrimination experienced by people receiving treatment in inpatient settings (hospitals and rehabilitation facilities) or their caregivers in high-income countries, focusing specifically on whether intersectional axes of discrimination have been taken into account when describing these experiences. Methods Based on the conceptual framework developed by Arksey and O’Malley, this scoping review surveyed existing research on racism and racial discrimination in inpatient care in high-income countries published between 2013 and 2023. The software Rayyan was used to support the screening process while MAXQDA was used for thematic coding. Results Forty-seven articles were included in this review. Specifics of the inpatient sector included different hospitalisation, admission and referral rates within and across hospitals; the threat of racial discrimination from other healthcare users; and the spatial segregation of healthcare users according to ethnic, religious or racialised criteria. While most articles described some interactions between race and other social categories in the sample composition, the framework of intersectionality was rarely considered explicitly during analysis. Discussion While the USA continue to predominate in discussions, other high-income countries including Canada, Australia and the UK also examine racism in their own healthcare systems. Absent from the literature are studies from a wider range of European countries as well as of racialised and disadvantaged groups other than refugees or recent immigrants. Research in this area would also benefit from an engagement with approaches to intersectionality in public health to produce a more nuanced understanding of the interactions of racism with other axes of discrimination. As inpatient care exhibits a range of specific structures, future research and policy-making ought to consider these specifics to develop targeted interventions, including training for non-clinical staff and robust, transparent and accessible complaint procedures.

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Unterstützung von Rehabilitationseinrichtungen bei der Umsetzung einer diversitätssensiblen Versorgung: Entwicklung der DiversityKAT-Handreichung

Cited by 2 publications

References 31 publications

Intersectional Differences in Health Care Outcomes among Patients with Musculoskeletal Disorders in Germany

Intersectional Differences in Health Care Outcomes among Patients with Musculoskeletal Disorders in Germany

Racism against healthcare users in inpatient care: a scoping review

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