Utilization and effectiveness of medical rehabilitation in foreign nationals residing in Germany

Brzoska P, Voigtländer S, Spallek J, Razum O (2010)
European Journal of Epidemiology 25(9): 651-660.

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Zeitschriftenaufsatz | Veröffentlicht | Englisch
Abstract / Bemerkung
In Germany, the proportion of foreign national residents receiving an invalidity pension is higher than that of Germans. Lower utilization and effectiveness of medical rehabilitation are presumed to be the main reasons. We aimed to examine whether differences in utilization and effectiveness of medical rehabilitation between Germans and foreign nationals are attributable to differences in socio-demography, socio-economic background and health status. Utilization of rehabilitation was analyzed for household members aged 18 years or above enrolled in the German Socio-Economic Panel in 2002-2004 (n = 19,521). Effectiveness of rehabilitation was defined by the occupational performance at the end of rehabilitation. It was examined by using an 80% random sample of all completed medical rehabilitations in the year 2006 funded by the German Statutory Pension Insurance Scheme (n = 634,529). Our study shows that foreign nationals utilize medical rehabilitation less often than Germans (OR = 0.68; 95%-CI = 0.50; 0.91). For those who do, medical rehabilitation is less effective (OR for low occupational performance = 1.50; 95%-CI = 1.46; 1.55). Both findings are only partially attributable to socio-demographic, socio-economic and health characteristics: After adjusting for these factors, ORs for utilization and low occupational performance were 0.66 (95%-CI = 0.49; 0.90) and 1.20 (95%-CI = 1.16; 1.24), respectively. It can be concluded that differences in the utilization and effectiveness of medical rehabilitation between Germans and foreign nationals cannot be explained only by socio-economic differences or poorer health before rehabilitation. In addition, factors such as the ability of the rehabilitative care system to accommodate clients with differing expectations, and migrant-specific characteristics such as cultural differences, seem to play a role.
Erscheinungsjahr
Zeitschriftentitel
European Journal of Epidemiology
Band
25
Zeitschriftennummer
9
Seite
651-660
ISSN
eISSN
PUB-ID

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Brzoska P, Voigtländer S, Spallek J, Razum O. Utilization and effectiveness of medical rehabilitation in foreign nationals residing in Germany. European Journal of Epidemiology. 2010;25(9):651-660.
Brzoska, P., Voigtländer, S., Spallek, J., & Razum, O. (2010). Utilization and effectiveness of medical rehabilitation in foreign nationals residing in Germany. European Journal of Epidemiology, 25(9), 651-660. doi:10.1007/s10654-010-9468-y
Brzoska, P., Voigtländer, S., Spallek, J., and Razum, O. (2010). Utilization and effectiveness of medical rehabilitation in foreign nationals residing in Germany. European Journal of Epidemiology 25, 651-660.
Brzoska, P., et al., 2010. Utilization and effectiveness of medical rehabilitation in foreign nationals residing in Germany. European Journal of Epidemiology, 25(9), p 651-660.
P. Brzoska, et al., “Utilization and effectiveness of medical rehabilitation in foreign nationals residing in Germany”, European Journal of Epidemiology, vol. 25, 2010, pp. 651-660.
Brzoska, P., Voigtländer, S., Spallek, J., Razum, O.: Utilization and effectiveness of medical rehabilitation in foreign nationals residing in Germany. European Journal of Epidemiology. 25, 651-660 (2010).
Brzoska, Patrick, Voigtländer, Sven, Spallek, Jacob, and Razum, Oliver. “Utilization and effectiveness of medical rehabilitation in foreign nationals residing in Germany”. European Journal of Epidemiology 25.9 (2010): 651-660.

16 Zitationen in Europe PMC

Daten bereitgestellt von Europe PubMed Central.

Effectiveness of Medical Rehabilitation on Return-to-Work Depends on the Interplay of Occupation Characteristics and Disease.
Wiemer A, Mölders C, Fischer S, Kawohl W, Rössler W., J Occup Rehabil 27(1), 2017
PMID: 26936846
Acculturation and health-related quality of life: results from the German National Cohort migrant feasibility study.
Brand T, Samkange-Zeeb F, Ellert U, Keil T, Krist L, Dragano N, Jöckel KH, Razum O, Reiss K, Greiser KH, Zimmermann H, Becher H, Zeeb H., Int J Public Health 62(5), 2017
PMID: 28255647
[Migrant-sensitive health care strategies in orthopedic rehabilitation : A postal survey in North Rhine-Westphalia and Schleswig-Holstein].
Brzoska P, Yilmaz-Aslan Y, Aksakal T, Razum O, Deck R, Langbrandtner J., Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 60(8), 2017
PMID: 28664273
Reviewing the topic of migration and health as a new national health target for Germany.
Brzoska P, Ellert U, Kimil A, Razum O, Sass AC, Salman R, Zeeb H., Int J Public Health 60(1), 2015
PMID: 25387986
[Prevention among migrants: Participation, migrant sensitive strategies and programme characteristics].
Brand T, Kleer D, Samkange-Zeeb F, Zeeb H., Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 58(6), 2015
PMID: 25861044
[Accessibility and quality of rehabilitative services among migrants in Germany].
Brzoska P, Razum O., Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 58(6), 2015
PMID: 25861042
Illness perceptions in Turkish migrants with diabetes: a qualitative study.
Yilmaz-Aslan Y, Brzoska P, Bluhm M, Aslan A, Razum O., Chronic Illn 10(2), 2014
PMID: 23986085
Lower frequency of insulin pump treatment in children and adolescents of Turkish background with type 1 diabetes: analysis of 21,497 patients in Germany.
Icks A, Razum O, Rosenbauer J, Bächle C, Hungele A, Mönkemöller K, Müller-Godeffroy E, Heidtmann B, Kapellen T, Scheuing N, Holl RW., Diabetes Technol Ther 14(12), 2012
PMID: 23216338
[The care of people with a migration background in psychosomatic rehabilitation].
Mösko MO, Pradel S, Schulz H., Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 54(4), 2011
PMID: 21465403

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