Brzoska Patrick, Yilmaz-Aslan Yüce, Aksakal Tugba, Razum Oliver, Deck Ruth, Langbrandtner Jana
Fakultät für Human- und Sozialwissenschaften, Institut für Soziologie, Technische Universität Chemnitz, Chemnitz, Deutschland.
Fakultät für Gesundheitswissenschaften, AG3 Epidemiologie & International Public Health, Universität Bielefeld, Bielefeld, Deutschland.
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2017 Aug;60(8):841-848. doi: 10.1007/s00103-017-2572-3.
Migrants utilize rehabilitative care less frequently than the majority population in Germany. They also have less favorable treatment outcomes. Little is known about migrant-sensitive measures implemented by rehabilitation hospitals in order to provide a more patient-centered health care for this population group.
The aim of the present study was to examine which measures of migrant-sensitive health care are used by rehabilitation hospitals in North Rhine-Westphalia and Schleswig-Holstein and to identify potential barriers that may affect the implementation of such measures.
We surveyed the administrative and medical management of all 122 orthopedic rehabilitation hospitals in North Rhine-Westphalia and Schleswig-Holstein by means of a postal questionnaire. The questionnaire comprised, amongst others, questions on the implementation of migrant-sensitive measures in accommodation and health care provision. After one postal reminder, a total of 55 hospitals responded to the survey.
Of the hospitals surveyed, 83.6% consider migrant-sensitive health care to be important or partially important. Only a few migrant-sensitive measures are employed by hospitals. Thirty percent of all hospitals do not use measures of migrant-sensitive health care at all. Perceived barriers preventing an implementation of these measures are limited financial resources (71.0%) as well as structural (32.7%) and organizational (38.2%) problems.
Rehabilitation hospitals are willing to implement measures of migrant-sensitive health care. Structural and organizational support is necessary in order to overcome existing implementation barriers. In addition, measures need to be cost-effective.
在德国，移民使用康复护理的频率低于大多数人口。他们的治疗效果也较差。关于康复医院为该人群提供更以患者为中心的医疗保健而实施的针对移民的措施，人们了解甚少。
本研究的目的是调查北莱茵 - 威斯特法伦州和石勒苏益格 - 荷尔斯泰因州的康复医院采用了哪些针对移民的医疗保健措施，并确定可能影响这些措施实施的潜在障碍。
我们通过邮政问卷调查了北莱茵 - 威斯特法伦州和石勒苏益格 - 荷尔斯泰因州的所有122家骨科康复医院的行政和医疗管理人员。问卷除其他内容外，还包括关于在住宿和医疗保健提供方面实施针对移民的措施的问题。在一次邮政催复后，共有55家医院回复了调查。
在接受调查的医院中，83.6%认为针对移民的医疗保健很重要或部分重要。医院仅采用了少数针对移民的措施。所有医院中有30%根本没有使用针对移民的医疗保健措施。阻碍这些措施实施的感知障碍包括财政资源有限（71.0%）以及结构（32.7%）和组织（38.2%）问题。
康复医院愿意实施针对移民的医疗保健措施。为克服现有的实施障碍，需要结构和组织方面的支持。此外，措施需要具有成本效益。
