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首页> 外文期刊>BMC Health Services Research >Self-rated treatment outcomes in medical rehabilitation among German and non-German nationals residing in Germany: an exploratory cross-sectional study
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Self-rated treatment outcomes in medical rehabilitation among German and non-German nationals residing in Germany: an exploratory cross-sectional study

机译：探索性横断面研究：居住在德国的德国人和非德国人在医疗康复中的自我评定治疗效果

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Background In many European countries, foreign nationals experience, on average, less favorable treatment outcomes in rehabilitative care than the respective majority population. In Germany, this for example is reflected in a lower occupational performance and a higher risk of disability retirement after rehabilitation as analyses of routine data show. However, little is known about the perspective of health care users. The aim of the present study was to compare self-rated treatment outcomes between German and non-German nationals undergoing in-patient medical rehabilitation in Germany. Methods We analyzed data from a cross-sectional representative rehabilitation patient survey of 239,811 patients from 642 clinics in Germany who completed about 3 weeks of in-patient rehabilitative treatment. The self-rating of the treatment outcome was based on a dichotomized Likert scale consisting of three items. A multilevel logistic regression analysis adjusted for various demographic, socio-economic, health and other covariates was conducted to examine differences in the self-rated treatment outcome between German and non-German nationals. Results Of the 239,811 respondents 0.9?% were nationals from Turkey, 0.8?% had a nationality from a former Yugoslavian country, 0.9?% held a nationality from the South European countries Portugal, Spain, Italy or Greece and 1.9?% were nationals from other countries. Non-German nationals reported a less favorable self-rated outcome than Germans. Adjusted odds ratios [OR] for reporting a less favorable treatment outcome were 1.24 (95?%-confidence interval [95?%-CI]: 1.12–1.37) for nationals from the South European countries Portugal/Spain/Italy/Greece, 1.62 (95?%-CI: 1.45–1.80) for Turkish nationals and 1.68 (95?%-CI: 1.52–1.85) for nationals from Former Yugoslavia. Conclusions Knowledge on health outcomes from the patients’ point of view is important for the provision of patient-centered health care. Our study showed that non-German nationals report less favorable outcomes of rehabilitative care than Germans. This may be due to cultural and religious needs not sufficiently addressed by health care providers. In order to improve rehabilitative care for non-German nationals, rehabilitative services must become sensitive to the needs of this population group. Diversity management can contribute to this process.
机译：背景技术在许多欧洲国家中，外国公民在康复护理方面的平均治疗效果要低于其多数人口。例如，在德国，常规数据分析表明，这反映在较低的职业表现和康复后残疾退休的较高风险中。但是，对于医疗保健使用者的观点知之甚少。本研究的目的是比较德国人和德国非德国国民在接受住院医疗康复后的自我评价治疗效果。方法我们分析了来自德国642家诊所的239,811名患者的横断面代表性康复患者调查数据，这些患者完成了大约3周的住院康复治疗。治疗结果的自我评价是基于由三项组成的二分李克特量表。进行了针对各种人口，社会经济，健康状况和其他协变量进行调整的多级逻辑回归分析，以检查德国人和非德国人在自我评价的治疗结果方面的差异。结果在239,811名受访者中，有0.9％是来自土耳其的公民，有0.8％是来自前南斯拉夫国家的国籍，有0.9％是来自南欧国家的葡萄牙，西班牙，意大利或希腊的国籍，有1.9％是来自南欧国家的国籍其他国家。非德国国民报告的自评结果不及德国人。对于葡萄牙/西班牙/意大利/希腊/希腊这样的南欧国家，报告治疗效果较差的调整后的优势比[OR]为1.24（95 %%置信区间[95 %%-CI]：1.12-1.37）。前南斯拉夫的土耳其公民（95％-CI：1.45-1.80）和1.68（95 %%-CI：1.52-1.85）。结论从患者的角度了解健康结果对于提供以患者为中心的医疗保健非常重要。我们的研究表明，非德国国民报告的康复治疗效果不及德国人。这可能是由于医疗保健提供者未充分解决文化和宗教需求。为了改善对非德国国民的康复护理，康复服务必须对这一人群的需求变得敏感。多样性管理可以促进这一过程。

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