Migrationssensible Versorgungsstrategien in der orthopädischen Rehabilitation: Eine postalische Befragung in Nordrhein-Westfalen und Schleswig-Holstein

Background: 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. Objectives: 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. Materials and methods: 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. Results: 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. Conclusions: 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.