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Table 3 Summary of content-related information

From: Utilisation of medical rehabilitation services by persons of working age with a migrant background, in comparison to non-migrants: a scoping review

No.

Authors

Linked source

Groups (and their origin) with and without migrant background

Differentiation of the migrant status

 

Research focus

Differences between groups

   

Germans

Turkish

Former Yugoslavian

Former citizens of the Soviet-Union

Resettler

Mediterranean (S, G, P, I)

Other (e.g. non-Turkish, non-German, EU-nationals)

Nationality

Place of birth

Migration experience/status/ immigration after 1949

Spoken/native language

Other (e.g. PMB and non-PMB not specified)

Medical indicationsa

Utilisation of medical rehabilitation services

Barriers to medical rehabilitation services

Satisfaction with the utilisation of rehabilitation services

Perceptions/ expectations and needs/ intentions

Rehabilitation (treatment) success/ treatment outcome

Work-related performance

Return to work

 

1.

Aksakal et al. 2018 [27]

b

      

o

    

x

   

x

x

   

Insufficient knowledge, treatment desires, language barriers for PMB compared to non-PMB

2.

Brause et al. 2010 [28]

[29, 30]

 

x

    

x

x*

   

x

1-6

x

x

 

x

x

x

 

Turkish PMB: lower rehabilitation success and work ability for musculoskeletal/connective tissue, mental illnesses metabolism/digestion and other (respiratory diseases) than for non-PMB

Barriers for Turkish PMB (access, knowledge, language, culture)

3.

Brzoska et al. 2019 [31]

[32]

x

     

x

x

x

 

x

x

 

x

      

German nationals (non-PMB and PMB) and non-German nationals did not differ in their utilisation of rehabilitation

4.

Brzoska et al. 2019 [33]

 

x

   

x

 

x

x

   

Xc

 

x

      

Foreigners (PMB) compared to Germans without Resettler status had a lower chance to use medical rehabilitation

Resettler had a higher chance of using rehabilitation compared to foreigners

5.

Brzoska et al. 2017 [34]

 

x

x

x

  

x

x

x

    

1-3,6

  

x

    

Lower probability for satisfaction with rehabilitation for Turkish nationals (PMB)

Other foreign nationals were as satisfied as German nationals (non-PMB)

6.

Brzoska et al. 2016 [35]

 

x

x

x

  

x

x

x

         

x

x

 

Non-Germans report less favourable outcomes, Turkish and former Yugoslavian origin have a higher chance for a poor treatment outcome than patients from Mediterranean countries

7.

Brzoska et al. 2012 [36]

[13]

x

x

x

  

x

x

 

x

 

x

      

x

x

 

Non-Germans showed a higher chance for low occupational performance after completing the rehabilitation a lower effectiveness of rehabilitation for Turkish and former Yugoslavian compared to Germans

8.

Brzoska et al. 2010 [13]

[15, 37, 21, 38,39,40, 20]

x

x

x

 

x

x

x

x

x

 

x

x

1-6

x

x

 

x

x

X

 

Non-Germans less utilised rehabilitation than Germans,

Foreigner have a higher chance than Germans for occupational diseases, lower rehabilitation occupational performance and effectiveness after rehabilitation, PMB had barriers for utilisation compared to non-PMB: expectations, information deficit, missing intention to apply, language and culture

9.

Erbstößer/ Zollmann 2015 [41]

 

x

x

x

x

 

x

x

x

   

x

1-6

x

   

x

x

x

Non-Germans less utilised rehabilitation (heterogeneous for nationalities), had less often a full work performance after rehabilitation than Germans,

Differences in indications e.g. for musculoskeletal rehabilitation: patients from former Soviet-Union utilised more than other nationals and Germans

10.

Göbber et al. 2010 [42]

[43]

 

x

    

x

x

  

x

x

2-5

   

x

x

x

x

PMB were pension-oriented, desired for gender-specific treatment

PMB had a shorter treatment-duration, negative work performance (subjective), more mental and somatoform illnesses than non-PMB

11.

Gruner et al. 2012 [44]

 

x

x

x

x

 

x

   

x

 

x

5

   

x

x

x

 

PMB had a higher frequency for diseases, less work performance before and after rehabilitation (subjective), pension desire, are sicker at the beginning of rehabilitation, men (non-PMB) benefitted less

12.

Höhne 2007a [45]

 

x

x

     

X

   

x

1-3,5-6

x

    

x

 

Disabled pensioners (PMB) utilised less rehabilitation services in the last five years before retirement

13.

Höhne / Schubert 2007b [46]

 

x

x

    

X

x

    

1-6

x

    

x

 

Differences in the medical rehabilitation benefits between Germans and Non-Germans in the last 5 years before retirement: Non-German had a higher incapacity for work, mental illnesses affect non-Germans more than Germans

14.

Höhne et al. 2007c [47]

 

x

     

X

x

    

1-3,5-6

x

   

x

x

 

Differences in the utilisation of rehabilitation: Germans utilised more services of rehabilitation than PMB

15.

Jankowiak et al. 2018 [48]

 

x

     

x

x

   

x

 

x

      

Medical rehabilitation was less utilised by non-Germans than Germans,

Applications for rehabilitation were lower for non-Germans than Germans

16.

Kaluscha et al. 2011 [49]

 

x

x

x

  

x

x

x

    

1-5

x

      

Turkish nationals utilise rehabilitation more often due to mental illnesses than Germans

17.

Kessemaier et al. 2019 [50]

       

x

x

x

 

x

x

   

x

    

PMB showed severe symptoms and were not as satisfied with the rehabilitation as non-PMB

18.

MHH/ EMZ e.V. 2017 [51]

[52, 53, 19]

x

x

 

x

  

x

  

x

 

x

  

x

 

x

   

Barriers to utilise rehabilitation: migrant specific (information deficit), person-related barriers (language), systematic-related barriers (bureaucracy), barriers independent of migrant status (fear of job loss),

Increased application intention through the campaign for PMB

19.

Kohler/ Ziese 2004 [54]

 

x

     

x

x

x

x

   

x

      

PMB utilised rehabilitation less often than Germans

20.

Maier 2008 [55]

  

x

    

x

x

   

x

1-3,5

x

   

x

  

Turkish rehabilitants utilised more rehabilitation services than the non-Turkish, health did not improve as much as in non-Turkish,

differences in indications: more musculoskeletal and mental illnesses for Turkish PMB

21.

Pfeiffer et al. 2010 [43]

[42]

x

x

x

x

x

x

x

x

 

x

 

x

2-4

   

x

x

 

x

PMB were pension-oriented, had a shorter treatment-duration, more mental and somatoform illnesses than non-PMB, other treatment expectations than non-PMB

22.

Ritter et al. 2017 [56]

 

x

     

X

x

    

2

x

      

Lower chance of utilisation for foreign nationals with hip and knee arthroplasty compared to Germans

23.

Schröder et al. 2020 [57]

 

x

     

x

x

x

x

   

x

      

First-generation migrants had a lower chance of utilising outpatient rehabilitation than non-migrants

No differences between first- and second-generation migrants and non-migrants for any rehabilitation

24.

Yilmaz-Aslan et al. 2017 [58]

[59]

x

x

        

x

x

1

x

x

x

x

   

Turkish PMB in comparison to Germans: higher need for support (information and emotional), psycho-oncological care was rarely utilised, barriers for Turkish-PMB e.g. information deficit, culture, language and prejudice

25.

Zollmann et al. 2016 [60]

 

x

x

x

   

x

x

    

5

x

   

x

x

x

Turkish PMB is largest group in psychosomatic rehabilitation (year 2012), were sicker at the beginning of rehabilitation than non-Turkish nationals, reintegration into working life is less successful for them

  1. a1 neoplasms, 2 muscle/skeletal/connective tissue, 3 cardiovascular, 4 metabolism/digestion, 5 mental illnesses (incl. addiction), 6 other (not described, e.g. respiratory diseases)
  2. bPersonal Communication with Aksakal and Yilmaz-Aslan (March 2020)
  3. cidentification of resettlers from information about prior occupation in the country of origin in routine data
  4. *application of a name-based algorithm to identify Turkish rehabilitants in the data from the German statutory pension insurance