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[Implementation Strategies of Diversity-Sensitive Health Care and Administration - A Nationwide Postal Survey of Inpatient Rehabilitation Facilities].

Authors :
Aksakal T
Erdsiek F
Yılmaz-Aslan Y
Mader M
Padberg D
Razum O
Brzoska P
Source :
Die Rehabilitation [Rehabilitation (Stuttg)] 2023 Feb; Vol. 62 (1), pp. 40-47. Date of Electronic Publication: 2022 Jun 28.
Publication Year :
2023

Abstract

Background: Diversity characteristics such as disability, gender, age or migration background are associated with different expectations towards health care. If these are not sufficiently considered in rehabilitative care, this may have a negative impact on the satisfaction with and outcomes of health care. Sensitivity towards the diversity of patients can promote patient-centered health care by helping to address different needs and expectations. The aim of the present study was to examine what measures inpatient rehabilitation facilities in Germany use to provide diversity-sensitive health care and which barriers prevent their proper implementation.<br />Methods: Between May and August 2019, administrative managers of rehabilitation facilities were invited to participate in a nationwide postal questionnaire survey (n=1,233). The questionnaire included questions on addressing the diversity of employees and rehabilitation patients. Responses were received from a total of 223 inpatient rehabilitation facilities (response rate: 18.9%). Results were analyzed descriptively.<br />Results: The survey shows that diversity-sensitive health care is a relevant topic for many rehabilitation facilities. It is regarded particularly important for the satisfaction of rehabilitation patients, treatment outcomes and employee satisfaction. Obstacles to the implementation of diversity-sensitive care comprise a lack of incentives on the part of health care organization, a lack of financial resources and organizational difficulties.<br />Discussion: The majority of the administrative managers surveyed acknowledge the relevance of diversity-sensitive care. Instruments enabling it, however, are used only sparingly and unsystematically. To promote diversity-sensitive care, health care facilities need support in competence building and in selecting and implementing appropriate measures. A handbook with instructions on how diversity-sensitive care can be implemented can contribute to that goal.<br />Competing Interests: Die Autor*innen geben an, dass kein Interessenkonflikt besteht.<br /> (Thieme. All rights reserved.)

Details

Language :
German
ISSN :
1439-1309
Volume :
62
Issue :
1
Database :
MEDLINE
Journal :
Die Rehabilitation
Publication Type :
Academic Journal
Accession number :
35764298
Full Text :
https://doi.org/10.1055/a-1819-1968