Evidence map›Paper›PMID 30327866›Full record

ArticleZeitschrift fur Gerontologie und Geriatrie2019

[Utilization of medical rehabilitation prior to disability retirement : Comparison of German and non-German nationals with a special focus on ethnic German resettlers].

Patrick Brzoska, Oliver Razum

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Zeitschrift fur Gerontologie und Geriatrie, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Patrick BrzoskaLehrstuhl für Versorgungsforschung, Fakultät für Gesundheit/Department für Humanmedizin, Universität Witten/Herdecke, 58448, Witten, Deutschland. patrick.brzoska@uni-wh.de.
Oliver RazumAbt. Epidemiologie & International Public Health, Fakultät für Gesundheitswissenschaften, Universität Bielefeld, Bielefeld, Deutschland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSo far little is known about the utilization of medical rehabilitation among non-German nationals and ethnic German resettlers.

objectiveThe aim of this study was to examine the utilization of medical rehabilitation in non-German nationals and ethnic German resettlers prior to disability retirement. MATERIAL AND

methodsRoutine data from the German statutory pension insurance scheme were used. Information on 17,369 individuals who retired due to disability in 2015 was available. Ethnic German resettlers were defined by means of information stemming from a prior occupation in the country of origin. The outcome of interest was the utilization of medical rehabilitation in the past 5 years prior to the disability pension. Multilevel logistic regression was used to control the influence of demographic and socioeconomic factors.

resultsCompared to Germans without resettler status, non-German nationals had a lower chance of utilizing medical rehabilitation. The adjusted odds ratios (OR) were 0.79 (95% confidence interval, CI: 0.67-0.92) for Turkish nationals and 0.56 (95% CI: 0.45-0.71) for nationals from EU countries. Ethnic German resettlers had a higher chance of utilizing medical rehabilitation (adjusted OR = 1.40, 95% CI: 1.20-1.64).

conclusionNon-German nationals utilized medical rehabilitation prior to disability retirement less frequently than German nationals. This is presumably because of the barriers non-Germans experience in utilization, resulting from poor information and problems emerging in the transition from general practitioner to rehabilitative care. Ethnic German resettlers do not seem to be disadvantaged in terms of access to rehabilitation.

Indexed as

Insurance, HealthPensionsRehabilitationRetirementEmigrants and ImmigrantsEthnicityGermanyHumansPatient Acceptance of Health CarePersons with DisabilitiesSocioeconomic FactorsTurkeyDemographic factorsHealth care utilizationHealth InsuranceMigrationSocioeconomic factors

Identifiers

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.