[The care of people with a migration background in psychosomatic rehabilitation]

It was evaluated in an inpatient rehabilitation setting whether patients with mental or psychosomatic disorders people with a migration background are treated less frequently, profit less from the treatment, and have a higher risk for a negative outcome. On the basis of a prospective sample (n=25,066), the healthcare utilization of inpatient rehabilitation institutions, the level of mental stress, the quality of treatment, and the influence of risk factors were reviewed. Patients with a migration background show a lower level of health care utilization and a higher level of overall mental stress. Turkish patients and patients from the former Yugoslavia show the poorest treatment results. The regression analysis underlines clinical and sociodemographic factors as independent, negative predictors for good treatment results. Treatment concepts should be more strongly oriented to the needs of patients with a migration background and socioeconomically deprived patients.