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["If It wouldn't be Made So Difficult for Us" - Barriers on Access to Pediatric Rehabilitation and Potential for
Nadine Schumann1, Laura Hoffmann1, Sara Lena Schröder1
1Institut für Medizinische Soziologie, Martin-Luther-Universität Halle-Wittenberg.
Objective:
The study explores barriers impeding the access to pediatric rehabilitation and potential for optimization from the pediatricians' perspective.
Methods:
Semi-structured expert interviews (N=25) and focus groups (N=3) with pediatricians were conducted and analyzed according to the method of Meuser & Nagel. The results were discussed within an expert group consisting of representatives of the statutory pension insurance and the professional association of pediatricians.
Results:
Barriers appear due to information deficits regarding carrier-oriented access criteria. A perceived time-consuming application, high refusal rates with insufficient reasons and a lack of feedback from the carrier to the physician inhibit the application motivation. Mentioned improvements refer to a direct feedback of the application decision to the physician, case-specific reasons for refusal, physician oriented information as well as an increased presence of rehabilitation at pediatric congresses and medical trainings.
Conclusion:
To strengthen the role of rehabilitation in pediatric care improved information and knowledge in the allocation and submission of rehabilitation applications of primary care physicians is needed as well as an enhanced communication between rehabilitation carriers and physicians.