Article

PURPOSE: (i) To determine whether adaptations for non-native patients have been
implemented in pain rehabilitation programmes; (ii) to determine whether
characteristics of the rehabilitation institute are related to having adaptations
for non-native patients in place. SUBJECTS: Rehabilitation institutes and
rehabilitation departments of general hospitals in The Netherlands who offer a
pain rehabilitation programme. METHOD: A questionnaire was handed over in person
or by e-mail to the rehabilitation physicians of the participating institutes.
Twenty-seven (90%) questionnaires were returned. The questionnaire concerned
programme adaptations and institute characteristics. The data were analysed by
chi(2) tests or Fischer's exact tests and logistic regression analysis. RESULTS:
Twelve institutes (44.4%) reported having adaptations in place for non-native
patients in their pain rehabilitation programme. The most common adaptations were
as follows: increased number of consultations (25.9% of the institutes); longer
consultations (25.9%) and education for employees regarding cultural competency
(11.1%). Institutes which treated a high percentage (>/=11%) of non-native
patients had implemented significantly more frequently adaptations to their
rehabilitation programme (p = 0.04). The number of adaptations was neither
associated with the proportion of non-native citizens in the local population nor
with the number of the institutes' employees. CONCLUSION: Less than half of the
institutes had implemented one or more programme adaptations for non-native
patients. Institutes which had made adaptations to their rehabilitation programme
treated more non-native patients.

Langue : ANGLAIS