Higher Dropout Rate in Non-Native Patients than in Native Patients in Rehabilitation in The Netherlands

Autor/inn/en	Sloots, Maurits; Scheppers, Emmanuel F.; van de Weg, Frans B.; Dekker, Jos H.; Bartels, Edien A.; Geertzen, Jan H.; Dekker, Joost
Titel	Higher Dropout Rate in Non-Native Patients than in Native Patients in Rehabilitation in The Netherlands
Quelle	In: International Journal of Rehabilitation Research, 32 (2009) 3, S.232-237 (6 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0342-5282
DOI	10.1097/MRR.0b013e32832b081c
Schlagwörter	Pain; Dropout Rate; Hospitals; Dropouts; Predictor Variables; Patients; Foreign Countries; Rehabilitation Programs; Human Body; Gender Differences; Age Differences; Outcomes of Treatment; Immigrants; Regression (Statistics); Clinical Diagnosis; Netherlands + Suchen Sie Ihr Suchwort? Schmerz; Krankengymnast; Krankenhaus; Drop-out; Drop-outs; Dropout; Early leavers; Schulversagen; Prädiktor; Patient; Ausland; Menschlicher Körper; Geschlechterkonflikt; Age; Difference; Age difference; Altersunterschied; Immigrant; Immigrantin; Immigranten; Regression; Regressionsanalyse; Niederlande
Abstract	Dropout from a rehabilitation programme often occurs in patients with chronic nonspecific low back pain of non-native origin. However, the exact dropout rate is not known. The objective of this study was to determine the difference in dropout rate between native and non-native patients with chronic nonspecific low back pain participating in a rehabilitation programme in The Netherlands. A retrospective study (n = 529) of patient files was performed in two rehabilitation centres and two rehabilitation departments of general hospitals in The Netherlands. Patient files were checked for diagnosis, status of origin, sex, age and outcome, that is, reason for finishing treatment. The difference in dropout rate between patients of Dutch and non-Dutch origin was tested by [chi][superscript 2] tests and logistic regression-analysis, controlling for age, sex, type of rehabilitation institute and phase of the rehabilitation programme. Dropout occurred among one fifth (18.7%) of the total patient population. Dropout among patients of non-Dutch origin was twice as high as among native Dutch patients (P less than 0.001). In regression analyses dropout was related to status of non-Dutch origin, treatment in a rehabilitation centre and the diagnostic phase of a rehabilitation programme. In conclusion, patients of non-Dutch origin drop out considerably more frequently than native Dutch patients. Dropout is higher in the diagnostic phase than in the treatment phase and in rehabilitation centres than in hospitals. Future research should clarify the reasons for the high dropout rate in patients of non-native origin. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10