title: [Barriers for Migrants Regarding the Access to Medical Rehabilitation on Behalf of the German Pension Insurance].
abstract: OBJECTIVE
  To identify barriers for migrants regarding the access to medical rehabilitation on behalf of the German Pension Insurance.
  
  
  METHODS
  Focus groups with migrants (n=5, 42 participants) and experts (n=1, 14 participants) were conducted and examined by qualitative content analysis.
  
  
  RESULTS
  We identified 4 categories of access barriers: 1. system-related, migrant-specific, 2. person-related, migrant-specific, 3. system-related, primarily not migrant-specific, and 4. person-related, primarily not migrant-specific barriers. Barriers in categories 3 and 4 are mostly class- or gender-specific. Due to associations between migration background, social status and gender roles, these barriers are often of specific importance to migrants as well. Taking such intersections of single categories of inequality (migration background, social status, gender) into account, access barriers can interact and form complexes of barriers.
  
  
  CONCLUSIONS
  In order to explain and overcome the low utilization of medical rehabilitation by migrants, the interaction of migrant-, class- and gender-specific barriers in the system and in persons have to be considered.
authors.affiliation: Institut für Sozialmedizin und Epidemiologie, Universität zu Lübeck.
authors.forename: B
authors.initials: B
authors.lastname: Schwarz
authors.affiliation: Ethno-Medizinisches Zentrum, Hannover.
authors.forename: K
authors.initials: K
authors.lastname: Markin
authors.affiliation: Ethno-Medizinisches Zentrum, Hannover.
authors.forename: R
authors.initials: R
authors.lastname: Salman
authors.affiliation: Klinik für Rehabilitationsmedizin, Medizinische Hochschule Hannover.
authors.forename: C
authors.initials: C
authors.lastname: Gutenbrunner
mesh_terms: D000328:Adult; D017677:Age Distribution; D000368:Aged; D006233:Persons with Disabilities / Q000534:rehabilitation / Q000706:statistics & numerical data*; D005260:Female; D005858:Germany / Q000453:epidemiology; D015276:Health Care Rationing / Q000706:statistics & numerical data; D006297:Health Services Accessibility / Q000706:statistics & numerical data*; D054625:Healthcare Disparities / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009313:National Health Programs / Q000706:statistics & numerical data; D010415:Pensions / Q000706:statistics & numerical data; D012046:Rehabilitation / Q000706:statistics & numerical data*; D017678:Sex Distribution; D014171:Transients and Migrants / Q000706:statistics & numerical data*; D014600:Utilization Review; D035862:Vulnerable Populations / Q000706:statistics & numerical data*