for which no specific physical cause can be identified
Conditions
Interventions
None listed
Sponsors
JBI - Instituut voor Reumatologie en Revalidatie
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: Registration period of the dropping out of the rehabilitation care trajectory: Dropping out of the trajectory between 1-10-2005 en 1-1-2009. This is the period in which the dropping out is recorded in the patient dossier: (a) during the duration of the data gathering: 1-10-2007 tot 1-1-2009, or (b) during two years before the data gathering starts: 1-10-2005 tot 1-10-2007.;Origin: Moroccan and Turkish origin. By Moroccan and Turkish origin is meant: (a) everyone born in Morocco or Turkey and of whom at least one parent is born in the same country (first generation); (b) everyone born in the Netherlands and of whom both parents are born in Morocco or Turkey (second generation);;Diagnosis: Chronic aspecific low back disability. Chronic aspecific complaints are defined as complaints for which no specific physical cause can be identified and that last longer then twelve weeks. Low back complaints are defined as complaints of pain, (muscle) tension and stiffness in the region that lies between the lower ribs and the lowest buttock folds, with or without radiation in the legs.;Reason for the dropping out of the rehabilitation care trajectory: non-medical reason. Dropping out of the rehabilitation care trajectory is defined as ending the incomplete trajectory, because of a non-medical reasons. The reason for the dropping out is determined by information acquired from the patient dossiers. This information is recorded in the report of the rehabilitation physician to the recommending general practitioner or specialist, in the discharge report of the rehabilitation physician, in the notes of the meetings of the rehabilitation team, or in the reports of the rehabilitation care provider.
Exclusion criteria
Exclusion criteria: Age: patients younger then 18 years of age Levels of competence: inability to digest information Written consent: unwilling to authorize the terms of consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary study parameters The primary study parameters are the factors that lead to the dropping out of the incomplete rehabilitation care trajectory, because of non-medical reasons. Factors known up till now are: the complaints of the patient are not to be treated because of the patient*s lifestyle; the patient refuses to consult a psychologist; the patient refuses to follow the advised treatment; the patient only wants to be treated with pain reduction; the patient wants to know the medical cause of his/ her complaints; the patient wants to continue the treatment he/ she receives in an other institution; the patient wants to end the rehabilitation treatment (because of inconvenience); motivation problems; the treatment does not fulfil the patients* expectations; language or communication problems; *No Show* (reason unknown); supposed *No Show* (reason unknown) (Scheppers et al 2005). Outcome of the study Based on the results of the study, conditions and recommendations that improve the use of rehabilitation medicine among ethnic minority patients will be formulated. It is expected that these recommendations will concentrate on the patient, the physician, their interaction and the health care environment. The knowledge generated by this study may also be used to formulate hypothesis and research issues, that would justify further (quantitative) research in the area of the utilization of rehabilitation medicine among patients of non Netherlands origin. | — |
Secondary
| Measure | Time frame |
|---|---|
| Not applicable. | — |
Countries
Netherlands
Outcome results
None listed