Abstract
There is an ongoing debate about equity and equality in health care, and whether immigrants benefit equally from services as the non-immigrant population. The study focuses on benefits from and adherence to the diabetes mellitus type 2 (DM 2) disease management program (DMP) among Turkish immigrants in Germany. So far, it has not been researched whether this group benefits from enrollment in the DMP as well as diabetics from the non-immigrant population. Data on the non-immigrant sample (N = 702) stem from a survey among members of a German health insurance, the Turkish immigrant sample (N = 102) was recruited in the area of Hamburg. Identical questions in both surveys enable comparing major components. Regarding process quality, Turkish diabetics do not differ from the non-immigrant sample; moreover, they have significantly more often received documentation and diabetes training. In terms of outcome quality however, results display a greater benefit on behalf of the non-immigrant sample (e.g., blood parameters and body mass index), and they also met more of the DMP criteria. This underlines the need of diabetics with Turkish background for further education and information in order to become the empowered patient as is intended by the DMP as well as to prevent comorbidities.
Highlights
Over the last years, ethnical and cultural diversity has become an important issue in public health and health care research [1]
We wanted to know to what extent Turkish diabetics benefit from enrollment in the disease management program (DMP) compared to a sample of non-immigrant diabetics who were enrolled in the Diabetes-2-DMP as well
While there are no significant differences between males in both samples, females of the Turkish immigrant sample are significantly more often represented in the higher BMI groups
Summary
Ethnical and cultural diversity has become an important issue in public health and health care research [1]. Migrants usually suffer from health problems similar to those of the population in the host country, and the discussion on migrant health is focusing more and more on issues of equity and equality [4]. There is an ongoing debate whether immigrants access health care services appropriately, and whether they benefit from services in the same way as the non-immigrant population [5,6]. We wanted to know to what extent Turkish diabetics benefit from enrollment in the DMP compared to a sample of non-immigrant diabetics who were enrolled in the Diabetes-2-DMP as well. For this comparison we could refer to a doctoral thesis [9]
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