Health Care Utilization in Germany: Theory, Methodology, and by Christian Janssen, Enno Swart, Thomas von Lengerke

By Christian Janssen, Enno Swart, Thomas von Lengerke

It is a societal given, borne out by means of the proof: the better one's social prestige, the higher healthiness, and the longer existence expectancy. because the scenario persists, an immense query calls for cognizance, specifically even if well-being care platforms give a contribution to the inequity.

Drawing actual conclusions calls for viable idea, trustworthy facts assortment tools, and legitimate analytical methods.

Using one consultant nation to typify the economic international, Health Care usage in Germany reports its topic when it comes to social determinants. This singular quantity bargains systematic directions for learn into wellbeing and fitness care entry according to an acclaimed behavioral version of care usage. members specialise in particular social components, health conditions, and sectors of care to check why changes exist, their implications, and the way care prone can larger fit provide with call for. and lots of of the book's themes, akin to weight problems, dementia, preventive providers, and immigrant healthiness, are of world curiosity. integrated within the insurance:

  • Updating a vintage behavioral version of overall healthiness care access.
  • Insights from qualitative research.
  • The challenge of repeated surveys: how similar are their results?
  • Gender and usage of healthiness care.
  • Care usage by way of dementia sufferers residing at home.
  • Social determinants of usage of psychotherapy in Germany.

A quantity sure to spark dialogue between researchers around the neighborhood, the findings and techniques in Health Care usage in Germany might be analyzed via wellbeing and fitness psychologists, public wellbeing and fitness execs, and epidemiologists.

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2), and it then represents a psychological determinant of behavior on the individual level. Dissatisfaction with one’s own body weight can be seen as another example of a psychological determinant. 5 If this applies to many individuals, the summation of individual effects leads to high utilization. 2). 2), which we will illustrate only on the example of supraindividual social factors: An individual’s likelihood of becoming obese is also known to increase with the incidence of obesity in the individual‘s own social network [70] (the same is true of smoking [71] and happiness [72]).

5; 6% Fig. 1 SHI services and expenses in 2011. (Source: Federal Ministry of Health; National Association of Statutory Insurance Funds statistics: key figures and rules of thumb [8]) a good EUR 170 billion, which equals to 6–7 % of the GDP. However, the political discourse has repeatedly been critical of the development of SHI expenses in view of flat or dropping revenues. In recent years, many steps were therefore taken to reduce the SHI catalog of services, increase co-payments by the insured for certain services, and change the entire funding basis.

Bundesgesundheitsbl Gesundheitsforsch Gesundheitsschutz. 2005;12:1365–73. [47] Kamtsiuris P, Bergmann E, Rattay P, Schlaud M. Inanspruchnahme medizinischer Leistungen. Ergebnisse des Kinder- und Jugendsurveys (KiGGS). Bundesgesundheitsbl Gesundheitsforsch Gesundheitsschutz. 2007;50: 836–50. [48] Babitsch B, Gohl D, von Lengerke T. Re-revisiting Andersen’s Behavioral Model of Health Services Use: a systematic review of studies from 1998–2011. GMS Psychosoc Med. 2012;9:Doc11. [49] von Lengerke T, Mielck A; KORA Study Group.

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