ArticleBMC health services research2017
Which factors affect health care use among older Germans? Results of the German ageing survey.
Article in BMC health services research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers.
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37 citing papers in PubMed, 62 citations in OpenAlex.
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- Determinants of Differences in Health Service Utilization between Older Rural-to-Urban Migrant Workers and Older Rural Residents: Evidence from a Decomposition Approach.International journal of environmental research and public health · 2022Article
- Determinants of Healthcare Use Based on the Andersen Model: A Systematic Review of Longitudinal Studies.Healthcare (Basel, Switzerland) · 2021Review
- Decomposing Differences of Health Service Utilization among Chinese Rural Migrant Workers with New Cooperative Medical Scheme: A Comparative Study.International journal of environmental research and public health · 2021Article
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- Outpatient health service utilization and associated factors: A cross-sectional population-based study in Tehran in 2019.Medical journal of the Islamic Republic of Iran · 2021Article
- Perceptions of Health Care Use in Germany during the COVID-19 Pandemic.International journal of environmental research and public health · 2020Article
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIt remains an open question how changes in predisposing, enabling, and need factors affect health care use. Consequently, we aimed to investigate how changes in these variables affect health care use in community-dwelling older persons longitudinally.
methodsData from two waves of the German Ageing Survey (DEAS), a representative sample of the community-dwelling German population aged ≥40 years, was used. Predictors of visits to general practitioners and specialists as well as hospital stays during a 12-month period were analyzed by fixed effects regressions.
resultsRegressions revealed that the need factors 'self-rated health' and the number of chronic diseases affected all measures of health care use (except for the number of chronic diseases on hospital care). An increased duration of physical activities increased GP visits. A decrease of excess weight decreased the number of specialist visits.
conclusionsOur findings underline the importance of need factors for health care use. Virtually none of the predisposing factors nor enabling resources affected health care use. These findings might indicate that individuals in the second half of life use health care services adequately, i.e. when medically indicated.
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