ArticleBMC health services research2020
Claims data analysis of medical specialist utilization among nursing home residents and community-dwelling older people.
Article in BMC health services research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- Health Care-Related Determinants of First-Time Long-Term Care Need in Older Adults in Germany: Retrospective Cohort Study Using Claims Data.Interactive journal of medical research · 2026Article
- Reasons for long-term care need: analyzing combinations of health limitations in Germany.Zeitschrift fur Gerontologie und Geriatrie · 2026Article
- [MosaiK-Mobile geriatric rehabilitation in short-term care : Results of the process evaluation].Zeitschrift fur Gerontologie und Geriatrie · 2025Article
- Hospitalizations, emergency medical care utilization, and contacts with the regional on-call medical services among nursing home residents in Germany: a cross-sectional study in 44 nursing homes.BMC health services research · 2025Article
- Utilization and quality of primary and specialized palliative homecare in nursing home residents vs. community dwellers: a claims data analysis.BMC palliative care · 2025Article
- Article
- Cost-benefit analysis of the CoCare intervention to improve medical care in long-term care nursing homes: an analysis based on claims data.The European journal of health economics : HEPAC : health economics in prevention and care · 2023Article
- Patient-focused outcomes after initiation of dialysis for ESRD: mortality, hospitalization and functional impairment.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2023Observational
- COVID-19 related decline in cancer screenings most pronounced for elderly patients and women in Germany: a claims data analysis.Journal of cancer research and clinical oncology · 2023Article
- [Epidemiology of long-term care: prevalence and utilisation as well as the healthcare of long-term care recipients in Germany].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2023Review
- Specialty care after transition to long-term care in nursing home.Journal of the American Geriatrics Society · 2023Article
- Association of potentially inappropriate medications and need for long-term care among older adults: a matched cohort study.BMC geriatrics · 2022Article
- Contacts with general practitioners, dentists, and medical specialists among nursing home residents: a cross-sectional study in 44 German nursing homes.BMC health services research · 2022Article
- [Medical specialist undertreatment in nursing home residents-Prevalence and extrapolation].Zeitschrift fur Gerontologie und Geriatrie · 2021Article
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMost older people, and especially those in need of long-term care, suffer from one or more chronic diseases. Consequently, older people have an increased need of medical care, including specialist care. There is little evidence as yet whether older people with greater medical care needs obtain adequate medical care because existing studies do not sufficiently control for differences in morbidity. In this study we investigate whether differences in medical specialist utilization exist between older people with and without assessed long-term care need in line with Book XI of the German Social Code, while at the same time controlling for individual differences in morbidity.
methodsWe used data from the 11 German AOK Statutory Health and Long-term Care Insurance funds of 100,000 members aged 60 years or over. Zero-inflated Poisson regression analyses were applied to investigate whether the need for long-term care and the long-term care setting are associated with the probability and number of specialist visits. We controlled for age, gender, morbidity and mortality, residential density, and general practitioner (GP) utilization.
resultsOlder people in need of long-term care are more likely to have no specialist visit than people without the need for long-term care. This applies to nearly all medical specialties and for both care settings. Yet, despite these differences in utilization probability the number of specialist medical care visits between older people with and without the need for long-term care is similar.
conclusionOlder people in need of long-term care might face access barriers to specialist care. Once a contact is established, however, utilization does not differ considerably between those who need long-term care and those who don't; this indicates the importance of securing an initial contact.
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