Janssen, Christian, Swart, Enno, von Lengerke, Thomas (Eds.)
2014, XVII, 344 p. 27 illus.
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First endeavor to analyze social determinants of health care utilization in Germany
Based on systematic use of a theoretical approach, research methodology, and empirical studies
Provides a blueprint for health care utilization analyses in countries other than Germany
With aForeword by Ronald M. Andersen
It is a societal given, borne out by the facts: the higher one's social status, the better health, and the longer life expectancy. As the situation persists, an important question demands attention, namely whether health care systems contribute to the inequity.
Drawing accurate conclusions requires workable theory, reliable data collection instruments, and valid analytical methods.
Using one representative country to typify the industrial world, Health Care Utilization in Germany studies its subject in terms of social determinants. This singular volume offers systematic guidelines for research into health care access based on an acclaimed behavioral model of care utilization. Contributors focus on specific social factors, medical conditions, and sectors of care to examine why differences exist, their implications, and how care providers can better match supply with demand. And many of the book's topics, such as obesity, dementia, preventive services, and immigrant health, are of global interest. Included in the coverage:
Updating a classic behavioral model of health care utilization (Andersen).
Use of medical services in Germany: the statutory health insurance system.
Insights from quantitative and qualitative research.
The problem of repeated surveys: how comparable are their results?
Gender, socio-economic status and utilization of health care.
Care utilization by dementia patients living at home.
Utilization of physiotherapy and self-help by patients with rheumatic diseases.
Social determinants of utilization of psychotherapy, prevention, and integrated care in Germany.
A volume certain to spark discussion among researchers across the community, the findings and methods in Health Care Utilization in Germany will be analyzed by medical sociologists, health psychologists, public health and behavioral medicine professionals, and epidemiologists.
Content Level »Research
Keywords »behavioral model of health care - health care in Germany - health care utilization - health care utilization and gender - health care utilization and migrants - health care utilization and socio-economic status
Part I Introduction.- Theorizing, empiricizing and analyzing health care utilization in Germany: An introduction.- Part II Theory.- Re-revisiting the Behavioral Model of Health Care Utilization by Andersen: A review on theoretical advances and perspectives.- Health care utilization within the system of statutory sickness funds in Germany.- Part III Methodology.- The problem of repeated surveys: How comparable are their results regarding utilization of medical services?.- Health care utilization research using secondary data.- Health care utilization: Insights from qualitative research.- Part IV a Results: Selected determinants.- Gender and utilization of health care.- Socioeconomic status and health care utilization in Germany: A systematic review.- Migration and health care utilization in the European context.- How do socioeconomic factors influence the amount and intensity of services utilization by family caregivers of elderly dependents?.- Part IV b Results: Selected diseases.- Health care utilization by dementia patients living at home and their kins.- Utilization of general practitioners by obese men and women: Review for Germany and results from the MONICA/KORA cohorts S3/F3 and S4/F4.- Utilization of physiotherapy by patients with rheumatic diseases.- Participation in self-help activities amongst patients with rheumatic diseases.- Part IV b Results: Selected sectors of care.- Social determinants of utilization of psychotherapy in Germany.-Variation in the use of prevention and health promotion services according to gender, age, socioeconomic, and migration status.- Utilisation of an Integrated Care Pilot in Germany: Morbidity, age and sex distribution of Gesundes Kinzigtal Integrated Care’s membership in 2006-08.- Part V Extroduction.- Health care utilization: A concluding note on research prospects.