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  • © 2014

Health Care Utilization in Germany

Theory, Methodology, and Results

  • 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 a Foreword by Ronald M. Andersen

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Table of contents (18 chapters)

  1. Front Matter

    Pages i-xvii
  2. Introduction

    1. Front Matter

      Pages 1-1
    2. Theorizing, Empiricizing, and Analyzing Health Care Utilization in Germany: An Introduction

      • Christian Janssen, Enno Swart, Thomas von Lengerke
      Pages 3-8
  3. Methodology

    1. Front Matter

      Pages 43-43
    2. Health Care Utilization: Insights from Qualitative Research

      • Birgit Babitsch, Claudia Berger, Bernhard Borgetto, Carmen-Cristina Ciupitu-Plath
      Pages 87-97
  4. Results: Selected determinants

    1. Front Matter

      Pages 99-99
    2. Gender and Utilization of Health Care

      • Birgit Babitsch, Cornelia Bormann, Daniela Gohl, Carmen Cristina Ciupitu-Plath
      Pages 101-116
    3. Socioeconomic Status and the Utilization of Health Services in Germany: A Systematic Review

      • Jens Klein, Kerstin Hofreuter-Gätgens, Olaf von dem Knesebeck
      Pages 117-143
    4. Migration and Health Care Utilization in the European Context

      • Carmen Cristina Ciupitu-Plath, Daniela Gohl, Christopher Kofahl, Birgit Babitsch
      Pages 145-169
  5. Results: Selected Diseases

    1. Front Matter

      Pages 191-191
    2. Health Services Utilization by Community-Dwelling Dementia Patients and Their Family Caregivers

      • Carolin Donath, Gudrun Ulbrecht, Hannes Grau, Elmar Graessel, Larissa Schwarzkopf, Petra Menn et al.
      Pages 193-219
    3. Utilization of Primary Care Physicians by Obese Men and Women: Review for Germany and Results from the MONICA/KORA Cohorts S3/F3 and S4/F4

      • Thomas von Lengerke, Petra Menn, Rolf Holle, Andreas Mielck, Christa Meisinger, Silke B. Wolfenstetter
      Pages 221-236
    4. Utilization of Physiotherapy by Patients with Rheumatic Diseases

      • Holm Thieme, Bernhard Borgetto
      Pages 237-256

About this book

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 access.
  • Insights from qualitative research.
  • The problem of repeated surveys: how comparable are their results?
  • Gender and utilization of health care.
  • Care utilization by dementia patients living at home.
  • Social determinants of utilization of psychotherapy 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 health psychologists, public health professionals, and epidemiologists.

Editors and Affiliations

  • Department of Applied Social Sciences, Munich University of Applied Sciences, Munich, Germany

    Christian Janssen

  • Institute of Social Medicine & Health Economics, Otto von Guericke University Magdeburg, City, Germany

    Enno Swart

  • Ctr of Public Health & Health Care, Medical Psych. Unit, Hannover Medical School, Hannover, Germany

    Thomas von Lengerke

About the editors

Christian Janssen is a professor at the Munich University of Applied Sciences (MUAS), Faculty of Applied Social Sciences. Enno Swart is a statistician with a doctoral degree from Hannover Medical School (MHH). Since 1993 he has worked at the Institute of Social Medicine and Health Economics at the Medical Department of the Otto-von-Guericke-Universität Magdeburg, Germany, where currently he heads the department of epidemiology. Thomas von Lengerke holds an adjunct associate professor position at Hannover Medical School, Medical Psychology Unit, where he is scientific faculty member.

Bibliographic Information

  • Book Title: Health Care Utilization in Germany

  • Book Subtitle: Theory, Methodology, and Results

  • Editors: Christian Janssen, Enno Swart, Thomas von Lengerke

  • DOI: https://doi.org/10.1007/978-1-4614-9191-0

  • Publisher: Springer New York, NY

  • eBook Packages: Medicine, Medicine (R0)

  • Copyright Information: Springer Science+Business Media New York 2014

  • Hardcover ISBN: 978-1-4614-9190-3

  • Softcover ISBN: 978-1-4939-4788-1

  • eBook ISBN: 978-1-4614-9191-0

  • Edition Number: 1

  • Number of Pages: XVII, 344

  • Number of Illustrations: 27 b/w illustrations

  • Topics: Health Promotion and Disease Prevention, Sociology, general, Health Economics, Health Psychology, Public Health

Buy it now

Buying options

eBook USD 129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book USD 169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Other ways to access