Health Care Utilization in Germany: Theory, Methodology, and Results

ISBN-13: 9781461491903 / Angielski / Twarda / 2013 / 344 str.

Christian Janssen; Enno Swart; Thomas Von Lengerke

Opis

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.

Spis treści

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.

O autorze

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.

Blurb

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.