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Mit welchen chronischen Krankheiten ist eine Häufignutzung der vertragsärztlichen Versorgung in der älteren Bevölkerung assoziiert? - Eine Analyse auf der Basis von GKV-Abrechnungsdaten

Standard

Mit welchen chronischen Krankheiten ist eine Häufignutzung der vertragsärztlichen Versorgung in der älteren Bevölkerung assoziiert? - Eine Analyse auf der Basis von GKV-Abrechnungsdaten. / van den Bussche, Hendrik; Niemann, Detlev; Kaduszkiewicz, Hanna; Schäfer, Ingmar; Koller, Daniela; Hansen, Heike; Scherer, Martin; Glaeske, Gerd; Schön, Gerhard.

In: Z EVIDENZ FORTBILD Q, Vol. 107, No. 7, 01.01.2013, p. 442-50.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

van den Bussche, H, Niemann, D, Kaduszkiewicz, H, Schäfer, I, Koller, D, Hansen, H, Scherer, M, Glaeske, G & Schön, G 2013, 'Mit welchen chronischen Krankheiten ist eine Häufignutzung der vertragsärztlichen Versorgung in der älteren Bevölkerung assoziiert? - Eine Analyse auf der Basis von GKV-Abrechnungsdaten', Z EVIDENZ FORTBILD Q, vol. 107, no. 7, pp. 442-50. https://doi.org/10.1016/j.zefq.2013.09.001

APA

van den Bussche, H., Niemann, D., Kaduszkiewicz, H., Schäfer, I., Koller, D., Hansen, H., Scherer, M., Glaeske, G., & Schön, G. (2013). Mit welchen chronischen Krankheiten ist eine Häufignutzung der vertragsärztlichen Versorgung in der älteren Bevölkerung assoziiert? - Eine Analyse auf der Basis von GKV-Abrechnungsdaten. Z EVIDENZ FORTBILD Q, 107(7), 442-50. https://doi.org/10.1016/j.zefq.2013.09.001

Vancouver

van den Bussche H, Niemann D, Kaduszkiewicz H, Schäfer I, Koller D, Hansen H et al. Mit welchen chronischen Krankheiten ist eine Häufignutzung der vertragsärztlichen Versorgung in der älteren Bevölkerung assoziiert? - Eine Analyse auf der Basis von GKV-Abrechnungsdaten. Z EVIDENZ FORTBILD Q. 2013 Jan 1;107(7):442-50. https://doi.org/10.1016/j.zefq.2013.09.001

Bibtex

@article{368994b13c64457693e2534cc4fabd7a,
title = "Mit welchen chronischen Krankheiten ist eine H{\"a}ufignutzung der vertrags{\"a}rztlichen Versorgung in der {\"a}lteren Bev{\"o}lkerung assoziiert? - Eine Analyse auf der Basis von GKV-Abrechnungsdaten",
abstract = "BACKGROUND: Frequent attenders utilise a high proportion of medical services and therefore produce relatively high costs. Questions of utility and adequacy and, also, about the reasons for high use arise. The authors report the results of a study on the association between morbidity of the elderly and various forms of frequent attendance in ambulatory medical care in Germany.METHODS: The study is based on claims data of all policyholders aged 65 and over of a statutory health insurance company operating nationwide in Germany in 2004 (n = 123,224). Utilisation was analysed by the number of contacts with practices of physicians working in the ambulatory medical care sector and by the number of different practices contacted. Criteria for frequent attendance were ≥ 50 contacts with practices or contacts with ≥ 10 individual practices or ≥ 3 practices of the same discipline per year. We analysed prevalences and relative risks for frequent attendance for 46 chronic diseases.RESULTS: Frequent attendance in ambulatory medical care among the elderly is related to both severe somatic and psychic diagnoses. Five chronic diseases showed the highest relative risks for all types of frequent attendance in general: urinary incontinence, anaemia, neuropathies, renal insufficiency, and cancer. Psychic syndromes mainly led to the utilisation of many different physicians.CONCLUSION: Frequent attendance in ambulatory medical care among the elderly is related to a large number of diseases, both somatic and psychic. Frequent attendance is a complex phenomenon which cannot be addressed by mono-dimensional approaches.",
author = "{van den Bussche}, Hendrik and Detlev Niemann and Hanna Kaduszkiewicz and Ingmar Sch{\"a}fer and Daniela Koller and Heike Hansen and Martin Scherer and Gerd Glaeske and Gerhard Sch{\"o}n",
note = "Copyright {\textcopyright} 2013. Published by Elsevier GmbH.",
year = "2013",
month = jan,
day = "1",
doi = "10.1016/j.zefq.2013.09.001",
language = "Deutsch",
volume = "107",
pages = "442--50",
journal = "Z EVIDENZ FORTBILD Q",
issn = "1865-9217",
publisher = "Urban und Fischer Verlag Jena",
number = "7",

}

RIS

TY - JOUR

T1 - Mit welchen chronischen Krankheiten ist eine Häufignutzung der vertragsärztlichen Versorgung in der älteren Bevölkerung assoziiert? - Eine Analyse auf der Basis von GKV-Abrechnungsdaten

AU - van den Bussche, Hendrik

AU - Niemann, Detlev

AU - Kaduszkiewicz, Hanna

AU - Schäfer, Ingmar

AU - Koller, Daniela

AU - Hansen, Heike

AU - Scherer, Martin

AU - Glaeske, Gerd

AU - Schön, Gerhard

N1 - Copyright © 2013. Published by Elsevier GmbH.

PY - 2013/1/1

Y1 - 2013/1/1

N2 - BACKGROUND: Frequent attenders utilise a high proportion of medical services and therefore produce relatively high costs. Questions of utility and adequacy and, also, about the reasons for high use arise. The authors report the results of a study on the association between morbidity of the elderly and various forms of frequent attendance in ambulatory medical care in Germany.METHODS: The study is based on claims data of all policyholders aged 65 and over of a statutory health insurance company operating nationwide in Germany in 2004 (n = 123,224). Utilisation was analysed by the number of contacts with practices of physicians working in the ambulatory medical care sector and by the number of different practices contacted. Criteria for frequent attendance were ≥ 50 contacts with practices or contacts with ≥ 10 individual practices or ≥ 3 practices of the same discipline per year. We analysed prevalences and relative risks for frequent attendance for 46 chronic diseases.RESULTS: Frequent attendance in ambulatory medical care among the elderly is related to both severe somatic and psychic diagnoses. Five chronic diseases showed the highest relative risks for all types of frequent attendance in general: urinary incontinence, anaemia, neuropathies, renal insufficiency, and cancer. Psychic syndromes mainly led to the utilisation of many different physicians.CONCLUSION: Frequent attendance in ambulatory medical care among the elderly is related to a large number of diseases, both somatic and psychic. Frequent attendance is a complex phenomenon which cannot be addressed by mono-dimensional approaches.

AB - BACKGROUND: Frequent attenders utilise a high proportion of medical services and therefore produce relatively high costs. Questions of utility and adequacy and, also, about the reasons for high use arise. The authors report the results of a study on the association between morbidity of the elderly and various forms of frequent attendance in ambulatory medical care in Germany.METHODS: The study is based on claims data of all policyholders aged 65 and over of a statutory health insurance company operating nationwide in Germany in 2004 (n = 123,224). Utilisation was analysed by the number of contacts with practices of physicians working in the ambulatory medical care sector and by the number of different practices contacted. Criteria for frequent attendance were ≥ 50 contacts with practices or contacts with ≥ 10 individual practices or ≥ 3 practices of the same discipline per year. We analysed prevalences and relative risks for frequent attendance for 46 chronic diseases.RESULTS: Frequent attendance in ambulatory medical care among the elderly is related to both severe somatic and psychic diagnoses. Five chronic diseases showed the highest relative risks for all types of frequent attendance in general: urinary incontinence, anaemia, neuropathies, renal insufficiency, and cancer. Psychic syndromes mainly led to the utilisation of many different physicians.CONCLUSION: Frequent attendance in ambulatory medical care among the elderly is related to a large number of diseases, both somatic and psychic. Frequent attendance is a complex phenomenon which cannot be addressed by mono-dimensional approaches.

U2 - 10.1016/j.zefq.2013.09.001

DO - 10.1016/j.zefq.2013.09.001

M3 - SCORING: Zeitschriftenaufsatz

C2 - 24238021

VL - 107

SP - 442

EP - 450

JO - Z EVIDENZ FORTBILD Q

JF - Z EVIDENZ FORTBILD Q

SN - 1865-9217

IS - 7

ER -