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Which factors affect health care use among older Germans? Results of the German ageing survey

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Which factors affect health care use among older Germans? Results of the German ageing survey. / Hajek, André; Bock, Jens-Oliver; König, Hans-Helmut.

In: BMC HEALTH SERV RES, Vol. 17, No. 1, 13.01.2017, p. 30.

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

Harvard

Hajek, A, Bock, J-O & König, H-H 2017, 'Which factors affect health care use among older Germans? Results of the German ageing survey', BMC HEALTH SERV RES, vol. 17, no. 1, pp. 30. https://doi.org/10.1186/s12913-017-1982-0

APA

Hajek, A., Bock, J-O., & König, H-H. (2017). Which factors affect health care use among older Germans? Results of the German ageing survey. BMC HEALTH SERV RES, 17(1), 30. https://doi.org/10.1186/s12913-017-1982-0

Vancouver

Hajek A, Bock J-O, König H-H. Which factors affect health care use among older Germans? Results of the German ageing survey. BMC HEALTH SERV RES. 2017 Jan 13;17(1):30. https://doi.org/10.1186/s12913-017-1982-0

Bibtex

@article{b218b35a33664c139d19b0c571f45ba7,
title = "Which factors affect health care use among older Germans? Results of the German ageing survey",
abstract = "BackgroundIt remains an open question how changes in predisposing, enabling, and need factors affect health care use. Consequently, we aimed to investigate how changes in these variables affect health care use in community-dwelling older persons longitudinally.MethodsData from two waves of the German Ageing Survey (DEAS), a representative sample of the community-dwelling German population aged ≥40 years, was used. Predictors of visits to general practitioners and specialists as well as hospital stays during a 12-month period were analyzed by fixed effects regressions.ResultsRegressions revealed that the need factors {\textquoteleft}self-rated health{\textquoteright} and the number of chronic diseases affected all measures of health care use (except for the number of chronic diseases on hospital care). An increased duration of physical activities increased GP visits. A decrease of excess weight decreased the number of specialist visits.ConclusionsOur findings underline the importance of need factors for health care use. Virtually none of the predisposing factors nor enabling resources affected health care use. These findings might indicate that individuals in the second half of life use health care services adequately, i.e. when medically indicated.",
author = "Andr{\'e} Hajek and Jens-Oliver Bock and Hans-Helmut K{\"o}nig",
year = "2017",
month = jan,
day = "13",
doi = "10.1186/s12913-017-1982-0",
language = "English",
volume = "17",
pages = "30",
journal = "BMC HEALTH SERV RES",
issn = "1472-6963",
publisher = "BioMed Central Ltd.",
number = "1",

}

RIS

TY - JOUR

T1 - Which factors affect health care use among older Germans? Results of the German ageing survey

AU - Hajek, André

AU - Bock, Jens-Oliver

AU - König, Hans-Helmut

PY - 2017/1/13

Y1 - 2017/1/13

N2 - BackgroundIt remains an open question how changes in predisposing, enabling, and need factors affect health care use. Consequently, we aimed to investigate how changes in these variables affect health care use in community-dwelling older persons longitudinally.MethodsData from two waves of the German Ageing Survey (DEAS), a representative sample of the community-dwelling German population aged ≥40 years, was used. Predictors of visits to general practitioners and specialists as well as hospital stays during a 12-month period were analyzed by fixed effects regressions.ResultsRegressions revealed that the need factors ‘self-rated health’ and the number of chronic diseases affected all measures of health care use (except for the number of chronic diseases on hospital care). An increased duration of physical activities increased GP visits. A decrease of excess weight decreased the number of specialist visits.ConclusionsOur findings underline the importance of need factors for health care use. Virtually none of the predisposing factors nor enabling resources affected health care use. These findings might indicate that individuals in the second half of life use health care services adequately, i.e. when medically indicated.

AB - BackgroundIt remains an open question how changes in predisposing, enabling, and need factors affect health care use. Consequently, we aimed to investigate how changes in these variables affect health care use in community-dwelling older persons longitudinally.MethodsData from two waves of the German Ageing Survey (DEAS), a representative sample of the community-dwelling German population aged ≥40 years, was used. Predictors of visits to general practitioners and specialists as well as hospital stays during a 12-month period were analyzed by fixed effects regressions.ResultsRegressions revealed that the need factors ‘self-rated health’ and the number of chronic diseases affected all measures of health care use (except for the number of chronic diseases on hospital care). An increased duration of physical activities increased GP visits. A decrease of excess weight decreased the number of specialist visits.ConclusionsOur findings underline the importance of need factors for health care use. Virtually none of the predisposing factors nor enabling resources affected health care use. These findings might indicate that individuals in the second half of life use health care services adequately, i.e. when medically indicated.

U2 - 10.1186/s12913-017-1982-0

DO - 10.1186/s12913-017-1982-0

M3 - SCORING: Journal article

VL - 17

SP - 30

JO - BMC HEALTH SERV RES

JF - BMC HEALTH SERV RES

SN - 1472-6963

IS - 1

ER -