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. 2017 Jan 13;17(1):30.
doi: 10.1186/s12913-017-1982-0.

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

André Hajek  1 , Jens-Oliver Bock  2 , Hans-Helmut König  2
Affiliations

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

André Hajek et al. BMC Health Serv Res. .

Abstract

Background: It 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.

Methods: Data 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.

Results: Regressions 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.

Conclusions: Our 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.

Keywords: Andersen’s behavioral model; Health care use; Health care utilization; Longitudinal study; Older adults.

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References

    1. Andersen R, Newman JF. Societal and individual determinants of medical care utilization in the United States. Milbank Mem Fund Q Health Soc. 1973;51(4):95–124. doi: 10.2307/3349613. - DOI - PubMed
    1. Andersen RM. Revisiting the behavioral model and access to medical care: does it matter? J Health Soc Behav. 1995;36(1):1–10. doi: 10.2307/2137284. - DOI - PubMed
    1. Babitsch B, Gohl D, von Lengerke T. Re-revisiting Andersen’s behavioral model of health services use: a systematic review of studies from 1998–2011. GMS Psycho Social Med. 2012;9:Doc11. - PMC - PubMed
    1. Thode N, Bergmann E, Kamtsiuris P, Kurth B-M. Einflussfaktoren auf die ambulante Inanspruchnahme in Deutschland. Bundesgesundheitsblatt Gesundheitsforsch Gesundheitsschutz. 2005;48(3):296–306. doi: 10.1007/s00103-004-1004-3. - DOI - PubMed
    1. von Lengerke T, Gohl D, Babitsch B. Re-revisiting the Behavioral Model of Health Care Utilization by Andersen: a review on theoretical advances and perspectives. In:Janssen C, Swart E, von Lengerke T. (Eds.), Health Care Utilization in Germany. New York: Springer; 2014. pp. 11–28.

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