Health Care Services Utilization of Persons with Direct, Indirect and without Migration Background in Germany: A Longitudinal Study Based on the German Socio-Economic Panel (SOEP)

There is ambiguous evidence with regard to the inequalities in health care services utilization (HCSU) among migrants and non-migrants in Germany. The aim of this study was to analyze the utilization of doctors and hospitalization of persons with direct and indirect migration background as well as t...

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Autores principales:	Thomas Grochtdreis, Hans-Helmut König, Judith Dams
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	surveys and questionnaires health care utilization migrant Germany Medicine R
Acceso en línea:	https://doaj.org/article/f7c45f3f71864288929f547247e31349
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spelling	oai:doaj.org-article:f7c45f3f71864288929f547247e313492021-11-11T16:44:28ZHealth Care Services Utilization of Persons with Direct, Indirect and without Migration Background in Germany: A Longitudinal Study Based on the German Socio-Economic Panel (SOEP)10.3390/ijerph1821116401660-46011661-7827https://doaj.org/article/f7c45f3f71864288929f547247e313492021-11-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/21/11640https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601There is ambiguous evidence with regard to the inequalities in health care services utilization (HCSU) among migrants and non-migrants in Germany. The aim of this study was to analyze the utilization of doctors and hospitalization of persons with direct and indirect migration background as well as those without in Germany. This study was based on data of the German Socio-Economic Panel using the adult sample of the years 2013 to 2019. HCSU was measured by self-reported utilization of doctors and hospitalization. Associations between HCSU and migration background were examined using multilevel mixed-effects logistic regression and zero-truncated multilevel mixed-effects generalized linear models. The odds ratios of utilization of doctors and hospitalization for persons with direct migration background compared with persons without migration background were 0.73 (<i>p</i> < 0.001) and 0.79 (<i>p</i> = 0.002), respectively. A direct migration background was associated with a 6% lower number of doctoral visits within three months compared with no migration background (<i>p</i> = 0.023). Persons with direct migration background still have a lower HCSU than persons without migration background in Germany. Access to health care needs to be ensured and health policy-makers are called upon to keep focus on the issue of inequalities in HCSU between migrants and non-migrants in Germany.Thomas GrochtdreisHans-Helmut KönigJudith DamsMDPI AGarticlesurveys and questionnaireshealth careutilizationmigrantGermanyMedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 11640, p 11640 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	surveys and questionnaires health care utilization migrant Germany Medicine R
spellingShingle	surveys and questionnaires health care utilization migrant Germany Medicine R Thomas Grochtdreis Hans-Helmut König Judith Dams Health Care Services Utilization of Persons with Direct, Indirect and without Migration Background in Germany: A Longitudinal Study Based on the German Socio-Economic Panel (SOEP)
description	There is ambiguous evidence with regard to the inequalities in health care services utilization (HCSU) among migrants and non-migrants in Germany. The aim of this study was to analyze the utilization of doctors and hospitalization of persons with direct and indirect migration background as well as those without in Germany. This study was based on data of the German Socio-Economic Panel using the adult sample of the years 2013 to 2019. HCSU was measured by self-reported utilization of doctors and hospitalization. Associations between HCSU and migration background were examined using multilevel mixed-effects logistic regression and zero-truncated multilevel mixed-effects generalized linear models. The odds ratios of utilization of doctors and hospitalization for persons with direct migration background compared with persons without migration background were 0.73 (<i>p</i> < 0.001) and 0.79 (<i>p</i> = 0.002), respectively. A direct migration background was associated with a 6% lower number of doctoral visits within three months compared with no migration background (<i>p</i> = 0.023). Persons with direct migration background still have a lower HCSU than persons without migration background in Germany. Access to health care needs to be ensured and health policy-makers are called upon to keep focus on the issue of inequalities in HCSU between migrants and non-migrants in Germany.
format	article
author	Thomas Grochtdreis Hans-Helmut König Judith Dams
author_facet	Thomas Grochtdreis Hans-Helmut König Judith Dams
author_sort	Thomas Grochtdreis
title	Health Care Services Utilization of Persons with Direct, Indirect and without Migration Background in Germany: A Longitudinal Study Based on the German Socio-Economic Panel (SOEP)
title_short	Health Care Services Utilization of Persons with Direct, Indirect and without Migration Background in Germany: A Longitudinal Study Based on the German Socio-Economic Panel (SOEP)
title_full	Health Care Services Utilization of Persons with Direct, Indirect and without Migration Background in Germany: A Longitudinal Study Based on the German Socio-Economic Panel (SOEP)
title_fullStr	Health Care Services Utilization of Persons with Direct, Indirect and without Migration Background in Germany: A Longitudinal Study Based on the German Socio-Economic Panel (SOEP)
title_full_unstemmed	Health Care Services Utilization of Persons with Direct, Indirect and without Migration Background in Germany: A Longitudinal Study Based on the German Socio-Economic Panel (SOEP)
title_sort	health care services utilization of persons with direct, indirect and without migration background in germany: a longitudinal study based on the german socio-economic panel (soep)
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/f7c45f3f71864288929f547247e31349
work_keys_str_mv	AT thomasgrochtdreis healthcareservicesutilizationofpersonswithdirectindirectandwithoutmigrationbackgroundingermanyalongitudinalstudybasedonthegermansocioeconomicpanelsoep AT hanshelmutkonig healthcareservicesutilizationofpersonswithdirectindirectandwithoutmigrationbackgroundingermanyalongitudinalstudybasedonthegermansocioeconomicpanelsoep AT judithdams healthcareservicesutilizationofpersonswithdirectindirectandwithoutmigrationbackgroundingermanyalongitudinalstudybasedonthegermansocioeconomicpanelsoep
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Health Care Services Utilization of Persons with Direct, Indirect and without Migration Background in Germany: A Longitudinal Study Based on the German Socio-Economic Panel (SOEP)

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