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2022-08-17Zeitschriftenartikel
Investigating associated factors of primary and specialist health care utilization among people with selected nationalities: results of a multilingual survey in two German federal states
dc.contributor.authorLoer, Anne-Kathrin Mareike
dc.contributor.authorKoschollek, Carmen
dc.contributor.authorHövener, Claudia
dc.date.accessioned2024-09-10T12:58:30Z
dc.date.available2024-09-10T12:58:30Z
dc.date.issued2022-08-17none
dc.identifier.other10.1186/s12913-022-08419-y
dc.identifier.urihttp://edoc.rki.de/176904/12137
dc.description.abstractBackground Approximately every fourth person in Germany has a migration background. Health research on the use of primary and specialist health care in this group is still scarce. Few studies have suggested a difference in the use of primary and specialist health care among people with a migration background. Potential resources and barriers to health care access should be investigated as they are critical to health equity. This study investigates associated sociodemographic, migration-sensitive, and health-related factors of primary and specialist health care utilization among people with a migration background as defined by nationality. Methods Analyses are based on data from a feasibility study of the project “Improving Health Monitoring in Migrant Populations” (IMIRA), conducted by the Robert Koch Institute. The sample (n = 1055) included persons with Croatian, Polish, Romanian, Syrian, and Turkish nationalities living in the federal states of Berlin and Brandenburg, Germany. Descriptive and bivariate analyses as well as multiple binary logistic regression analyses were carried out to assess sociodemographic (sex, age, socioeconomic position), health-related (self-rated health), and migration-sensitive factors (duration of residence in Germany, residence status, German language proficiency) associated with the use of primary and specialist health care services in the past 12 months. Results Of the total study population, 79.62% visited a general practitioner and 59.53% a specialized physician in the past 12 months. Participants who were female sex, aged 65 and older, and with moderate/poor/very poor self-rated health had higher odds of visiting a general practitioner and a specialized physician, with the strongest impact from self-rated health. After controlling for sociodemographic and health-related factors, duration of residence in Germany and residence status were associated with primary but not with specialist health care utilization. Conclusions Our results suggest that migration-sensitive characteristics, such as duration of residence, should be considered in a differentiated manner in health services research to gain detailed insights into health care utilization and its potential barriers among the heterogenous group of people with a migration background. Further research needs to be done to evaluate how to get people into contact with a general practitioner.eng
dc.language.isoengnone
dc.publisherRobert Koch-Institut
dc.rights(CC BY 3.0 DE) Namensnennung 3.0 Deutschlandger
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/de/
dc.subjectmigration historyeng
dc.subjectutilization of health serviceseng
dc.subjectgeneral and specialist medical careeng
dc.subjectaccess to careeng
dc.subject.ddc610 Medizin und Gesundheitnone
dc.titleInvestigating associated factors of primary and specialist health care utilization among people with selected nationalities: results of a multilingual survey in two German federal statesnone
dc.typearticle
dc.identifier.urnurn:nbn:de:0257-176904/12137-5
dc.type.versionpublishedVersionnone
local.edoc.container-titleBMC Health Services Researchnone
local.edoc.container-issn1472-6963none
local.edoc.pages12none
local.edoc.type-nameZeitschriftenartikel
local.edoc.container-typeperiodical
local.edoc.container-type-nameZeitschrift
local.edoc.container-urlhttps://bmchealthservres.biomedcentral.com/none
local.edoc.container-publisher-nameSpringer Naturenone
local.edoc.container-volume22none
local.edoc.container-reportyear2022none
dc.description.versionPeer Reviewednone

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