Show simple item record

2018-10-03Zeitschriftenartikel DOI: 10.25646/5898
Determinants of having no general practitioner in Germany and the influence of a migration background: results of the German health interview and examination survey for adults (DEGS1)
dc.contributor.authorTillmann, Judith
dc.contributor.authorPuth, Marie-Therese
dc.contributor.authorFrank, Laura
dc.contributor.authorWeckbecker, Klaus
dc.contributor.authorKlaschik, Manuela
dc.contributor.authorMünster, Eva
dc.date.accessioned2019-02-20T10:31:45Z
dc.date.available2019-02-20T10:31:45Z
dc.date.issued2018-10-03none
dc.identifier.other10.1186/s12913-018-3571-2
dc.identifier.urihttp://edoc.rki.de/176904/5938
dc.description.abstractBackground: It is aspired in the German healthcare system that general practitioners (GPs) act as initial contact for patients and guide through at all steps of medical treatment. This study aims at identifying factors associated with the odds of having no GP within the general population and especially among people with migration background. Methods: This cross-sectional analysis was based on the “German Health Interview and Examination Survey for Adults” (DEGS1) conducted by the Robert Koch Institute. Descriptive analyses as well as multiple logistic regression models were performed to analyse the impact of a migration background, age, gender, residential area, socioeconomic status (SES) and other factors on having no GP among 7755 participants. Results: 9.5% of the total study population and 14.8% of people with a migration background had no GP, especially men, adults living in big cities and without chronic diseases. The odds of not having a GP were higher for people with a two-sided migration background (aOR: 1.90, 95% CI: 1.42–2.55). Among the population with a migration background, particularly young adults, men, people living in big cities and having a private health insurance showed higher odds to have no GP. Conclusions: It is necessary to investigate the causes of the differing utilization of healthcare of people with a migration background and, if necessary, to take measures for an equal access to healthcare for all population groups. Further research needs to be done to evaluate how to get young people into contact with a GP.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.subjectMigrationeng
dc.subjectGeneral practitionereng
dc.subjectUse of health serviceseng
dc.subjectDEGSeng
dc.subject.ddc610 Medizin und Gesundheitnone
dc.titleDeterminants of having no general practitioner in Germany and the influence of a migration background: results of the German health interview and examination survey for adults (DEGS1)none
dc.typearticle
dc.identifier.urnurn:nbn:de:kobv:0257-176904/5938-2
dc.identifier.doihttp://dx.doi.org/10.25646/5898
dc.type.versionpublishedVersionnone
local.edoc.container-titleBMC Health Services Researchnone
local.edoc.pages10none
local.edoc.type-nameZeitschriftenartikel
local.edoc.container-typeperiodical
local.edoc.container-type-nameZeitschrift
local.edoc.container-urlhttps://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-018-3571-2none
local.edoc.container-publisher-nameBioMed Centralnone
local.edoc.container-volume18none
local.edoc.container-issue755none
local.edoc.container-reportyear2018none
local.edoc.container-year2018none
local.edoc.container-firstpage1none
local.edoc.container-lastpage10none
local.edoc.rki-departmentEpidemiologie und Gesundheitsmonitoringnone
dc.description.versionPeer Reviewednone

Show simple item record