德国有直接移民背景者使用医疗服务的移民相关决定因素:基于德国社会经济小组(SOEP)的探索性研究。

IF 3.1 3区 医学 Q1 ECONOMICS
Thomas Grochtdreis, Hans-Helmut König, Judith Dams
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引用次数: 0

摘要

背景:众所周知,与非移民相比,有直接移民背景的人对初级保健服务的利用率较低。然而,与移民相关的医疗服务使用情况的潜在决定因素尚不清楚。因此,本研究旨在分析德国有直接移民背景者的医疗服务利用率与移民相关特征之间的关联:本研究以德国社会经济小组(SOEP)的移民样本(M1 和 M2)为研究对象。采用广义线性模型研究了过去三个月中初级保健医生就诊次数与移民相关特征之间的关系。一年内住院次数与移民相关特征之间的关系采用对数模型进行检验:结果:看初级保健医生的平均次数约为 2 次,8% 的人住院治疗。出生在俄罗斯以外国家的人看初级保健医生的次数较多(+ 26% 至 + 34%)。与没有联系和德语口语能力较差的人相比,与出生国联系紧密和德语口语能力较好的人看初级保健医生的次数较多(均为 + 13%):结论:就有直接移民背景的人在德国看初级保健医生的次数而言,只有出生国、与出生国的联系和德语口语能力可能是与移民相关的医疗服务利用率决定因素。在住院治疗方面,没有发现与移民有关的医疗服务使用决定因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Migration-related determinants of health-care service utilization among persons with a direct migration background in Germany: an exploratory study based on the German Socio-Economic Panel (SOEP).

Background: It is known that the health-care service utilization in primary care of persons with a direct migration background is lower compared to non-migrants. However, potential migration-related determinants of health-care service utilization are not known. Therefore, this study aimed to analyze the associations between health-care service utilization and migration-related characteristics of persons with a direct migration background in Germany.

Methods: The migration samples (M1 and M2) of the German Socio-Economic Panel (SOEP) were used as the sample for this study. Associations between the number of visits to primary care physicians in the previous three months and migration-related characteristics were examined using generalized linear models. Associations between the hospitalization within one year and migration-related characteristics were examined using logit models.

Results: The mean number of visits to primary care physicians was about 2, and 8% of persons were hospitalized. Being born in a country other than Russia was associated with a higher number of visits to primary care physicians (+ 26% to + 34%). Both, a very strong connectedness with the country of birth and very good oral German language skills were associated with higher number of visits to primary care physicians (both + 13%) compared to no connectedness and fairly bad oral German language skills.

Conclusion: Only the country of birth, connectedness with the country of birth and oral German language skills may be migration-related determinants of health-care service utilization with regard to the number of visits to primary care physicians by persons with a direct migration background in Germany. With regard to hospitalization, no potential migration-related determinants of health-care service utilization could be identified.

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来源期刊
CiteScore
6.10
自引率
2.30%
发文量
131
期刊介绍: The European Journal of Health Economics is a journal of Health Economics and associated disciplines. The growing demand for health economics and the introduction of new guidelines in various European countries were the motivation to generate a highly scientific and at the same time practice oriented journal considering the requirements of various health care systems in Europe. The international scientific board of opinion leaders guarantees high-quality, peer-reviewed publications as well as articles for pragmatic approaches in the field of health economics. We intend to cover all aspects of health economics: • Basics of health economic approaches and methods • Pharmacoeconomics • Health Care Systems • Pricing and Reimbursement Systems • Quality-of-Life-Studies The editors reserve the right to reject manuscripts that do not comply with the above-mentioned requirements. The author will be held responsible for false statements or for failure to fulfill the above-mentioned requirements. Officially cited as: Eur J Health Econ
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