Utilization of Prevention Services by Gender, Age, Socioeconomic Status, and Migration Status in Germany: An Overview and a Systematic Review

Kowalski, Christoph; Loss, Julika; Kölsch, Florian; Janßen, Christian

doi:10.1007/978-1-4614-9191-0_16

Cited by 21 publications

(20 citation statements)

References 58 publications

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“…According to some studies, younger patients were less likely to follow their medical regimens than were older patients [Marston, 1970]. A recent review about the German health care system utilization showed that the average number of visits increases with age [Kowalski et al, 2014]. This is consistent with the present study's finding where patients with completed reevaluation status tended to be older than those without reevaluation within 18 months.…”

Section: Discussionsupporting

confidence: 83%

Factors Associated with Reevaluation of the Stepwise Excavation Procedure: An 8-Year Retrospective Study

Ortega-Verdugo¹,

Guzmán-Armstrong²,

Cobb³

et al. 2016

Caries Res

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Although the stepwise excavation procedure (SWP) has been shown to be an effective caries treatment technique, studies reporting its application outside of controlled clinical trials are limited. We performed a retrospective study from patient record data to assess the proportion of patients who had an SWP reevaluated within 18 months at The University of Iowa College of Dentistry (UICOD) between 2004 and 2012, and evaluated the association between different variables and this outcome. A total of 1,985 SWPs were performed in 1,326 patients, with 518 patients having had reevaluation within 18 months. Bivariate analysis and logistic regression modeling revealed strong associations between explanatory variables such as provider type, tooth type, patient age, number of recalls and the calendar year in which the SWP was done and reevaluation status. There was also evidence of association with dental insurance status. Other characteristics such as gender, distance traveled to the UICOD, number of surfaces treated and tooth arch did not show any significant association. In general, patients were more likely to have reevaluation when seen by faculty members or residents, the procedure was performed in molars/pre-molars, they were older, they had more recalls and were seen earlier in the study period. These results suggest that decisions to use SWP should consider patient demographics and treatment characteristics such as provider level, tooth type, patient age and number of recalls. The impact of treatment year may reflect program heterogeneity or temporal changes in external societal factors.

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Section: Discussionsupporting

confidence: 83%

Factors Associated with Reevaluation of the Stepwise Excavation Procedure: An 8-Year Retrospective Study

Ortega-Verdugo¹,

Guzmán-Armstrong²,

Cobb³

et al. 2016

Caries Res

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show abstract

“…Our results con rm previous ndings. Persons living in poor socio-economic circumstances are hard to reach for health promotion and prevention services [1][2][3][4][5]. This is also the case for socio-economically deprived families when it comes to services and offers specialized in family-based addiction prevention [6,16,[35][36][37].…”

Section: Discussionmentioning

confidence: 99%

“…Vulnerable populations most in need are often the least reached by health promotion and prevention services [1][2][3][4][5]. This is also the case when it comes to involving socio-economically deprived families with (pre)adolescent children in family-based substance abuse prevention programmes ( [6], p. 8).…”

Section: Introductionmentioning

confidence: 99%

Limited access to family-based addiction prevention services for socio-economically deprived families in Switzerland: a grounded theory study

Pfister

Koschmieder

Wyss

2020

Preprint

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Background: Families living in poor socio-economic circumstances, already confronted with social and health inequalities, are often not reached by family-based addiction prevention services. Besides quantitative models and health literacy approaches, qualitative research is lacking that could shed light on the exact circumstances and processes that lead to hindered addiction prevention service uptake by these families. Drawing on the concept of candidacy, we therefore reconstructed how socio-economically deprived parents and their (pre)adolescent children in the German-speaking part of Switzerland (non-)identified their candidacy for family-based addiction prevention services.Methods: Following grounded theory, we collected and analysed data in an iterative-cyclical manner using theoretical sampling and theoretical coding techniques. Sixteen families with children aged 10–14 years were interviewed in depth (parent/s and child separately). All but one family lived below the at-risk-of-poverty threshold.Results: Socio-economically deprived families’ modes of recognizing and handling problems in everyday life were found to be core phenomena that structure the process towards (non)identification of candidacy for family-based addiction prevention services. Four modes anchored within socio-demographic resources were found: Families with mode A perceived their current life situation as existentially-threatening and focused daily coping on the main pressing problem. Others (mode B) perceived prevalent multiple problems as normal (now); problems were normalized, often not recognized as such. In mode C families, problems were pragmatically recognized at a low threshold and pragmatically dealt with, mostly within the family. In mode D families, problems were constantly produced and dealt with early by the worried and anxious parents monitoring their child. From modes D to A, vulnerability increased concerning non-identification of candidacy for family-based addiction prevention services. Further, thematic relevance of addiction prevention, past experience with offers, integration in systems of assistance, strategies to protect the family, and families’ search for information influenced whether identification of candidacy took place.Conclusions: Socio-economically deprived families differ in modes of problem construction and handling in everyday life; this differently opens up or closes routes to family-based addiction prevention. Addiction prevention practice should build on a bundle of diverse strategies for outreach to these families, stressing especially interventions on the structural and environmental level.

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“…Researchers have identified a variety of determinants in participating in general health checks, including socio‐economic and demographic variables and the clinical and social cognitive characteristics of individuals (Dryden et al ., ; Kowalski et al ., ). Andersen (), Andersen et al .…”

Section: Literature Reviewmentioning

confidence: 99%

The Effect of General Health Checks on Healthcare Utilization: Accounting for Self-Selection Bias

Yoon

Jun

Park

2019

Journal of the Royal Statistical Society Series A: Statistics in Society

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Summary The general health check is one of the most common preventive healthcare measures in many countries. In this study, we propose an empirical approach which jointly models the decision to obtain a general health check and healthcare utilization, tackling the self‐selection problem by using eligibility to obtain a health check for free as an instrumental variable. Eligibility has some exogenous variations by design and this helps us to partial out the effect of general health checks from self‐selection biases. We apply the model to a large 12‐year panel data set provided by the Korean National Health Insurance Service. We find that participation in the general health check increases healthcare utilization and ignored self‐selection generates substantial upward bias in the estimates. We also find that the health check effect shows noteworthy heterogeneity across gender and income groups. Before health checks, healthcare utilization of males and people in low income groups is lower than those of females and people in high income groups respectively. However, these become comparable across different groups after health checks. This finding implies that general health checks can be an effective vehicle for health equity.

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Utilization of Prevention Services by Gender, Age, Socioeconomic Status, and Migration Status in Germany: An Overview and a Systematic Review

Cited by 21 publications

References 58 publications

Factors Associated with Reevaluation of the Stepwise Excavation Procedure: An 8-Year Retrospective Study

Factors Associated with Reevaluation of the Stepwise Excavation Procedure: An 8-Year Retrospective Study

Limited access to family-based addiction prevention services for socio-economically deprived families in Switzerland: a grounded theory study

The Effect of General Health Checks on Healthcare Utilization: Accounting for Self-Selection Bias

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