Veränderung der Inanspruchnahme von Krankenkassenleistungen vor und nach einer Vater-Kind-Maßnahme

Abstract

Since 2002 inpatient preventive and rehabilitative measures for fathers and their children (F-C-M) are available in the German health system (§§ 24 and 41 SGB V). So far there is no data on health disorders of the fathers in F-C-M. The aim of this study is to examine whether participants of F-C-M are more prone to health problems than fathers who are not participating in F-C-M and whether participation in F-C-M contributes to improved health. To do so, the change in the use of outpatient care services is examined and compared to the use of mentioned services by fathers who are not participating in an F-C-M. The research project is based on the routine data of AOK-Niedersachsen (AOKN). Outpatient diagnoses and medications that were billed one year before and one year after the measure are used as outcome variables for outpatient use. The test sample (N=179) includes all fathers who participated in a F-C-M in 2005-2009 and were insured throughout. For these fathers, a comparative group of fathers who had not participated in a F-C-M (N=717) was formed in parallel. The investigation has shown that the participants of the F-C-M received more diagnoses and medications before and after the measure than fathers without F-C-M. Fathers under 40 years mostly got fewer diagnoses and medications after the measure than before the measure, whereas older people showed a higher claim after the measure. The participants of the F-C-M mainly have more F-diagnoses than fathers without F-C-M. In addition to that the increase in I-diagnoses and the increase in cardiovascular drugs are striking compared to the previous year. The increased use of the statutory health insurance benefits of participants of the F-C-M compared to non-participants indicates that the F-C-M is a health-impaired group of insured people. The high number of F-diagnoses further illustrates that the participants are particularly affected in this indication area. A positive effect of the measure is shown by the fact that younger fathers made reduced use of health insurance benefits, while in the case of older participants a treatment requirement was still predominant or was revealed in the context of the measure.

Effekt eines einwöchigen Gesundheitsprogramms auf die psychische Gesundheit von pflegenden Eltern – eine kontrollierte Panelstudie

“…Die Studienlage dazu ist dürftig. Für Mutter/Vater-Kind-Kuren sind Wirksamkeit und Nachhaltigkeit nachgewiesen 11 12 13 . Allerdings sind diese Maßnahmen nicht spezifisch auf Eltern, deren Kinder chronisch krank oder behindert sind, ausgerichtet.…”

Does a one-week health program promote well-being among caregiving parents? A quasiexperimental intervention study in Germany

“…It is problematic that nursing facilities are predominantly specialized in geriatric care (Rothgang et al 2017). Existing multi-day offers are unspeci c. Effectiveness and sustainability have been demonstrated for mother/father-child cures (Barre and Epping 2018). However, these measures are not speci cally targeted at parents whose children are chronically ill or disabled and are also therapeutically oriented.…”