ArticleInternational journal for equity in health2020
Differences in medical specialist utilization among older people in need of long-term care - results from German health claims data.
Article in International journal for equity in health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- (Alzheimer's) dementia in adults with Down syndrome in Germany: Administrative prevalence based on a claims data analysis.Journal of Alzheimer's disease : JAD · 2026Article
- Collaborative Working to Address Inappropriate ED Attendances by Nursing Home Residents.BMJ open quality · 2025Article
- Specialist care visits outside the hospital by South Australian older adults.BMC health services research · 2024Article
- Specialty care after transition to long-term care in nursing home.Journal of the American Geriatrics Society · 2023Article
- Health services in older psoriasis patients before and after nursing home admission : A retrospective analysis of health insurance data.Zeitschrift fur Gerontologie und Geriatrie · 2023Article
- Impact of COVID-19 Pandemic on Caregivers of People with an Intellectual Disability, in Comparison to Carers of Those with Other Disabilities and with Mental Health Issues: A Multicountry Study.International journal of environmental research and public health · 2023Article
- General practitioner care in nursing homes during the first wave of the COVID-19 pandemic in Germany: a retrospective survey among nursing home managers.BMC primary care · 2022Article
- Association of potentially inappropriate medications and need for long-term care among older adults: a matched cohort study.BMC geriatrics · 2022Article
- Contacts with general practitioners, dentists, and medical specialists among nursing home residents: a cross-sectional study in 44 German nursing homes.BMC health services research · 2022Article
- Barriers and facilitators for implementation of a complex health services intervention in long-term care homes: a qualitative study using focus groups.BMC geriatrics · 2021Article
- [Medical specialist undertreatment in nursing home residents-Prevalence and extrapolation].Zeitschrift fur Gerontologie und Geriatrie · 2021Article
- Frailty increases the risk for developing urinary tract infection among 79,887 patients with diabetic mellitus and chronic kidney disease.BMC geriatrics · 2021Article
- Differences in nursing home admission between functionally defined populations in Germany and the association with quality of health care.BMC health services research · 2021Article
- How Do German General Practitioners Assess Medical Specialist Care Needs of Nursing Home Residents? Results of a Postal Survey in North-Western Germany.International journal of environmental research and public health · 2020Article
- Type of Care and Living Situation Are Associated with Nutritional Care but Not Nutritional Status of Older Persons Receiving Home Care.Healthcare (Basel, Switzerland) · 2020Article
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Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundElderly in need of long-term care tend to have worse health and have higher need of medical care than elderly without need for long-term care. Yet, characteristics associated with long-term care need can impede health care access: Higher levels of long-term care need come with physical and cognitive decline such as frailty and memory loss. Yet, it has not been investigated whether level of long-term care need is related to medical care utilization.
methodsWe investigated the association between the level of long-term care and medical specialist utilization among nursing home residents and home care recipients. We applied zero-inflated Poisson regression with robust standard errors based on a sample of statutory health insurance members. The sample consisted of 100.000 elderly over age 60. We controlled for age, gender, morbidity and mortality, residential density, and general practitioner utilization.
resultsWe found a strong gradient effect of the level of long-term care for 9 out of 12 medical specialties: A higher level of long-term care need was associated with a lower probability of having a medical specialist visit. Yet, we did not find clear effects of the level of long-term care need on the intensity of medical specialist care. These findings were similar for both the nursing home and home care setting.
conclusionThe findings indicate that inequalities in medical specialist utilization exist between elderly with differing levels of long-term care need because differences in morbidity were controlled for. Elderly with higher need of long-term care might face more access barriers to specialist medical care.
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