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15. The Longitudinal Association between Psychological Factors and Health Care Use

Author

Bock, Jens-Oliver, Hajek, Andre, and Konig, Hans-Helmut

Subjects
Chronic diseases -- Analysis, Behavioral medicine -- Analysis, Medical care utilization -- Analysis, Business, Health care industry
Abstract

Objective. Little attention has been given to psychological factors as correlates of health care use, which could be an important key to manage it. We analyzed the association of psychological factors with health care use. Data Sources. Primary data were obtained from three follow-ups (2002, 2008, and 2011) of a large population-based study with participants aged 40+. Study Design. Using a longitudinal observational study, we analyzed the psychological factors of negative and positive affect (affective well-being), life satisfaction (cognitive well-being), self-efficacy, loneliness, self-esteem, optimism, and flexible goal adjustment using fixed-effects regressions. Data Collection. The participants provided data on health care use (visits to general practitioners [CPs] and specialists as well as hospitalization) and psychological factors via self-administered questionnaires and personal interviews (7, 116 observations). The sample was drawn using national probability sampling. Principal Findings. Controlling for self-rated health, chronic diseases and sociodemographics, increases in affective well-being, and optimism decreased health care use of CPs, specialists, and hospital treatment. Increases in cognitive well-being decreased health care use of GPs and specialists. Increases in self-efficacy decreased hospitalization. Conclusions. The study underlines the influence of psychological factors on health care use. Thus, whenever possible, future studies of health care use should include psychological factors, and efforts to reduce health care use might focus on such factors. Key Words. Psychology, observational data/quasi-experiments, health policy/politics/law/regulation, primary care, hospitals, Patterns of health care use have often been investigated in Germany (Janssen, Swart, and von Lengerke 2014). In Germany, approximately 90 percent of the population is covered by statutory health [...]

Published
2018
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18. A longitudinal investigation of willingness to pay for health insurance in Germany

Author

Bock, Jens-Oliver, Hajek, Andre, Brenner, Hermann, Saum, Kai-Uwe, Matschinger, Herbert, Haefeli, Walter Emil, Schottker, Ben, Quinzler, RenateHeider, Dirk, and Konig, Hans-Helmut

Subjects
STATA Corp., Health insurance industry -- Surveys, Medical care, Cost of -- Surveys, Computer software industry -- Surveys, Valuation -- Surveys, Business, Health care industry
Abstract

Objective. To investigate factors affecting willingness to pay (WTP) for health insurance of older adults in a longitudinal setting in Germany. Data Sources. Survey data from a cohort study in [...]

Published
2017
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19. 2 Grundlagen

Author

Bock, Jens-Oliver, primary, Bowles, David, additional, Brettschneider, Christian, additional, Greiner, Wolfgang, additional, Holle, Rolf, additional, König, Hans-Helmut, additional, and Seidl, Hildegard, additional

Published
2015
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20. 5 Literaturverzeichnis

Author

Bock, Jens-Oliver, primary, Bowles, David, additional, Brettschneider, Christian, additional, Greiner, Wolfgang, additional, Holle, Rolf, additional, König, Hans-Helmut, additional, and Seidl, Hildegard, additional

Published
2015
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21. 3 Bewertungssätze

Author

Bock, Jens-Oliver, primary, Bowles, David, additional, Brettschneider, Christian, additional, Greiner, Wolfgang, additional, Holle, Rolf, additional, König, Hans-Helmut, additional, and Seidl, Hildegard, additional

Published
2015
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22. 6 Anhang: Alle Bewertungssätze 2011

Author

Bock, Jens-Oliver, primary, Bowles, David, additional, Brettschneider, Christian, additional, Greiner, Wolfgang, additional, Holle, Rolf, additional, König, Hans-Helmut, additional, and Seidl, Hildegard, additional

Published
2015
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23. Titelei/Inhaltsverzeichnis

Author

Bock, Jens-Oliver, primary, Bowles, David, additional, Brettschneider, Christian, additional, Greiner, Wolfgang, additional, Holle, Rolf, additional, König, Hans-Helmut, additional, and Seidl, Hildegard, additional

Published
2015
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24. 4 Diskussion und Ausblick

Author

Bock, Jens-Oliver, primary, Bowles, David, additional, Brettschneider, Christian, additional, Greiner, Wolfgang, additional, Holle, Rolf, additional, König, Hans-Helmut, additional, and Seidl, Hildegard, additional

Published
2015
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25. 1 Einleitung

Author

Bock, Jens-Oliver, primary, Bowles, David, additional, Brettschneider, Christian, additional, Greiner, Wolfgang, additional, Holle, Rolf, additional, König, Hans-Helmut, additional, and Seidl, Hildegard, additional

Published
2015
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28. Verwaltungskosten der gesetzlichen Krankenkassen - Ansatzpunkt für Effizienzpotenziale?

Author

BOCK, JENS-OLIVER

Abstract

Copyright of Gesundheits- und Sozialpolitik is the property of Nomos Verlagsgesellschaft mbH & Co. KG and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Published
2022
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29. Unmet needs in the depressed primary care elderly and their relation to severity of depression: results from the AgeMooDe study

Author

Alltag, Sophie, Stein, Janine, Mamone, Silke, König, Hans-Helmut, Bock, Jens-Oliver, Riedel-Heller, Steffi G, group, AgeMooDe study, Pabst, Alexander, Weyerer, Siegfried, Werle, Jochen, Maier, Wolfgang, Miebach, Lisa, Scherer, Martin, Stark, Anne, and Wiese, Birgitt

Subjects
Male, medicine.medical_specialty, Primary care, Severity of Illness Index, Unmet needs, 03 medical and health sciences, 0302 clinical medicine, ddc:150, Medicine, Humans, 030212 general & internal medicine, Prospective Studies, Psychiatry, Depression (differential diagnoses), Aged, Aged, 80 and over, Depressive Disorder, Health Services Needs and Demand, Primary Health Care, business.industry, Oldest old, Psychiatry and Mental health, Needs assessment, Female, Geriatrics and Gerontology, Pshychiatric Mental Health, business, therapy [Depressive Disorder], Gerontology, 030217 neurology & neurosurgery, Needs Assessment
Abstract

This study aims at examining the distribution of unmet environmental, physical, social and psychological care needs in a sample of the oldest old primary care patients with different levels of depression severity. Furthermore, the objective of this study was to analyze the association between specific unmet care needs and severity of depression.The sample of patients aged 75 years (n = 202) and more was derived from the multicenter prospective cohort study AgeMooDe ('Late-life depression in primary care: Needs, health care utilization and costs'). Patients were assessed via structured clinical interviews containing the German version of the Camberwell Assessment of Need for the Elderly (CANE) and the German Hospital Anxiety and Depression Scale (HADS-D). Descriptive statistics, Spearman correlation coefficients and binary logistic regression analyses were computed.Unmet needs appeared to be substantially higher in the patient group with higher levels of depression severity according to the HADS-D score. Overall, there was weak positive linear correlation between depression and CANE total unmet needs. Except of the physical unmet needs category, all other CANE care categories showed little to moderate positive linear correlations with depression according to the HADS-D score. Depression and psychological unmet needs showed the strongest of all correlations, followed by social unmet needs. The binary logistic regression analysis revealed that patients having psychological unmet needs were 4.8 times more likely diagnosed with a probable depression.Systematic needs assessment, especially psychological needs, may play a crucial role in the course of prevention and effective treatment of late-life depression in the primary care context.

Published
2018

30. [Health Insurance in Old Age and Differences in Cognition, Depressive Symptoms and Health-Related Quality of Life]

Author

Bock, Jens-Oliver, Hajek, André, Stein, Janine, Luck, Tobias, Bickel, Horst, Weeg, Dagmar, Wagner, Michael, Scherer, Martin, Riedel-Heller, Steffi G, Maier, Wolfgang, König, Hans-Helmut, Group, für die AgeCoDe & AgeQualiDe Study, Lühmann, Dagmar, Ernst, Annette, Mamone, Silke, Wiese, Birgitt, Weyerer, Siegfried, Werle, Jochen, Pentzek, Michael, and Fuchs, Angela

Subjects
Aged, 80 and over, Male, Aging, Insurance, Health, Depression, Cognition, Cross-Sectional Studies, Germany, Quality of Life, psychology [Aging], Humans, Female, ddc:610, Prospective Studies
Abstract

We aimed at identifying differences regarding cognition, depressive symptoms and health-related quality of life between members of private and statutory health insurance (SHI) in very old age in Germany.Cross-sectional data were gathered from the multicenter prospective "Study on Needs, health service use, costs and health-related quality of life in a large sample of oldest-old primary care patients (85+)" (AgeQualiDe), covering primary care patients aged ≥ 85 years (n = 854; with 773 members of SHI). The Global Deterioration Scale measured cognition, the Geriatric Depression Scale assessed depressive symptoms, and health-related quality of life was measured by using a Visual Analogue Scale (EQ-VAS).While members of private health insurance showed slightly better cognitive function, less depressive symptoms and better health-related quality of life descriptively, regression models showed that none of these differences was statistically significant.There are no differences between members of private health insurance and SHI regarding cognitive function, depressive symptoms and health-related quality of life in very old age.Analyse möglicher Unterschiede in Kognition, depressiven Symptomen und gesundheitsbezogener Lebensqualität zwischen GKV- und PKV-Versicherten im hohen Alter.N = 854 (nLeichte deskriptive Unterschiede in den betrachteten Maßen erwiesen sich in multiplen Regressionsanalysen nicht als statistisch signifikant.Zwischen GKV- und PKV-Versicherten bestehen keine Unterschiede in den untersuchten Maßen.

Published
2017

31. A qualitative study on older primary care patients’ perspectives on depression and its treatments - potential barriers to and opportunities for managing depression

Author

Stark, Anne, primary, Kaduszkiewicz, Hanna, additional, Stein, Janine, additional, Maier, Wolfgang, additional, Heser, Kathrin, additional, Weyerer, Siegfried, additional, Werle, Jochen, additional, Wiese, Birgitt, additional, Mamone, Silke, additional, König, Hans-Helmut, additional, Bock, Jens-Oliver, additional, Riedel-Heller, Steffi G., additional, and Scherer, Martin, additional

Published
2018
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37. Categorical and dimensional perspectives on depression in elderly primary care patients - Results of the AgeMooDe study

Author

Dorow, Marie, primary, Stein, Janine, additional, Pabst, Alexander, additional, Weyerer, Siegfried, additional, Werle, Jochen, additional, Maier, Wolfgang, additional, Miebach, Lisa, additional, Scherer, Martin, additional, Stark, Anne, additional, Wiese, Birgitt, additional, Moor, Lilia, additional, Bock, Jens-Oliver, additional, König, Hans-Helmut, additional, and Riedel-Heller, Steffi G., additional

Published
2017
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42. Unmet needs in the depressed primary care elderly and their relation to severity of depression: results from the AgeMooDe study

Author

Alltag, Sophie, primary, Stein, Janine, additional, Pabst, Alexander, additional, Weyerer, Siegfried, additional, Werle, Jochen, additional, Maier, Wolfgang, additional, Miebach, Lisa, additional, Scherer, Martin, additional, Stark, Anne, additional, Wiese, Birgitt, additional, Mamone, Silke, additional, König, Hans-Helmut, additional, Bock, Jens-Oliver, additional, and Riedel-Heller, Steffi G., additional

Published
2017
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46. Treatment preferences for depression in the elderly

Author

Luck-Sikorski, Claudia, primary, Stein, Janine, additional, Heilmann, Katharina, additional, Maier, Wolfgang, additional, Kaduszkiewicz, Hanna, additional, Scherer, Martin, additional, Weyerer, Siegfried, additional, Werle, Jochen, additional, Wiese, Birgitt, additional, Moor, Lilia, additional, Bock, Jens-Oliver, additional, König, Hans-Helmut, additional, and Riedel-Heller, Steffi G, additional

Published
2016
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49. Unterschiede in Kognition, Depressivität und gesundheitsbezogener Lebensqualität zwischen Versicherten der GKV und PKV im hohen Alter.

Author

Bock, Jens-Oliver, Hajek, André, Lühmann, Dagmar, Ernst, Annette, Mamone, Silke, Wiese, Birgitt, Weyerer, Siegfried, Werle, Jochen, Pentzek, Michael, Fuchs, Angela, Stein, Janine, Luck, Tobias, Bickel, Horst, Weeg, Dagmar, Wagner, Michael, Scherer, Martin, Riedel-Heller, Steffi G., Maier, Wolfgang, and König, Hans-Helmut

Published
2018
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