Health Care Utilization in Germany

Theory, Methodology, and Results

  • Christian Janssen
  • Enno Swart
  • Thomas von Lengerke

Table of contents

  1. Front Matter
    Pages i-xvii
  2. Introduction

    1. Front Matter
      Pages 1-1
    2. Christian Janssen, Enno Swart, Thomas von Lengerke
      Pages 3-8
  3. Theory

  4. Methodology

    1. Front Matter
      Pages 43-43
    2. Birgit Babitsch, Claudia Berger, Bernhard Borgetto, Carmen-Cristina Ciupitu-Plath
      Pages 87-97
  5. Results: Selected determinants

    1. Front Matter
      Pages 99-99
    2. Birgit Babitsch, Cornelia Bormann, Daniela Gohl, Carmen Cristina Ciupitu-Plath
      Pages 101-116
    3. Jens Klein, Kerstin Hofreuter-Gätgens, Olaf von dem Knesebeck
      Pages 117-143
    4. Carmen Cristina Ciupitu-Plath, Daniela Gohl, Christopher Kofahl, Birgit Babitsch
      Pages 145-169
  6. Results: Selected Diseases

    1. Front Matter
      Pages 191-191
    2. Carolin Donath, Gudrun Ulbrecht, Hannes Grau, Elmar Graessel, Larissa Schwarzkopf, Petra Menn et al.
      Pages 193-219
    3. Thomas von Lengerke, Petra Menn, Rolf Holle, Andreas Mielck, Christa Meisinger, Silke B. Wolfenstetter
      Pages 221-236
    4. Holm Thieme, Bernhard Borgetto
      Pages 237-256
  7. Results: Selected Sectors of Care

  8. Extroduction

    1. Front Matter
      Pages 337-337
    2. Thomas von Lengerke, Christoph Kowalski, Enno Swart, Christian Janssen
      Pages 339-344

About this book


It is a societal given, borne out by the facts: the higher one's social status, the better health, and the longer life expectancy. As the situation persists, an important question demands attention, namely whether health care systems contribute to the inequity.

Drawing accurate conclusions requires workable theory, reliable data collection instruments, and valid analytical methods.

 Using one representative country to typify the industrial world, Health Care Utilization in Germany studies its subject in terms of social determinants. This singular volume offers systematic guidelines for research into health care access based on an acclaimed  behavioral model of care utilization. Contributors focus on specific social factors, medical conditions, and sectors of care to examine why differences exist, their implications, and how care providers can better match supply with demand. And many of the book's topics, such as obesity, dementia, preventive services, and immigrant health, are of global interest. Included in the coverage:

  • Updating a classic behavioral model of health care utilization (Andersen).
  • Use of medical services in Germany: the statutory health insurance system.
  • Insights from quantitative and qualitative research.
  • The problem of repeated surveys: how comparable are their results?
  • Gender, socio-economic status and utilization of health care.
  • Care utilization by dementia patients living at home.
  • Utilization of physiotherapy and self-help by patients with rheumatic diseases.
  • Social determinants of utilization of psychotherapy, prevention, and integrated care in Germany.

A volume certain to spark discussion among researchers across the community, the findings and methods in Health Care Utilization in Germany will be analyzed by medical sociologists, health psychologists, public health and behavioral medicine professionals, and epidemiologists.



behavioral model of health care health care in Germany health care utilization health care utilization and gender health care utilization and migrants health care utilization and socio-economic status

Editors and affiliations

  • Christian Janssen
    • 1
  • Enno Swart
    • 2
  • Thomas von Lengerke
    • 3
  1. 1.Department of Applied Social SciencesMunich University of Applied SciencesMunichGermany
  2. 2.Institute of Social Medicine & Health EconomicsOtto von Guericke University MagdeburgCityGermany
  3. 3.Ctr of Public Health & Health Care, Medical Psych. UnitHannover Medical SchoolHannoverGermany

Bibliographic information

  • DOI
  • Copyright Information Springer Science+Business Media New York 2014
  • Publisher Name Springer, New York, NY
  • eBook Packages Medicine
  • Print ISBN 978-1-4614-9190-3
  • Online ISBN 978-1-4614-9191-0
  • Buy this book on publisher's site
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