Forgone care among chronically ill patients in Germany-Results from a cross-sectional survey with 15,565 individuals

Health Policy
Julia RöttgerReinhard Busse

Abstract

The decision not to seek health care although one feels that care is needed (forgone care), is influenced by various factors. Within the study "Responsiveness in ambulatory care" 15,565 chronically ill (coronary heart disease and/or type 2 diabetes) patients in Germany were surveyed in 2013. The survey included questions on forgone care, perceived discrimination when seeking care, net-income, subjective health status and subjective socioeconomic status (subSES). Survey data were linked on patient-level with administrative claims data by a German sickness fund. We applied multivariate binomial logistic regression analyses to assess the association between age, sex, comorbidities, living area, subjective health status, subSES, experienced discrimination, net-equivalent income and reported forgone care. The majority in the sample are men (71.4%), the average age is 69.4 (SD: 10.2) years and 14.1% reported forgone care. In the multivariate model, we find that younger age, female gender, perceived discrimination, depression, and a poor subjective health status increase the odds of reporting forgone care. Overall, our results suggest that a negative experience with the health care system, i.e. perceived discrimination/unfair treatmen...Continue Reading

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Citations

Feb 8, 2016·Health Policy·Leonie Sundmacher, Reinhard Busse
Mar 16, 2017·European Journal of Internal Medicine·Patricia C RosseletIsabelle Peytremann-Bridevaux
Nov 9, 2017·PloS One·Natasa PopovicBiljana Mladenovic
May 1, 2021·International Journal of Environmental Research and Public Health·Perla WernerHanan AboJabel
Aug 26, 2021·BMC Public Health·Habib JalilianRahim Khodayari-Zarnaq

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