Hoffmann F, Bachmann C J
Zentrum für Sozialpolitik (ZeS), Abteilung Gesundheitsökonomie, Gesundheitspolitik und Versorgungsforschung, Universität Bremen, 330440, 28334, Bremen, Deutschland,
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2014 Apr;57(4):455-63. doi: 10.1007/s00103-013-1916-x.
Differences in the socioeconomic characteristics and morbidity between members of German private and statutory health insurance funds and also between several statutory health insurances have been shown for adults. We used data from the National Health Survey for Children and Adolescents (KiGGS) to study differences in sociodemographic characteristics, health risks, morbidity, and health service use in child and adolescent insurants of different types of health insurance funds (Ersatzkasse, Allgemeine Ortskrankenkasse, Betriebskrankenkasse , Innungskrankenkasse, other statutory health insurance funds, private health insurance). Differences in the proportion of respondents with a migration background, somatic diseases, psychopathological problems, and contact with a dentist between the different health insurance fund types were found. These results should be considered in studies on health inequalities, which often focus solely on differences between statutory and private health insurance. Our results are also of relevance for health services research using the claims data of health insurance funds.
已有研究表明,德国私人医疗保险基金和法定医疗保险基金成员之间,以及几种法定医疗保险之间,在社会经济特征和发病率方面存在差异,这些研究针对的是成年人。我们使用了来自全国儿童和青少年健康调查(KiGGS)的数据,以研究不同类型医疗保险基金(替代保险、普通地方医疗保险、企业医疗保险、同业医疗保险、其他法定医疗保险基金、私人医疗保险)的儿童和青少年参保者在社会人口学特征、健康风险、发病率和医疗服务使用方面的差异。我们发现,不同类型医疗保险基金的参保者在有移民背景、患有躯体疾病、存在精神病理问题以及看牙医方面的比例存在差异。在关于健康不平等的研究中应考虑这些结果,这类研究往往只关注法定医疗保险和私人医疗保险之间的差异。我们的结果对于利用医疗保险基金理赔数据进行的卫生服务研究也具有重要意义。