Utilization of paediatric and general medical services by children and adolescents in Germany. Results of the cross-sectional KiGGS Wave 2 study and trends.

In Germany, specialists in paediatrics and general medicine in private practices provide the bulk of outpatient treatment. Data from the second wave of the German Health Interview and Examination Survey for Children and Adolescents (KiGGS Wave 2, 2014-2017) surveyed the ambulatory attendance of paediatric and general medical services for 0- to 17-year-old children and adolescents. During the last 12 months, 72.8% of girls and 72.7% of boys have made use of outpatient paediatric treatment and 25.9% of girls and 24.6% of boys have made use of outpatient general medical services. Attendance rates in paediatric practices decrease with age, whereas those of general medical practices increase. While no relevant differences between genders exist, rural areas evidence significantly lower paediatric practice and significantly higher general medical practice attendance rates. Compared to the data collected in the previous KiGGS studies, the trend over the last ten years approximately indicates an increase in the use of paediatric services and a decrease in the use of general medical services.