Differences in medical specialist utilization among older people in need of long-term care – results from German health claims data

Schulz, Maike; Czwikla, Jonas; Tsiasioti, Chrysanthi; Schwinger, Antje; Gand, Daniel; Schmiemann, Guido; Schmidt, Annika; Wolf-Ostermann, Karin; Kloep, Stephan; Heinze, Franziska; Rothgang, Heinz

doi:10.1186/s12939-020-1130-z

International Journal for Equity in Health

Table 1 Descriptive statistics on specialist utilization among the elderly given a respective disease

From: Differences in medical specialist utilization among older people in need of long-term care – results from German health claims data

Medical specialty	Disease category	Annual medical specialist utilization
Medical specialty	Disease category	Sample size	Mean visits	Minimum	Maximum	Standard deviation
Internal medicine	Renal failure	12,340	1.65	0	35	2.57
	Respiratory disease	18,303	1.56	0	32	2.21
	Heart disease	40,632	1.34	0	35	2.06
	Mono- and polyneuropathy	13,426	1.34	0	31	2.16
	Nutrition-related disease	17,016	1.28	0	31	2.07
	Cerebrovascular disease	14,389	1.25	0	31	2.05
	Coronary disease	32,416	1.21	0	32	2.00
	Intestinal disease	32,557	1.21	0	35	1.99
	Metabolic disorders	48,913	1.11	0	35	1.91
	Diabetes mellitus	30,683	1.11	0	32	1.96
	Thyroid disorders	23,589	1.11	0	35	1.92
	Parkinson’s disease	4887	1.10	0	30	2.01
	Arthropathy	43,937	1.06	0	35	1.87
	Hypertension	69,439	1.01	0	35	1.83
	Motor impairment	2533	0.83	0	14	1.57
	Palsy/paresis	2734	0.73	0	28	1.68
Cardiology	Heart disease	40,632	0.50	0	12	0.97
	Coronary disease	32,416	0.35	0	12	0.85
	Hypertension	69,439	0.31	0	12	0.78
Ophthalmology	Diseases of the eye	33,333	2.06	0	12	1.57
Orthopedy	Osteopathy and chondropathy	14,807	1.05	0	10	1.52
	Arthropathy	43,937	0.89	0	12	1.39
	Injury	13,313	0.89	0	10	1.42
	Spinal disease	46,093	0.87	0	12	1.37
	Motor impairment	2533	0.52	0	7	1.13
Gynecology	Disorders of female genital tract	9041	2.08	0	15	1.83
Gynecology	Urinary tract disease	19,362	0.52	0	13	1.22
Urology	Prostate disease	11,666	1.80	0	16	1.72
Urology	Urinary tract disease	19,362	1.11	0	11	1.63
Surgery	Injury	13,313	0.36	0	10	0.86
Surgery	Skin disease	12,848	0.26	0	10	0.74
Dermatology	Skin disease	12,848	1.26	0	9	1.50
Dermatology	Bedsore/decubitus	6618	0.99	0	9	1.42
Otolaryngology	Diseases of the ear	18,325	1.27	0	10	1.33
Nephrology	Renal failure	12,340	0.53	0	31	1.58
Pneumology	Respiratory disease	18,303	0.57	0	9	1.17
Psychiatry / Neurology	Parkinson’s disease	4887	1.67	0	11	1.87
	Delusional/personality disorders	2925	1.65	0	10	1.92
	Dementia-related disease	10,807	1.22	0	10	1.72
	Palsy/paresis	2734	1.21	0	9	1.75
	Depression	18,477	0.99	0	11	1.60
	Neurosis	13,426	0.77	0	9	1.39
	Mono- and polyneuropathy	13,426	0.77	0	9	1.39
	Cerebrovascular disease	14,389	0.75	0	9	1.42
	Disorders due to psychoactive substance use	7162	0.58	0	9	1.31

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