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Preventive Health Examination in German General Practice – a Secondary Analysis of Data from 1996 to 2006

DOI: 10.3238/zfa.2009.0416

german translation / full article

Eva Hummers-Pradier, Markus Kersting, Ulrike Junius-Walker, Johannes Hauswaldt

Keywords: preventive health examination family medicine BDT software interface health services research

Background:

This retrospective observational study presents the utilisation of preventive health examinations by members of the Statutory Health Insurance, as all are entitled from the age of 35 years onward, according to article 25 of the German Social Code Book Five.

Methods:

Data from family medicines’ electronic patient records were extracted via the mandatory software BDT-interface, and anonymized.

Results:

Of 199,981 entitled from 124 practices, a total of 27,126 patients (13.6 %) were medically examined in this way at least once between 1996 and 2006. The annual check up rate ranged from 7 % to nearly 30 % of entitled patients.

Male patients were examined more frequently than female patients, also most frequently the age group of 55 to 64 years, followed by the age groups of 45 to 54 years and of 65 to 74 years.

The ratio of examined patients varied widely between the practices. Since 2004, the frequency of preventive health examinations has increased. Effects from practice characteristics (single-handed versus group practice, rural versus urban location, and practice size) were significant but of marginal influence.

Conclusions:

The preventive health examination according to the German Social Code Book Five delivered by general practices between 1996 and 2006, does not reach female patients or younger age groups as desired from a Public Health point of view.


(State: 31.05.2011)

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