Does the Electronic Health Card for Asylum Seekers Lead to an Excessive Use of the Health System? Results of a Survey in Two Municipalities of the German Ruhr Area
Abstract
:1. Introduction
2. Materials and Methods
3. Results
3.1. Asylum Seekers
3.2. Reference Population
3.3. Comparison
4. Discussion
Scientific Limitations
5. Conclusions
Author Contributions
Funding
Acknowledgments
Conflicts of Interest
Abbreviations
EHIC | Electronic Health Insurance Card |
CR | Consultation Rate of Ambulant Physicians |
RKI | Robert-Koch-Institute |
DEGS-1 | German Health Interview and Examination Survey for Adults |
NA | Not available |
CI | Confidence Interval |
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Age Groups | 18–29 | 30–39 | 40–49 | 50–59 | 60–69 | 70–79 |
---|---|---|---|---|---|---|
Absolute number | 60 | 45 | 13 | 9 | 1 | 0 |
Hereof men absolute, (%) | 52, (86.67%) | 39, (86.67%) | 9, (69.23%) | 6, (66.67%) | 0 | 0 |
Presence of chronic diseases (any) | 19, (32.20%), (1 NA) | 14, (31.11%) | 8, (61.54%) | 6, (66.67%) | 1, (100%) | NA |
Mean CR/year of general practitioners (95% CI), (number of NA) | 3.18, (1.44–4.91), n = 34, (26 NA) | 2.06, (0.48–3.65), n = 26, (19 NA) | 7.29, (−9.39–23.97), n = 4, (9 NA), (1 outlier) | 1.48, (−0.40–3.35), n = 7 (2 NA) | 1.8, n = 1, (0 NA) | NA |
Mean CR/year of outpatient specialists (95% CI), (number of NA) | 2.63, (1.24–4.01), n = 33, (27 NA) | 1.78, (0.69–2.86), n = 26 (19 NA) | 2.66, (−1.0–6.31), n = 4, (9 NA), (1 outlier) | 2.65, (0.23–5.10), n = 7, (2 NA) | 0, n = 1, (0 NA) | NA |
Use of inpatient services at least one/year in %, n, (NA) | 26.92, n = 34, (26 NA) | 26.81, n = 26, (19 NA) | 24.63, n = 4, (9 NA) | 36.73, n = 7, (2 NA) | 60.0, n = 1, (0 NA) | NA |
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Jäger, P.; Claassen, K.; Ott, N.; Brand, A. Does the Electronic Health Card for Asylum Seekers Lead to an Excessive Use of the Health System? Results of a Survey in Two Municipalities of the German Ruhr Area. Int. J. Environ. Res. Public Health 2019, 16, 1178. https://doi.org/10.3390/ijerph16071178
Jäger P, Claassen K, Ott N, Brand A. Does the Electronic Health Card for Asylum Seekers Lead to an Excessive Use of the Health System? Results of a Survey in Two Municipalities of the German Ruhr Area. International Journal of Environmental Research and Public Health. 2019; 16(7):1178. https://doi.org/10.3390/ijerph16071178
Chicago/Turabian StyleJäger, Pia, Kevin Claassen, Notburga Ott, and Angela Brand. 2019. "Does the Electronic Health Card for Asylum Seekers Lead to an Excessive Use of the Health System? Results of a Survey in Two Municipalities of the German Ruhr Area" International Journal of Environmental Research and Public Health 16, no. 7: 1178. https://doi.org/10.3390/ijerph16071178