Technical University Munich (TU Munich) Researcher Updates Understanding of Public Health (The role of regional health policy for socioeconomic inequality in health services utilization): Health and Medicine – Public Health

Insurance Daily News

2022 NOV 11 (NewsRx) -- By a News Reporter-Staff News Editor at Insurance Daily News -- Data detailed on public health have been presented. According to news originating from Munich, Germany, by NewsRx correspondents, research stated, “Background: “J1” is a preventative routine examination in Germany recommended for adolescents at the age of 12-14 years. In contrast to the well-established U1-U9 examinations for younger children, with participation rates above 90%, the attendance of the J1 examination is approximately only 40%.”

The news reporters obtained a quote from the research from Technical University Munich (TU Munich): “The most frequent reason for not attending J1 is the unawareness of this examination. “Ticket to J1” is an intervention including an information leaflet introduced in Bavaria in 2017 to inform adolescents about J1. The aims of the present analysis are to investigate (1) if the regional policy was effective in increasing the attendance in J1, (2) if the effects vary by family socioeconomic status (SES), and (3) which meso-level characteristics of the healthcare system correlate with attendance rates in J1. We used anonymised data of a large statutory health insurance in Germany for the timeframe of 2016-2018. To investigate the effect of the policy, a difference-in-differences design at the individual level was used. Assuming a parallel trend at the level of federal states, the likelihood of attendance in J1 of 13- and 14-year-olds was compared between Bavaria and other federal German states before and after policy introduction. All analyses were additionally stratified by SES. The introduction of “Ticket to J1” increased participation in J1 by 1% after controlling for all confounders. Furthermore, the effect was stronger for children from families with lower SES (an increase of 5%). Density of pediatricians was positively significantly correlated with participation in J1.”

According to the news editors, the research concluded: “Regional health policy intervention had a significant positive impact on attendance of J1 and appears to have the potential to reduce socioeconomic inequalities in healthcare utilization. Informing adolescents about J1 seems to increase the attendance, in particular for children from families with lower SES.”

For more information on this research see: The role of regional health policy for socioeconomic inequality in health services utilization. European Journal of Public Health, 2022,32(Supplement_3). The publisher for European Journal of Public Health is Oxford University Press (OUP).

A free version of this journal article is available at https://doi.org/10.1093/eurpub/ckac129.584.

Our news journalists report that more information may be obtained by contacting I Iashchenko, Technical University Munich (TU Munich), Department of Sport and Health Sciences, Munich, Germany. Additional authors for this research include W Schuttig, P Bammert, J Spallek, P Rattay, S Schneider, I Moor, CR Pischke, L Sundmacher.