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Abstracts by keywords: Geographic information systems (GIS)

Regional aspects of diagnosis and orthopedic utilization for back pain

Back pain is one of the most frequently diagnosed diagnoses both nationally and internationally. Around 85% of the population are affected by back pain at least once in their life (Schmidt et al. 2007). Among those insured by the AOK, Barmer and DAK, back pain is the diagnosis with the most days of incapacity for work (WIdO 2011; Ed. 2010; Research 2011; Raspe 2012). Back pain incurs considerable costs in the healthcare system, estimated at around 49 billion euros per year (Kuntz et al. 2017; Wenig et al. 2009). Due to the frequency of back pain, it is the most significant cause of years of life lost in Germany (Plass et al. 2014). Depending on the respective data base, a prevalence of 32 – 49% is assumed in Germany (Raspe 2012). The demographic, socioeconomic and biological influencing factors of back pain are now well researched. Both national and international studies have shown that, overall, back pain occurs more frequently in women, older people and population groups with low socioeconomic status (Kuntz et al. 2017). Regional differences in the frequency of operations for various indications such as osteoarthritis and intervertebral disc damage have also now been well studied. The result shows that in regions with a high density of orthopedists, treatment tends to be conservative, while in regions with a low density of orthopedists, operations tend to be performed more quickly (Schäfer, Pritzkuleit, Hannemann et al. 2013; Schäfer, Pritzkuleit, Jeszenszky et al. 2013; Pollmanns, Wesermann, and Drösler 2018).

08.10.2020
Factors influencing the use of psychotherapeutic services for depression - is it all a question of region?

Depression is one of the most frequently diagnosed mental illnesses both among the general population in Germany and among those insured by AOK Nordost. Previous studies estimate the prevalence of depression in Germany at 8.1% to 10.2%, depending on the respective study design and the underlying data source (Busch et al. 2013; Erhart and von Stillfried 2012). A continuous increase in the prevalence of depression has been observed for years (Thom et al. 2017). Even though treatment rates are constantly increasing, it is estimated that between 35% and 80% of all patients with mental disorders do not receive treatment (Larisch et al. 2013). It can be assumed that this also applies to the treatment of depression to a similar extent. In addition to individual factors as well as social and natural factors, the treatment rate also depends on the availability of service providers (Rommel et al. 2017; Helbich et al. 2018). Accordingly, the current needs planning of psychotherapists is also the subject of controversial discussion (IGES 2016; Peikert et al. 2011).

04.04.2019

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