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The association between voluntary work and health care use among older adults in Germany

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      Abstract

      Objective

      While most studies focused on the relation between volunteering and health-related outcomes, little attention has been given on the association between volunteering and the use of health care services. Thus, with this analysis we aimed at exploring whether and how the voluntary work of older adults is related to the utilization of health care services in Germany.

      Methods

      The analysis was based on data from the German Ageing Survey (DEAS), a nationally representative, longitudinal study of the German population aged 40 years and older. Focusing on volunteering, data from the waves 2002, 2008 and 2011 was used. Voluntary work in groups and organizations (yes/no) was used as explanatory variable. To quantify health care utilization, visits to general practitioners and specialists as well as nights in the hospital in the past 12 months were used. Fixed effects regressions were applied to estimate the association between volunteering and the outcome variables.

      Results

      Regressions revealed that the onset of volunteer involvement was associated with an increase in specialist visits, whereas volunteering did not affect visits to general practitioners and the probability of hospitalization significantly.

      Conclusion

      Our findings emphasize the relation between volunteering and specialist visits. Future research is needed to examine the impact of volunteering on health care use, taking more detailed information regarding the specific context of volunteering as well as personality factors and personal background into consideration. This might be reasonable in advancing the knowledge about this association and in developing planned interventions.

      Electronic supplementary material

      The online version of this article (10.1186/s12913-019-3867-x) contains supplementary material, which is available to authorized users.

      Related collections

      Most cited references 43

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      The Behavioral Model of Health Services Use was initially developed over 25 years ago. In the interim it has been subject to considerable application, reprobation, and alteration. I review its development and assess its continued relevance.
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        Specification Tests in Econometrics

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          Social relationships and health

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            Author and article information

            Affiliations
            ISNI 0000 0001 2180 3484, GRID grid.13648.38, Department of Health Economics and Health Services Research, Hamburg Center for Health Economics, , University Medical Center Hamburg-Eppendorf, ; Martinistr. 52, 20246 Hamburg, Germany
            Contributors
            Maike_Flennert@web.de
            h.koenig@uke.de
            a.hajek@uke.de
            Journal
            BMC Health Serv Res
            BMC Health Serv Res
            BMC Health Services Research
            BioMed Central (London )
            1472-6963
            15 January 2019
            15 January 2019
            2019
            : 19
            30646900
            6334381
            3867
            10.1186/s12913-019-3867-x
            © The Author(s). 2019

            Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

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            Research Article
            Custom metadata
            © The Author(s) 2019

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