Jelena Epping|Denise Muschik|Siegfried Geyer
Social inequalities in the utilization of outpatient psychotherapy: analyses of registry data from German statutory health insurance
Medizinische Hochschule Hannover|Medizinische Hochschule Hannover|Medizinische Hochschule Hannover
studies health disparities deal occurrence disease little known inequalities utilization mental health services paper examines social inequalities utilization outpatient psychotherapy within health care system low financial barriers health care lack specific health policies address access psychotherapeutic services registry data german statutory health insurance year 2013 used total population n 746963 10711 women men psychotherapy logistic regression analyses performed estimate effects three socioeconomic ses indicators utilization psychotherapy utilization psychotherapy ses status correspond social structure insured population social disparities disadvantaged less privileged women men found applied education income occupational position pronounced differences found education contrast effects income rather small findings must interpreted backdrop absence financial barriers outpatient psychotherapy germany marked degree psychotherapy underutilization found lower ses groups psychotherapists pay increased attention clients lower socioeconomic position enhancing mental health literacy well reducing stigma mental illness crucial increasing usage psychotherapeutic services need relevant health policy needed reduce barriers consequently increase psychotherapy utilization