The medical reasons for recipes, and operations are supposed to be in Germany in a uniform manner. But in Bavaria, children are losing eight times more likely to your tonsils, in the North-East, you get twice as many antibiotics as in other regions.
The Bertelsmann Foundation for their “fact check health” regularly striking regional differences to analyze. For tonsil operations was, for example, that in the district of Schweinfurt in Bavaria, 109 out of 10,000 children were in surgery – almost eight times more than in the district of Sonneberg, in Thuringia (14 out of 10,000). An analysis for antibiotics found that children in the North-East of Germany, such drugs are up to twice as often as in the South. Hyper-active young men are classified in lower Franconia, a lot more than worthy of treatment than in the Rest of the Republic. “There are always differences, the astonishment,” says the supply of researchers, Gerd Glaeske of the University of Bremen.
Antibiotics, often in rural areas
“In individual cases, such differences can often not explain exactly,” said Glaeske. “There are suspected factors, but little evidence.” Known is, for example, that General practitioners of antibiotics in the cut more often without the need – to prescribe in a virus infection – as children’s doctors. Even lower prescription rate for ENT-Doctors is.
In the case of non-purulent middle ear inflammation for which antibiotics according to guidelines only in exceptional cases are prescribed accordingly, 33 percent of family doctors antibiotics, 17 percent of the children of doctors, but only nine percent of the ENT Doctors. In rural areas, where patients visit, especially the house physician, would, therefore, rather more antibiotics, says Glaeske.
ADHD-a diagnosis common in the Würzburg area
The different assessments from Doctors is also adopted in the case of tonsil operations than a main cause. The Bertelsmann-fact check, according to the number of ENT clinics also plays a role in the regions: children of circles with a number of large facilities were more likely to have surgery.
Big is the influence of the Doctors in the case of attention deficit and hyperactivity disorder (ADHD) is. “There was in the past decades, nationwide a rapid increase in the number of diagnoses and drug regulations. Particularly striking is the area of Würzburg,“ says Thomas Gross, from the Institute for applied quality promotion and research in healthcare (AQUA). Nationwide, approximately 6.5 percent of ten – to twelve-year-old boy was 2011 a ADHD drug like Ritalin is prescribed in lower Franconia, it was 13.3 percent, more than twice as much.
Specialist-specialists to influence priorities
Clear the cause of this is not notes but there are. “A Thesis is that a particularly dedicated practitioner in the environment of the University hospital of Würzburg a share,” says Gross. “Prominent representatives of a subject with certain views and research activities can enhance awareness of a topic in a Region.”
ADHD drugs by children and youth prescribed psychiatrists. The number of such specialists was manageable, relatively few can therefore affect the product regulations in a Region. Influence on the diagnosis of ADHD also level of education and age of the parents. “Children of unemployed parents are more likely to be affected,” says Gross. “And there is evidence to suggest that children of younger parents have a higher diagnosis-risk.” This does not explain the regional anomalies to Würzburg.