26kgg164 10.3205/26kgg164 urn:nbn:de:0183-26kgg1646 Meeting Abstract Oltrogge-Abiry Oltrogge-Abiry Jan Hendrik JH

Universitätsklinikum Hamburg-Eppendorf, Institut und Poliklinik für Allgemeinmedizin, Hamburg, Deutschland

author Lühmann Lühmann Dagmar D

Universitätsklinikum Hamburg-Eppendorf, Institut und Poliklinik für Allgemeinmedizin, Hamburg, Deutschland

author Scherer Scherer Martin M

Universitätsklinikum Hamburg-Eppendorf, Institut und Poliklinik für Allgemeinmedizin, Hamburg, Deutschland

author Schmalstieg-Bahr Schmalstieg-Bahr Katharina K

Universitätsklinikum Hamburg-Eppendorf, Institut und Poliklinik für Allgemeinmedizin, Hamburg, Deutschland

author German Medical Science GMS Publishing House

Düsseldorf

610 20251030 engl This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. Dieser Artikel ist ein Open-Access-Artikel und steht unter den Lizenzbedingungen der Creative Commons Attribution 4.0 License (Namensnennung). M0662 164 Deutsche Gesellschaft für Allgemeinmedizin und Familienmedizin Deutsche Gesellschaft für Sozialmedizin und Prävention Netzwerk Evidenzbasierte Medizin e.V. Deutsche Gesellschaft für Medizinische Soziologie 60. Kongress für Allgemeinmedizin und Familienmedizin Gesundheit gestalten Gesundheitsökonomie und Fragen sozialer Ungleichheit Göttingen 20260930 20261002 V-29-05 TextBackground: While some patients GP have a continuous GP-patient-relationship, others see their GP occasionally and tend to switch GPs. The 8-item F-HABI questionnaire accesses the intensity of a patient´s commitment to see their GP as on-going primary care provider. Higher scores indicate greater commitment (Range: 0-24).Aim/scientific question: The aim of this study is to assess on a larger scale if social determinants and the presence of specific chronic conditions are associated with a patient´s willingness to use his / her GP as the primary healthcare provider and first contact to the healthcare system.Material & Methods: The Hamburg City Health Study (HCHS) is a large, prospective, long-term, population-based cohort study that started in 2016 aiming to include 45,000 inhabitants aged 45–74 years until 2028. During a 7-h examination, participants answer validated questionnaires including the F-HABI and undergo examinations of different organ systems. HCHS-data of 16.411 participants was analysed. Statistical significance was evaluated by Student´s T-Tests and linear regression analyses.Results: Our dataset comprised 13,131 participants with a completed F-HABI questionnaire. Mean age was 60.8 ± 8.6 years, 50.7% were female, and 21.7% were privately insured. CASMIN educational levels were 17.8% (CASMIN-1), 33.6% (CASMIN-2), and 48.6% (CASMIN-3). Common chronic conditions included hypertension (64.4%), asthma (10.3%), diabetes (9.2%), coronary artery disease (7.4%), and chronic obstructive pulmonary disease (6.8%). In our multivariable linear regression, lower F-HABI scores were most strongly associated with private health insurance (B = -2.14, 95% CI -2.41 to -1.88), CASMIN-3 education (B = -1.69, 95% CI -2.02 to -1.35), and the highest personal net income (B = -1.40, 95% CI -2.13 to -0.66). Higher F-HABI scores were associated with age 65–79 years (B = 1.71, 95% CI 1.42 to 2.00), a native language other than German (B = 1.07, 95% CI 0.66 to 1.48), and chronic conditions overall (significant B coefficients: 0.07 to 0.90).Discussion: In our population-based sample of urban adults aged 45–79 years, socioeconomic determinants were more strongly associated with GP commitment, as measured by the F-HABI score, than common chronic diseases. We conclude that participants´ perceived need for primary healthcare appears to be influenced more by social status than by chronic conditions.Take Home Message: Socioeconomic advantage — not chronic disease burden — was the strongest correlate of lower GP commitment in our large population-based sample.Competing interests: None 0 0 0 0