Journal Articles


Akmatov MK, Holstiege J, Bätzing J. Secular trends and regional variations in pharmacotherapy of attention-deficit/hyperactivity disorder (ADHD) among children and adolescents in Germany. BMC Psychiatry. 2021.

Akmatov MK, Holstiege J, Steffen A, Bätzing J. Utilization of influenza vaccination among chronically ill individuals in Germany: a nationwide claims-based analysis. Vaccine. 2021.

Holstiege J, Akmatov MK, Kohring C, Dammertz L, Ng F, Czihal T, von Stillfried D, Bätzing J. Patients at high risk for a severe clinical course of COVID-19 — small-area data in support of vaccination and other population-based interventions in Germany. BMC Public Health. 2021.


Akmatov MK, Ermakova T, Holstiege J, Steffen A, von Stillfried D, Bätzing J. Comorbidity profile of patients with concurrent diagnoses of asthma and COPD in Germany. Scientific Reports. 2020.

Daniela Koller, Doris Wohlrab, Georg Sedlmeir. Geographic methods for health monitoring. 2020

Holstiege J, Schulz M, Akmatov MK, Kern WV, Steffen A, Bätzing J. The decline in outpatient antibiotic use—an analysis of nationwide prescription data from 2010 to 2018. Deutsches Ärzteblatt international. 2020.

Holstiege J, Schulz M, Akmatov MK, Steffen A, Bätzing J. Marked reductions in outpatient antibiotic prescriptions for children and adolescents – a population-based study covering 83% of the paediatric population, Germany, 2010 to 2018. Eurosurveillance. 2020.

Manas K Akmatov, Jakob Holstiege, Annika Steffen, Jörg Bätzing. Trends and regional distribution of outpatient claims for asthma, 2009-2016, Germany. World Health Organization. 2020.

Steffen A, Nübel J, Jacobi F, Bätzing J, Holstiege J. Mental and somatic comorbidity of depression: a comprehensive cross-sectional analysis of 202 diagnosis groups using German nationwide ambulatory claims data. BMC Psychiatry. 2020.

Steffen A, Thom J, Jacobi F, Holstiege J, Bätzing J. Trends in prevalence of depression in Germany between 2009 and 2017 based on nationwide ambulatory claims data. Journal of Affective Disorders. 2020.


Akmatov MK, Ermakova T, Bätzing J. Psychiatric and nonpsychiatric comorbidities among children with ADHD – an exploratory analysis of nationwide claims data in Germany. Journal of Attention Disorders. 2021 (First Online 2019).

Natalie Baier, Lisa-Marie Sax, Leonie Sundmacher. Trends and regional variation in rates of orthopaedic surgery in Germany: the impact of competition. European Journal of Health Economics. 2019.

Jakob Holstiege, Manas K Akmatov, Stefan Störk et. al. Higher prevalence of heart failure in rural regions: a population-based study covering 87% of German inhabitants. Clinical Research in Cardiology. 2019.


Akmatov MK, Steffen A, Holstiege J, Hering R, Schulz M, Bätzing J. Trends and regional variations in the administrative prevalence of attention-deficit/hyperactivity disorder among children and adolescents in Germany. Science Reports. 2018.

Steffen A, Holstiege J, Klimke K, Akmatov MK, Bätzing J. Patterns of the initiation of disease-modifying antirheumatic drugs in incident rheumatoid arthritis: a German perspective based on nationwide ambulatory drug prescription data. Rheumatology International. 2018.


Gopffarth, D., Kopetsch, T., Schmitz, H. Determinants of Regional Variation in Health Expenditures in Germany. Health Econ. 2017.

Kauhl, B., Schweikart, J., Krafft, T. et al. Do the risk factors for type 2 diabetes mellitus vary by location? A spatial analysis of health insurance claims in Northeastern Germany using kernel density estimation and geographically weighted regression. Int J Health Geogr. 2017.

Dominik von Stillfried, Tatiana Ermakova, Frank Ng, Thomas Czihal. Patient-sharing networks : New approaches in the analysis and transformation of geographic variation in healthcare. 2016


Bätzing-Feigenbaum J, Schulz Maike, Schulz Mandy, Hering R, Kern WV. Outpatient antibiotic prescription: a population-based study on regional age-related use of cephalosporins and fluoroquinolones in Germany. Deutsches Ärzteblatt international. 2016.

Dreger S, Krille L, Maier W, et al. Regional Deprivation and Non-Cancer Related Computed Tomography Use in Pediatric Patients in Germany: Cross-Sectional Analysis of Cohort Data. PLoS ONE. 2016.

Kauhl B, Schweikart J, Krafft T, et al. Do the risk factors for type 2 diabetes mellitus vary by location? A spatial analysis of health insurance claims in Northeastern Germany using kernel density estimation and geographically weighted regression. International Journal of Health Geographics. 2016.

M Schulz, T Czihal, M Erhart, D Stillfried. Correlation between Area-Level Sociodemographic Patterns and Estimates of Need for Medical Care. 2016.


Augustin J, Mangiapane S, Kern WV. A regional analysis of outpatient antibiotic prescribing in Germany in 2010. European Journal Public Health. 2015.

Bohlken J, Schulz Mandy, Rapp MA, Bätzing-Feigenbaum J. Pharmacotherapy of dementia in Germany: Results from a nationwide claims database. European Neuropsychopharmacology. 2015.


Ozegowski S, Sundmacher L. Understanding the gap between need and utilization in outpatient care–the effect of supply-side determinants on regional inequities. Health Policy. 2014.

Vogt V, Siegel M, Sundmacher L. Examining regional variation in the use of cancer screening in Germany. Social Science & Medicine. 2014.


Mikolajczyk RT, Schmedt N, Zhang J, Lindemann C, Langner I, Garbe E. Regional variation in caesarean deliveries in Germany and its causes. BMC Pregnancy & Childbirth. 2013.


Berger K. Local versus specialized treatment: the difficulty in interpreting regional variations in treatment. Deutsches Arzteblatt International. 2011.

Glaesmer H, Wittig U, Braehler E, Martin A, Mewes R, Rief W. Health care utilization among first and second generation immigrants and native-born Germans: a population-based study in Germany. International Journal of Public Health. 2011.

Sundmacher L, Busse R. The impact of physician supply on avoidable cancer mortality in Germany. Health Policy. 2011.

Sundmacher L, Kimmerle J, Latzitis N, Busse R: Vermeidbare Sterbefalle in Deutschland: Raumliche Verteilung und ragionale Konzentrationen. (English: Amenable mortality in Germany: spatial distribution and regional concentrations). Das Gesundheitswesen. 2011.


Heier M, Moebus S, Meisinger C, Jockel KH, Volzke H, Doring A, et al. Menopausal hormone therapy in Germany. Results of three national surveys from 1997 to 2003. Maturitas. 2009.


Swart E, Deh U, Robra BP. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. (English: Using claims data for small area analysis and controlling of hospital care). Bundesgesundheitsblatt-Gesundheitsforschung. 2008.


With, K de, M Steib-Bauert, P Straach, and W V Kern. 2006. Is there significant regional variation in hospital antibiotic consumption in Germany? Infection. 2006.


Muller-Nordhorn J, Kulig M, Binting S, Voller H, Krobot KJ, Willich SN, et al. Regional variation in medication following coronary events in Germany. International Journal of Cardiology. 2005.


Health Care Variation

The Supply Atlas

Health Data

Health Atlas Baden-Württemberg

Bavarian Health Atlas

Bartelsmann Stiftung



Healthcare Fact Check: Regional Variations in German Healthcare – Bertelsmann Stiftung


Healthcare Fact Check: Regional Variations in German Healthcare – Bertelsmann Stiftung