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The “Austrian Patient” 2.0
The latest primary care developments in Austria
Mag. Elisabeth Sophie Mayrhuber (Vienna Medical University)
Dr. Timo Fischer (Main Association of Austrian Social Security Institutions)
Austrian Forum on Primary Care
1
Flashback
Amsterdam‘s Conference 2015:
„The Austrian Patient“ 2
Publishing the Results of our Amsterdam‘s Workshop (in: Soziale Sicherheit, 12/2015, pp. 508/509)
3
Promoting
Primary Care
in Austria 2016 4
1st Conference on Primary Care (Medical University of Graz, April 2016)
Future Conference: Innovative
Models in Primary Care
5
6
In the Media…
The Austrian Forum for Primary Care
7
Future Conference 2.0 (Graz, 7./8.4.2017)
Innovative Models in Primary Care:
Interprofessional and Intersectoral Co-operation
https://primaerversorgung.org/
Vienna Health Care Lectures (Vienna University of Economics, 5.-7.9.2016)
Primary Care: Models in Practice
8
Austria‘s Health Care
System at a Glance
9
A highly fragmented System
Federal State
private
practice
specialist
General
practitioner
Health
promotion and
prevention
Outpatient
department Hospital rehabilitation
taxes social security
contributions
Lump sum
payment
9 Regions
Social Insurance
Institutions
10
11
Hospital-centered health care system
High density of hospital beds
12
High utilization of hospital capacities
13
Does the Austrian Patient get his/her treatment at the Best Point of Service?
14
Does the Austrian Patient get his/her treatment at the Best Point of Service?
15
Implementation: Obstacles and
Successstories
16
Obstacles
• There is still no legislation (e.g. concerning doctors
being employed by doctors, contractual design
between primary care units and the social
insurance,…).
• Education and training for general practicioners.
• Attractiveness/ image of the work place „primary
care“.
17
Austria‘s 1st Primary Care Center
18
19
Plans and Initiatives on Primary Care
Source: Herbert Bachler, 9.4.2016.
There is some activity but up to Sept. 2016
there is only 1 new primary care model.
20
Plans and Initiatives on Primary Care
Source: Herbert Bachler, 9.4.2016.
There is some activity but up to Sept. 2016
there is only 1 new primary care model.
The Situation today…
21
Today Primary care is predominantly delivered by GPs working as single-handed practitioners on a FFS-payment scheme.
22
Today Primary care is predominantly delivered by GPs working as single-handed practitioners on a FFS-payment scheme.
23
Primary Care Networks
are a promising way to
the future!
Today Primary care is predominantly delivered by GPs working as single-handed practitioners on a FFS-payment scheme.
24
Primary Care Networks
are a promising way to
the future! How do you define
„network“???
Questions for Discussion
25
1.) What elements/criteria
constitue a primary care
network?
2.) What elements/criteria
should be mandatory to speak
of a primary care network?
( Pls. place the stickers on the
ideas you think should be
mandatory!)
Many thanks!!! 26
Please don‘t
forget to place
your stickers!