29.12.2012 Aufrufe

Krankenanstalten in Österreich/Hospitals in Austria

Krankenanstalten in Österreich/Hospitals in Austria

Krankenanstalten in Österreich/Hospitals in Austria

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<strong>Hospitals</strong> <strong>in</strong> <strong>Austria</strong><br />

Characteristics of the <strong>Austria</strong>n hospital sector<br />

The <strong>Austria</strong>n hospital sector is diverse and complex. The creation of a simplified structured<br />

overview is therefore challeng<strong>in</strong>g. The table “Structural details of the <strong>Austria</strong>n hospitals 2006”<br />

shows the 264 <strong>in</strong>patient hospitals <strong>in</strong> operation at the end of 2006 with a total of 63,354 available<br />

beds, classified on the basis of the follow<strong>in</strong>g criteria and def<strong>in</strong>itions:<br />

Care sector<br />

� Acute care hospitals are those hospitals funded by public means via the prov<strong>in</strong>cial health<br />

funds (see below) and other hospitals with an average length of stay of 18 days or less,<br />

accord<strong>in</strong>g to OECD and WHO def<strong>in</strong>itions.<br />

� Non-acute care is provided by all other hospitals.<br />

Type of care<br />

� General care is provided <strong>in</strong> hospitals with a wide range of medical services, but with a<br />

m<strong>in</strong>imum of general surgery and general <strong>in</strong>ternal medic<strong>in</strong>e. General care is provided <strong>in</strong> the<br />

acute care sector only, by general hospitals and sanatoria (see below).<br />

� Specialized care is provided <strong>in</strong> hospitals dedicated to the exam<strong>in</strong>ation and treatment of<br />

patients with particular illnesses (e.g. psychiatric hospitals, rehabilitation centres) or patients<br />

<strong>in</strong> particular age groups (e.g. paediatric hospitals), or for other special purposes<br />

(e.g. military hospitals). Specialized care is provided <strong>in</strong> both the acute sector and the nonacute<br />

sector by special hospitals, sanatoria and long-term hospitals for the chronically ill<br />

(see below).<br />

Type of hospital<br />

The type of hospital refers to the def<strong>in</strong>itions <strong>in</strong> the Federal <strong>Hospitals</strong> Act (KAKuG) (see “Scope<br />

of survey and sources”):<br />

� General hospitals (1) provide care for all patients without dist<strong>in</strong>ction as to sex, age or<br />

type of medical care; this group <strong>in</strong>cludes all hospitals for public benefit provid<strong>in</strong>g general<br />

care.<br />

� Special hospitals (2) provide exam<strong>in</strong>ation and treatment of patients with particular illnesses<br />

or patients <strong>in</strong> particular age groups, or for other special purposes; rehabilitation<br />

centres are also special hospitals; the small number of convalescent homes (3) are also<br />

<strong>in</strong>cluded <strong>in</strong> this group; there are no longer any stand-alone maternity cl<strong>in</strong>ics and maternity<br />

homes (5). Special hospitals may be either acute or non-acute hospitals. This<br />

group does not <strong>in</strong>clude sanatoria provid<strong>in</strong>g specialized care.<br />

� Sanatoria (6) are specially equipped to provide higher standards of board and accommodation.<br />

Sanatoria provide general (acute) care or specialized acute or non-acute care (specialized<br />

sanatoria sometimes call themselves “Sonderkrankenanstalt” (special hospital),<br />

however these sanatoria are <strong>in</strong>cluded under the head<strong>in</strong>g of sanatoria).<br />

� Long-term hospitals for the chronically ill (4) care for patients <strong>in</strong> need of medical care<br />

and special nurs<strong>in</strong>g care; these <strong>in</strong>stitutions are non-acute hospitals provid<strong>in</strong>g specialized<br />

care.<br />

F<strong>in</strong>anc<strong>in</strong>g/fund<strong>in</strong>g<br />

� DRG-based fund<strong>in</strong>g by prov<strong>in</strong>cial health funds (Landesgesundheitsfonds, formerly<br />

Landesfonds) applies to hospitals with public law status (see below), general and specialized,<br />

and private general hospitals for public benefit (runn<strong>in</strong>g on a non-profit basis). The<br />

prov<strong>in</strong>cial health funds all draw upon the resources of the federal government, the prov<strong>in</strong>ces,<br />

local authorities and the social <strong>in</strong>surance system. The data sets of the hospitals<br />

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