Krankenanstalten in Österreich/Hospitals in Austria

Krankenanstalten in Österreich/Hospitals in Austria Krankenanstalten in Österreich/Hospitals in Austria

29.12.2012 Aufrufe

Hospitals in Austria Characteristics of the Austrian hospital sector The Austrian hospital sector is diverse and complex. The creation of a simplified structured overview is therefore challenging. The table “Structural details of the Austrian hospitals 2006” shows the 264 inpatient hospitals in operation at the end of 2006 with a total of 63,354 available beds, classified on the basis of the following criteria and definitions: Care sector � Acute care hospitals are those hospitals funded by public means via the provincial health funds (see below) and other hospitals with an average length of stay of 18 days or less, according to OECD and WHO definitions. � Non-acute care is provided by all other hospitals. Type of care � General care is provided in hospitals with a wide range of medical services, but with a minimum of general surgery and general internal medicine. General care is provided in the acute care sector only, by general hospitals and sanatoria (see below). � Specialized care is provided in hospitals dedicated to the examination and treatment of patients with particular illnesses (e.g. psychiatric hospitals, rehabilitation centres) or patients in particular age groups (e.g. paediatric hospitals), or for other special purposes (e.g. military hospitals). Specialized care is provided in both the acute sector and the nonacute sector by special hospitals, sanatoria and long-term hospitals for the chronically ill (see below). Type of hospital The type of hospital refers to the definitions in the Federal Hospitals Act (KAKuG) (see “Scope of survey and sources”): � General hospitals (1) provide care for all patients without distinction as to sex, age or type of medical care; this group includes all hospitals for public benefit providing general care. � Special hospitals (2) provide examination and treatment of patients with particular illnesses or patients in particular age groups, or for other special purposes; rehabilitation centres are also special hospitals; the small number of convalescent homes (3) are also included in this group; there are no longer any stand-alone maternity clinics and maternity homes (5). Special hospitals may be either acute or non-acute hospitals. This group does not include sanatoria providing specialized care. � Sanatoria (6) are specially equipped to provide higher standards of board and accommodation. Sanatoria provide general (acute) care or specialized acute or non-acute care (specialized sanatoria sometimes call themselves “Sonderkrankenanstalt” (special hospital), however these sanatoria are included under the heading of sanatoria). � Long-term hospitals for the chronically ill (4) care for patients in need of medical care and special nursing care; these institutions are non-acute hospitals providing specialized care. Financing/funding � DRG-based funding by provincial health funds (Landesgesundheitsfonds, formerly Landesfonds) applies to hospitals with public law status (see below), general and specialized, and private general hospitals for public benefit (running on a non-profit basis). The provincial health funds all draw upon the resources of the federal government, the provinces, local authorities and the social insurance system. The data sets of the hospitals 18

Hospitals in Austria directory show whether a hospital is funded by a provincial health fund (Vermerke – Fondszugehörigkeit: Landesfonds) � DRG-based funding by the private hospitals fund (PRIKRAF) applies to sanatoria (private hospitals run for profit). This fund draws upon the resources of the social insurance system to pay for services carried out in these hospitals that are covered by social insurance. The data sets of the hospitals directory show whether a hospital is (co-)funded by the private hospitals fund (Vermerke – Fondszugehörigkeit: PRIKRAF) � Non-DRG-based funding from other sources applies to various specialized care institutions, especially rehabilitation centres and long-term care institutions. Some of those hospitals are funded by social insurance institutions; most of the others have individual contracts with social insurance agencies. The data sets of the hospitals directory show whether a hospital is included in this group (Vermerke – Fondszugehörigkeit: Sonstige). The table below is intended to illustrate relationships between and distribution of the characteristics described above: Care sector Acute care Non-acute care Type of care General care General hospitals Specialized care Type of Sanatoria hospital Special hospitals Hospitals for the chronically ill Financing/funding Provincial health funds Private hospitals fund Others Legal status � Public law status: Under the Federal Hospitals Act a hospital may be granted public law status if it is non-profit-making and if it meets certain requirements of the Federal Hospitals Act. � Public benefit: Hospitals for public benefit may be but do not have to be granted public law status. Under the Federal Hospitals Act a hospital is classified as being for public benefit if, among other things, it is not being operated for the purpose of making a profit, and if any patient requiring admission will in fact be admitted if the hospital is equipped to provide the appropriate treatment. The data sets for each hospital include information on whether a hospital has been granted public law status or not (Vermerke – Öffentlichkeitsrecht: mit/ohne Öffentlichkeitsrecht) and whether it is for public benefit or not (Vermerke – Gemeinnützigkeit: gemeinnützig/nicht gemeinnützig). Ownership/responsible bodies Austria's hospitals are owned and/or run by a variety of organizations and authorities. Each type of responsible body is found in conjunction with virtually every hospital type listed above. However, it is worth noting that, with the exception of military and prison hospitals, responsibility for the provision of hospitals is not a federal government issue. It should also be noted that the frequently asked question about “public hospitals” and “private hospitals” can be answered with reference either to the legal status of a hospital (public law status) or to the responsible body involved. There are hospitals with public law status in private ownership and there are also hospitals without public law status, owned and/or run by provincial or municipal hospital companies or social insurance institutions. 19

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

directory show whether a hospital is funded by a prov<strong>in</strong>cial health fund (Vermerke –<br />

Fondszugehörigkeit: Landesfonds)<br />

� DRG-based fund<strong>in</strong>g by the private hospitals fund (PRIKRAF) applies to sanatoria (private<br />

hospitals run for profit). This fund draws upon the resources of the social <strong>in</strong>surance<br />

system to pay for services carried out <strong>in</strong> these hospitals that are covered by social <strong>in</strong>surance.<br />

The data sets of the hospitals directory show whether a hospital is (co-)funded by<br />

the private hospitals fund (Vermerke – Fondszugehörigkeit: PRIKRAF)<br />

� Non-DRG-based fund<strong>in</strong>g from other sources applies to various specialized care <strong>in</strong>stitutions,<br />

especially rehabilitation centres and long-term care <strong>in</strong>stitutions. Some of those<br />

hospitals are funded by social <strong>in</strong>surance <strong>in</strong>stitutions; most of the others have <strong>in</strong>dividual<br />

contracts with social <strong>in</strong>surance agencies. The data sets of the hospitals directory show<br />

whether a hospital is <strong>in</strong>cluded <strong>in</strong> this group (Vermerke – Fondszugehörigkeit: Sonstige).<br />

The table below is <strong>in</strong>tended to illustrate relationships between and distribution of the characteristics<br />

described above:<br />

Care sector Acute care Non-acute care<br />

Type of care General care<br />

General hospitals<br />

Specialized care<br />

Type of<br />

Sanatoria<br />

hospital<br />

Special hospitals<br />

<strong>Hospitals</strong> for the chronically ill<br />

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

Prov<strong>in</strong>cial health funds<br />

Private hospitals fund<br />

Others<br />

Legal status<br />

� Public law status: Under the Federal <strong>Hospitals</strong> Act a hospital may be granted public law<br />

status if it is non-profit-mak<strong>in</strong>g and if it meets certa<strong>in</strong> requirements of the Federal <strong>Hospitals</strong><br />

Act.<br />

� Public benefit: <strong>Hospitals</strong> for public benefit may be but do not have to be granted public<br />

law status. Under the Federal <strong>Hospitals</strong> Act a hospital is classified as be<strong>in</strong>g for public benefit<br />

if, among other th<strong>in</strong>gs, it is not be<strong>in</strong>g operated for the purpose of mak<strong>in</strong>g a profit, and if<br />

any patient requir<strong>in</strong>g admission will <strong>in</strong> fact be admitted if the hospital is equipped to provide<br />

the appropriate treatment.<br />

The data sets for each hospital <strong>in</strong>clude <strong>in</strong>formation on whether a hospital has been granted<br />

public law status or not (Vermerke – Öffentlichkeitsrecht: mit/ohne Öffentlichkeitsrecht) and<br />

whether it is for public benefit or not (Vermerke – Geme<strong>in</strong>nützigkeit: geme<strong>in</strong>nützig/nicht geme<strong>in</strong>nützig).<br />

Ownership/responsible bodies<br />

<strong>Austria</strong>'s hospitals are owned and/or run by a variety of organizations and authorities. Each<br />

type of responsible body is found <strong>in</strong> conjunction with virtually every hospital type listed above.<br />

However, it is worth not<strong>in</strong>g that, with the exception of military and prison hospitals, responsibility<br />

for the provision of hospitals is not a federal government issue.<br />

It should also be noted that the frequently asked question about “public hospitals” and<br />

“private hospitals” can be answered with reference either to the legal status of a hospital<br />

(public law status) or to the responsible body <strong>in</strong>volved. There are hospitals with public law<br />

status <strong>in</strong> private ownership and there are also hospitals without public law status, owned<br />

and/or run by prov<strong>in</strong>cial or municipal hospital companies or social <strong>in</strong>surance <strong>in</strong>stitutions.<br />

19

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