ÖSG 2017: Planning Of Health Care

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ÖSG 2017: Planning Of Health Care
ÖSG 2017: Planning Of Health Care
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ÖSG 2017: Planning of health care

The requirements for health care - for hospitals, resident doctors, rehabilitation facilities or nursing services - are constantly changing, not least due to demographic and epidemiological developments. Health planning provides important information to decision-makers in the Austrian health system. Its aim is to ensure comprehensive medical care for the population that - in accordance with the general planning principles of the legislature - is needs-based, of high quality, effective, efficient and of equal value. The Austrian Health Structure Plan (ÖSG) represents the binding planning basis for Austrian health care.

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Goals and actors in health planning

At the federal level, the members of the Federal Target Control Commission (BZK) are involved in the health planning process, essentially the federal government, the federal states and social security. At the state level, nine state target control commissions are involved in the implementation of the framework planning defined at the federal level.

Most of the work is done by Gesundheit Österreich GmbH (GÖG), which in turn sets up topic-specific expert groups. The planning drafts and recommendations drawn up are discussed in the working bodies of the Federal Health Agency (BGA). The mutually agreed planning results are decided in the BZK and are then to be implemented at the federal state level.

For more information, see Healthcare Institutions.

The Austrian Structural Plan for Health

The Austrian Health Structure Plan (ÖSG) 2017 represents the binding planning basis for Austrian health care. The ÖSG is a common framework plan for the federal government, the federal states, the municipalities and social security. Through the agreement of Austria-wide supply standards, the over-, under- or incorrect supply of the population in individual supply areas is to be prevented. The plan specifications are based on a regional planning approach that integrates all sub-areas of health care (outpatient and inpatient acute care, rehabilitation and interface management to the adjacent care and social area).

At the beginning of health planning in the 1970s, the nationwide need for hospitals with a corresponding range of beds and - from 1996 - also for large medical and technical devices (e.g. computer tomographs or devices for radiation therapy) was planned. In the ÖSG planning, a delimited consideration of the hospital area is now abandoned and the entire care of a region is taken into account (ie including resident doctors, outpatient clinics, rehabilitation centers, etc.).

The ÖSG 2017 sets new accents

At the end of June 2017, the Federal Target Control Commission of the ÖSG 2017 decided on numerous innovations. It has been restructured and is already adopting the concepts and instruments for reorganizing health care developed in the first target management period.

In order to ensure the coordination of resource and service planning for selected, highly specialized complex services that cannot be offered in all federal states, the ÖSG 2017 now also defines specific requirements for supraregional supply planning for service locations with their responsibility for certain supply regions.

While the main focus of the master plan up to the ÖSG 2012 was on the presentation of the specializations in the inpatient area of ​​the acute hospitals and the large medical-technical equipment, the ÖSG 2017, following its revision, generally focuses on the patient-oriented presentation of the care and treatment requirements. The importance of interdisciplinary and multi-professional teamwork in all relevant health and social professions for each specialist or special care area was particularly emphasized.

With the application of the care level model, outpatient care is now largely equivalent to the inpatient regulatory area: Nine specialist areas and primary care are already described by assigning services, task profiles and associated quality criteria; further specialist areas are gradually being added. Health promotion and prevention are defined as a basic task and an essential core element of primary care. In addition, strengthening the health literacy of patients is recognized as a task in every specialist area.

The task profiles and services now shown in the ÖSG are the basis for the definition of supply contracts for outpatient provider structures (including hospital outpatient departments), which have yet to be defined in the regional context depending on requirements.

The planning basis already takes into account the fact that outpatient and day clinic care will increasingly replace inpatient stays in the future. The coordinated planning of the supply capacities in the individual sub-areas is implemented within the framework of the regional health structure plans (RSG) of the federal states.

A new stage in the reorganization of health care through joint planning of services, especially for hospital outpatient departments and extramural care structures, has thus been initiated. The associated consequences for the organization of coordinated patient care must also be taken into account, especially in the context of interface management between the care partners in different care levels as well as to the care and social area and the transport services.

You can download the 2017 ÖSG on the website of the Federal Ministry of Labor, Social Affairs, Health and Consumer Protection.

Further information on the subject of health planning and ÖSG can be found on the website of Gesundheit Österreich GmbH.

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