System Hospital

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System Hospital
System Hospital
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Video: Hospital Management System - eHospital Systems - Short Overview 2023, February
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The "hospital" system

In Austria there are 275 hospitals for inpatient or day clinic treatment. More than half of this belongs to regional authorities such as the federal government, the federal states, municipalities or health insurance companies. The rest are run by private operators. All types of hospitals can be run by local authorities as well as by denominational institutions or private operators. “Confessional” hospitals do not necessarily have to be non-profit.

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Which hospitals are there?

Which hospitals are there?

  • "Public hospitals" have public rights (§ 14 KAKuG). According to Section 16 of the KAKuG, they must be non-profit.
  • “Private hospitals” have no public rights (Section 39 KAKuG).

    They are divided into

    • private non-profit (§ 16 KAKuG) hospitals as well
    • private (profit-oriented) other hospitals (Section 39 KAKuG).

How is the financing carried out?

The hospital financing is since 1.1. 1997 for public and non-profit hospitals via the state health funds set up in each federal state and since 1.1. 2002 also regulated for most private profit-oriented hospitals through the private hospital financing fund (PRIKRAF). Before these deadlines, the basic financing was provided by direct contracts between the (legal entities of the) hospitals and the social security agencies.

Standard, specialized and central hospitals

If one looks at the structure of the hospitals according to their purpose (defined in Section 2 (1) KAKuG), there is a subdivision into general hospitals, special hospitals, nursing homes for the chronically ill, sanatoriums and independent outpatient clinics (the latter only for outpatient treatment). The general hospitals, in turn, are standard, specialized or central hospitals, depending on the level of care:

  • Standard hospitals are responsible for basic care and, in addition to the department for internal medicine, have at least one other bed-keeping department and additional facilities for basic care, such as X-ray diagnostics.
  • Specialized hospitals lead departments in several specialist areas, including ophthalmology, surgery, gynecology and obstetrics, ear, nose and throat diseases, internal medicine, paediatrics and adolescent medicine including neonatology as well as neurology, orthopedics and traumatology, psychiatry and psychotherapeutic medicine and urology. However, some of them are also run in the regional context in so-called "reduced organizational forms" (no continuous opening times) or are transferred to other hospitals in the catchment area of ​​the specialized hospitals. In addition, other facilities such as for anesthesiology including intensive care medicine (for adults as well as for children and adolescents), hospital pharmacy, pathological institute and institute for medical and chemical laboratory diagnostics must be run.
  • Central hospitals generally have departments in all specialist areas and thus cover the entire range of medical care according to the current state of science. The AKH Vienna or the LKH Graz are, for example, central hospitals.

Not every patient has to be admitted to a hospital: In most of the hospitals there are outpatient departments in which patients are examined and treated. They don't stay overnight - unless medically necessary. In-patient hospital patients are also examined and treated in outpatient departments.

Note Hospital outpatient departments are being visited more and more often for harmless illnesses. This means that there is much less time available for caring for emergency patients. In order not to endanger the care of acutely and seriously ill people, please only go to an ambulance if you cannot reach your general practitioner or your specialist doctor or if he / she advises you to go to the ambulance directly. If your family doctor is on vacation, a substitute must be offered - this is therefore not a reason for an outpatient visit.

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