Expert access: Rauch reserved

The Ministry of Health expressed reservations about the weekend debate over access to specialists.

ÖGK vice president Andreas Huss had previously stated that access to the specialist at ORF should be restricted, and that the family physician should have the responsibility of referring to the specialist, as before. On Monday, the ministry addressed ongoing discussions about controlling patient flows; They didn’t want to prevent them in advance.

Health Minister Johannes Rauch: Neither yes nor no

There was neither yes nor no from the office of APA Health Minister Johannes Rauch (Greens) on Monday; They touched on the discussions that should be completed by the summer: “As part of the health reform, the written statement made by the federal government, the State and social security said, “We agreed to strengthen the field of practice and establish mechanisms for the effective management of patient flows.” It should be easy to take.”

“Discussions are currently ongoing among target management partners with the aim of implementing models that are in the best interests of patients by the summer. Various approaches are being evaluated here,” Rauch’s office said.

Rauch addresses controversy over expert referrals

Huss said over the weekend that he could imagine there might be exceptions to his requested role as a general practitioner as a specialist in gynecologists and pediatricians. The medical association had a less-than-enthusiastic reaction Sunday. “Forcing people to go to the family doctor with such drastic and unalterable measures will lead to the collapse of general practice due to sudden overload,” Dietmar Bayer, the federal deputy head of junior doctors, said in a press release. But people in parliament are not completely against it. President Johannes Steinhart welcomed, in principle, the current discussion on methods of patient management. However, this must be done with due seriousness and in consultation with medical representatives.

Harsh criticism came from Kaniak

FPÖ health spokesman Gerhard Kaniak harshly criticized Huss’s proposal and was already skeptical of Rauch’s approval: “The latest idea from Green Health Minister Rauch just makes you shake your head. The minister wants to make it mandatory to go to a general practitioner before a specialist. “So push it,” he said on air. “Planning such a move when there is a shortage of GPs is on the brink of disaster and would lead to the collapse of the private practice sector,” he said.

Kaniak said that this “incomprehensible idea” came from the ÖGK vice president, but the minister did not object and “wants to examine and finalize the issue by the summer.” “In times like these, when there are few doctors and staff shortages, wanting to destroy the few remaining people with moonlighting can only come from the classical catalog of socialist ideas. The only hope is that Rauch is as lame in this practice as he is in all other areas,” he stressed FPÖ Member of Parliament.

State Health Council Member Karlheinz Körnhäusl (ÖVP) from Styria said he did not want to pre-empt discussions on access to experts at the federal level. Clearly, “there is a need to effectively control patient flows in both private practices and hospitals. It is important to me that patients’ well-being be the focus, and I believe an effective control system will ensure this.” “You can also shorten waiting times.”

Aim to see a specialist within 14 days

Lower Austrian Health Council Member Ulrike Königsberger-Ludwig presented a proposal from the SPÖ to the meeting. “I support the request that anyone who needs to make an appointment with a specialist should make that appointment within 14 days, and I expect goal management partners to develop a model for that purpose,” he said in response to an APA request.

In this context, in Tirol, priority is given to the “establishment of primary health care units”. In response to APA’s request, State Health Council Member Cornelia Hagele (ÖVP) said that, in accordance with the principle of “graded health care”, patients should be referred to specialist or residential care centers if necessary. The state legislator also touted the expansion of the 1450 health line and other “digital-enabled health services.” However, Hagele did not specifically respond to Huss’ suggestion.

Doskozil considers the offer “unsuitable”

Burgenland Governor Hans Peter Doskozil (SPÖ) considers the restriction proposal “unsuitable” because it would mean additional obstacles for patients and would also lead to even more work for already busy family doctors. “In rural areas, it is becoming increasingly difficult to fill open health insurance positions, both in general medicine and among specialists. Fundamental solutions are needed rather than carrying the problem of lack of capacity from one level to another,” says Doskozil. During the last health care reform, an agreement was reached between the federal government, the states and the SSI on a new mechanism for personnel management in private practices. “We basically agreed that the field of private practice should be strengthened and the advertising of health insurance contract positions should be improved according to regional characteristics, especially in the field of family medicine. All relevant partners need to focus on this now,” the state governor said.

Vorarlberg State Health Council Member Martina Rüscher (ÖVP) explained that patient control requires a number of measures at both federal and state level, as well as good coordination with all system partners. “1450 and new digital possibilities will play an important role,” Rüscher said. The question of whether patient orientation measures are mandatory or remain voluntary should be discussed for each measure. “I think this can only be introduced if there is reliable care. For example: If people cannot find a family doctor, you cannot impose an obligation on family doctors to refer specialists,” the state councilor said.

Carinthia’s medical officer of health, Beate Prettner (SPÖ), responded to the debate on Monday, saying patient management is becoming an increasingly “urgent and important issue” in the healthcare sector. Currently, hospital outpatient clinics are literally overwhelmed, and various aspects are being discussed about how patients can be most effectively directed to the right treatment point for them: “In this context, the helpline 1450 will also have to play an important role. Role. Many.” Everything needs to be considered and taken into account.”


Source: Vienna


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