Reforming Austria's Highly Regarded but Costly Health System:
The highly regarded Austrian health system delivers good quality and easily accessible services, but is costly. Its governance and funding structure is highly fragmented and it makes too much use of inpatient care in hospitals. Entry and competition opportunities are de facto limited in most health...
Gespeichert in:
| 1. Verfasser: | |
|---|---|
| Weitere Verfasser: | , |
| Format: | Elektronisch E-Book |
| Sprache: | English |
| Veröffentlicht: |
Paris
OECD Publishing
2011
|
| Schriftenreihe: | OECD Economics Department Working Papers
no.895 |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Zusammenfassung: | The highly regarded Austrian health system delivers good quality and easily accessible services, but is costly. Its governance and funding structure is highly fragmented and it makes too much use of inpatient care in hospitals. Entry and competition opportunities are de facto limited in most health markets. The system operates therefore on a supply-driven basis, and does not have clear mechanisms to optimize spending on a cost-benefit basis. Population lifestyles are also not supportive of good health outcomes and suffer important differences between social groups, raising risks for the future. This Working Paper reviews Austrian authorities' responses to these challenges, and makes recommendations based on OECD countries' experiences. The suggested priorities are: i) more clearly assigning the performance, financing and spending responsibilities in the system, ii) enforcing a national capacity plan for publicly-funded inpatient and outpatient care, iii) introducing performance-based payment mechanisms in all services, iv) promoting the transition to "integrated care" by better balancing preventive, outpatient, inpatient, rehabilitation and long-term care, v) emphasizing healthier lifestyles and monitoring progress against national health goals (such as targets for obesity and overweight rates), and vi) better clarifying the medium-term fiscal outlook and scenarios of the system. This working paper is a slightly revised and completed version |
| Beschreibung: | 1 Online-Ressource (53 p.) 21 x 29.7cm. |
| DOI: | 10.1787/5kg51mbntk7j-en |
Internformat
MARC
| LEADER | 00000cam a22000002 4500 | ||
|---|---|---|---|
| 001 | ZDB-13-SOC-061293369 | ||
| 003 | DE-627-1 | ||
| 005 | 20231204121113.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 210204s2011 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.1787/5kg51mbntk7j-en |2 doi | |
| 035 | |a (DE-627-1)061293369 | ||
| 035 | |a (DE-599)KEP061293369 | ||
| 035 | |a (FR-PaOEC)5kg51mbntk7j-en | ||
| 035 | |a (EBP)061293369 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rda | ||
| 041 | |a eng | ||
| 084 | |a I11 |2 jelc | ||
| 084 | |a I12 |2 jelc | ||
| 084 | |a I18 |2 jelc | ||
| 084 | |a H51 |2 jelc | ||
| 100 | 1 | |a Gönenç, Rauf |e VerfasserIn |4 aut | |
| 245 | 1 | 0 | |a Reforming Austria's Highly Regarded but Costly Health System |c Rauf, Gönenç, Maria M., Hofmarcher and Andreas, Wörgötter = Réformer le système de santé très apprécié mais coûteux de l'Autriche / Rauf, Gönenç, Maria M., Hofmarcher et Andreas, Wörgötter |
| 246 | 3 | 3 | |a Réformer le système de santé très apprécié mais coûteux de l'Autriche |
| 264 | 1 | |a Paris |b OECD Publishing |c 2011 | |
| 300 | |a 1 Online-Ressource (53 p.) |c 21 x 29.7cm. | ||
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a Computermedien |b c |2 rdamedia | ||
| 338 | |a Online-Ressource |b cr |2 rdacarrier | ||
| 490 | 0 | |a OECD Economics Department Working Papers |v no.895 | |
| 520 | |a The highly regarded Austrian health system delivers good quality and easily accessible services, but is costly. Its governance and funding structure is highly fragmented and it makes too much use of inpatient care in hospitals. Entry and competition opportunities are de facto limited in most health markets. The system operates therefore on a supply-driven basis, and does not have clear mechanisms to optimize spending on a cost-benefit basis. Population lifestyles are also not supportive of good health outcomes and suffer important differences between social groups, raising risks for the future. This Working Paper reviews Austrian authorities' responses to these challenges, and makes recommendations based on OECD countries' experiences. The suggested priorities are: i) more clearly assigning the performance, financing and spending responsibilities in the system, ii) enforcing a national capacity plan for publicly-funded inpatient and outpatient care, iii) introducing performance-based payment mechanisms in all services, iv) promoting the transition to "integrated care" by better balancing preventive, outpatient, inpatient, rehabilitation and long-term care, v) emphasizing healthier lifestyles and monitoring progress against national health goals (such as targets for obesity and overweight rates), and vi) better clarifying the medium-term fiscal outlook and scenarios of the system. This working paper is a slightly revised and completed version | ||
| 650 | 4 | |a Social Issues/Migration/Health | |
| 650 | 4 | |a Economics | |
| 650 | 4 | |a Austria | |
| 700 | 1 | |a Hofmarcher, Maria M... |e MitwirkendeR |4 ctb | |
| 700 | 1 | |a Wörgötter, Andreas |e MitwirkendeR |4 ctb | |
| 856 | 4 | 0 | |l FWS01 |p ZDB-13-SOC |q FWS_PDA_SOC |u https://doi.org/10.1787/5kg51mbntk7j-en |3 Volltext |
| 912 | |a ZDB-13-SOC | ||
| 912 | |a ZDB-13-SOC | ||
| 951 | |a BO | ||
| 912 | |a ZDB-13-SOC | ||
| 049 | |a DE-863 | ||
Datensatz im Suchindex
| DE-BY-FWS_katkey | ZDB-13-SOC-061293369 |
|---|---|
| _version_ | 1816797336597168128 |
| adam_text | |
| any_adam_object | |
| author | Gönenç, Rauf |
| author2 | Hofmarcher, Maria M.. Wörgötter, Andreas |
| author2_role | ctb ctb |
| author2_variant | m m h mm mmh a w aw |
| author_facet | Gönenç, Rauf Hofmarcher, Maria M.. Wörgötter, Andreas |
| author_role | aut |
| author_sort | Gönenç, Rauf |
| author_variant | r g rg |
| building | Verbundindex |
| bvnumber | localFWS |
| collection | ZDB-13-SOC |
| ctrlnum | (DE-627-1)061293369 (DE-599)KEP061293369 (FR-PaOEC)5kg51mbntk7j-en (EBP)061293369 |
| discipline | Wirtschaftswissenschaften |
| doi_str_mv | 10.1787/5kg51mbntk7j-en |
| format | Electronic eBook |
| fullrecord | <?xml version="1.0" encoding="UTF-8"?><collection xmlns="http://www.loc.gov/MARC21/slim"><record><leader>03104cam a22004452 4500</leader><controlfield tag="001">ZDB-13-SOC-061293369</controlfield><controlfield tag="003">DE-627-1</controlfield><controlfield tag="005">20231204121113.0</controlfield><controlfield tag="007">cr uuu---uuuuu</controlfield><controlfield tag="008">210204s2011 xx |||||o 00| ||eng c</controlfield><datafield tag="024" ind1="7" ind2=" "><subfield code="a">10.1787/5kg51mbntk7j-en</subfield><subfield code="2">doi</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-627-1)061293369</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-599)KEP061293369</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(FR-PaOEC)5kg51mbntk7j-en</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(EBP)061293369</subfield></datafield><datafield tag="040" ind1=" " ind2=" "><subfield code="a">DE-627</subfield><subfield code="b">ger</subfield><subfield code="c">DE-627</subfield><subfield code="e">rda</subfield></datafield><datafield tag="041" ind1=" " ind2=" "><subfield code="a">eng</subfield></datafield><datafield tag="084" ind1=" " ind2=" "><subfield code="a">I11</subfield><subfield code="2">jelc</subfield></datafield><datafield tag="084" ind1=" " ind2=" "><subfield code="a">I12</subfield><subfield code="2">jelc</subfield></datafield><datafield tag="084" ind1=" " ind2=" "><subfield code="a">I18</subfield><subfield code="2">jelc</subfield></datafield><datafield tag="084" ind1=" " ind2=" "><subfield code="a">H51</subfield><subfield code="2">jelc</subfield></datafield><datafield tag="100" ind1="1" ind2=" "><subfield code="a">Gönenç, Rauf</subfield><subfield code="e">VerfasserIn</subfield><subfield code="4">aut</subfield></datafield><datafield tag="245" ind1="1" ind2="0"><subfield code="a">Reforming Austria's Highly Regarded but Costly Health System</subfield><subfield code="c">Rauf, Gönenç, Maria M., Hofmarcher and Andreas, Wörgötter = Réformer le système de santé très apprécié mais coûteux de l'Autriche / Rauf, Gönenç, Maria M., Hofmarcher et Andreas, Wörgötter</subfield></datafield><datafield tag="246" ind1="3" ind2="3"><subfield code="a">Réformer le système de santé très apprécié mais coûteux de l'Autriche</subfield></datafield><datafield tag="264" ind1=" " ind2="1"><subfield code="a">Paris</subfield><subfield code="b">OECD Publishing</subfield><subfield code="c">2011</subfield></datafield><datafield tag="300" ind1=" " ind2=" "><subfield code="a">1 Online-Ressource (53 p.)</subfield><subfield code="c">21 x 29.7cm.</subfield></datafield><datafield tag="336" ind1=" " ind2=" "><subfield code="a">Text</subfield><subfield code="b">txt</subfield><subfield code="2">rdacontent</subfield></datafield><datafield tag="337" ind1=" " ind2=" "><subfield code="a">Computermedien</subfield><subfield code="b">c</subfield><subfield code="2">rdamedia</subfield></datafield><datafield tag="338" ind1=" " ind2=" "><subfield code="a">Online-Ressource</subfield><subfield code="b">cr</subfield><subfield code="2">rdacarrier</subfield></datafield><datafield tag="490" ind1="0" ind2=" "><subfield code="a">OECD Economics Department Working Papers</subfield><subfield code="v">no.895</subfield></datafield><datafield tag="520" ind1=" " ind2=" "><subfield code="a">The highly regarded Austrian health system delivers good quality and easily accessible services, but is costly. Its governance and funding structure is highly fragmented and it makes too much use of inpatient care in hospitals. Entry and competition opportunities are de facto limited in most health markets. The system operates therefore on a supply-driven basis, and does not have clear mechanisms to optimize spending on a cost-benefit basis. Population lifestyles are also not supportive of good health outcomes and suffer important differences between social groups, raising risks for the future. This Working Paper reviews Austrian authorities' responses to these challenges, and makes recommendations based on OECD countries' experiences. The suggested priorities are: i) more clearly assigning the performance, financing and spending responsibilities in the system, ii) enforcing a national capacity plan for publicly-funded inpatient and outpatient care, iii) introducing performance-based payment mechanisms in all services, iv) promoting the transition to "integrated care" by better balancing preventive, outpatient, inpatient, rehabilitation and long-term care, v) emphasizing healthier lifestyles and monitoring progress against national health goals (such as targets for obesity and overweight rates), and vi) better clarifying the medium-term fiscal outlook and scenarios of the system. This working paper is a slightly revised and completed version</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Social Issues/Migration/Health</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Economics</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Austria</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Hofmarcher, Maria M...</subfield><subfield code="e">MitwirkendeR</subfield><subfield code="4">ctb</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Wörgötter, Andreas</subfield><subfield code="e">MitwirkendeR</subfield><subfield code="4">ctb</subfield></datafield><datafield tag="856" ind1="4" ind2="0"><subfield code="l">FWS01</subfield><subfield code="p">ZDB-13-SOC</subfield><subfield code="q">FWS_PDA_SOC</subfield><subfield code="u">https://doi.org/10.1787/5kg51mbntk7j-en</subfield><subfield code="3">Volltext</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">ZDB-13-SOC</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">ZDB-13-SOC</subfield></datafield><datafield tag="951" ind1=" " ind2=" "><subfield code="a">BO</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">ZDB-13-SOC</subfield></datafield><datafield tag="049" ind1=" " ind2=" "><subfield code="a">DE-863</subfield></datafield></record></collection> |
| id | ZDB-13-SOC-061293369 |
| illustrated | Not Illustrated |
| indexdate | 2024-11-26T14:55:57Z |
| institution | BVB |
| language | English |
| open_access_boolean | |
| owner | DE-863 DE-BY-FWS |
| owner_facet | DE-863 DE-BY-FWS |
| physical | 1 Online-Ressource (53 p.) 21 x 29.7cm. |
| psigel | ZDB-13-SOC |
| publishDate | 2011 |
| publishDateSearch | 2011 |
| publishDateSort | 2011 |
| publisher | OECD Publishing |
| record_format | marc |
| series2 | OECD Economics Department Working Papers |
| spelling | Gönenç, Rauf VerfasserIn aut Reforming Austria's Highly Regarded but Costly Health System Rauf, Gönenç, Maria M., Hofmarcher and Andreas, Wörgötter = Réformer le système de santé très apprécié mais coûteux de l'Autriche / Rauf, Gönenç, Maria M., Hofmarcher et Andreas, Wörgötter Réformer le système de santé très apprécié mais coûteux de l'Autriche Paris OECD Publishing 2011 1 Online-Ressource (53 p.) 21 x 29.7cm. Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier OECD Economics Department Working Papers no.895 The highly regarded Austrian health system delivers good quality and easily accessible services, but is costly. Its governance and funding structure is highly fragmented and it makes too much use of inpatient care in hospitals. Entry and competition opportunities are de facto limited in most health markets. The system operates therefore on a supply-driven basis, and does not have clear mechanisms to optimize spending on a cost-benefit basis. Population lifestyles are also not supportive of good health outcomes and suffer important differences between social groups, raising risks for the future. This Working Paper reviews Austrian authorities' responses to these challenges, and makes recommendations based on OECD countries' experiences. The suggested priorities are: i) more clearly assigning the performance, financing and spending responsibilities in the system, ii) enforcing a national capacity plan for publicly-funded inpatient and outpatient care, iii) introducing performance-based payment mechanisms in all services, iv) promoting the transition to "integrated care" by better balancing preventive, outpatient, inpatient, rehabilitation and long-term care, v) emphasizing healthier lifestyles and monitoring progress against national health goals (such as targets for obesity and overweight rates), and vi) better clarifying the medium-term fiscal outlook and scenarios of the system. This working paper is a slightly revised and completed version Social Issues/Migration/Health Economics Austria Hofmarcher, Maria M... MitwirkendeR ctb Wörgötter, Andreas MitwirkendeR ctb FWS01 ZDB-13-SOC FWS_PDA_SOC https://doi.org/10.1787/5kg51mbntk7j-en Volltext |
| spellingShingle | Gönenç, Rauf Reforming Austria's Highly Regarded but Costly Health System Social Issues/Migration/Health Economics Austria |
| title | Reforming Austria's Highly Regarded but Costly Health System |
| title_alt | Réformer le système de santé très apprécié mais coûteux de l'Autriche |
| title_auth | Reforming Austria's Highly Regarded but Costly Health System |
| title_exact_search | Reforming Austria's Highly Regarded but Costly Health System |
| title_full | Reforming Austria's Highly Regarded but Costly Health System Rauf, Gönenç, Maria M., Hofmarcher and Andreas, Wörgötter = Réformer le système de santé très apprécié mais coûteux de l'Autriche / Rauf, Gönenç, Maria M., Hofmarcher et Andreas, Wörgötter |
| title_fullStr | Reforming Austria's Highly Regarded but Costly Health System Rauf, Gönenç, Maria M., Hofmarcher and Andreas, Wörgötter = Réformer le système de santé très apprécié mais coûteux de l'Autriche / Rauf, Gönenç, Maria M., Hofmarcher et Andreas, Wörgötter |
| title_full_unstemmed | Reforming Austria's Highly Regarded but Costly Health System Rauf, Gönenç, Maria M., Hofmarcher and Andreas, Wörgötter = Réformer le système de santé très apprécié mais coûteux de l'Autriche / Rauf, Gönenç, Maria M., Hofmarcher et Andreas, Wörgötter |
| title_short | Reforming Austria's Highly Regarded but Costly Health System |
| title_sort | reforming austria s highly regarded but costly health system |
| topic | Social Issues/Migration/Health Economics Austria |
| topic_facet | Social Issues/Migration/Health Economics Austria |
| url | https://doi.org/10.1787/5kg51mbntk7j-en |
| work_keys_str_mv | AT gonencrauf reformingaustriashighlyregardedbutcostlyhealthsystem AT hofmarchermariam reformingaustriashighlyregardedbutcostlyhealthsystem AT worgotterandreas reformingaustriashighlyregardedbutcostlyhealthsystem AT gonencrauf reformerlesystemedesantetresappreciemaiscouteuxdelautriche AT hofmarchermariam reformerlesystemedesantetresappreciemaiscouteuxdelautriche AT worgotterandreas reformerlesystemedesantetresappreciemaiscouteuxdelautriche |