Dr. Reiner Brettenthaler

Presidential Officer

Austrian Medical Chamber

ZEVA MEETING KRAKOW

29 September – 1 October 2011

ZEVA Meeting – Krakow 2011 1

PROFESSIONAL STRUCTURE OF MEDICAL DOCTORS

ZEVA Meeting – Krakow 2011 2

DOCTORS IN TRAINING

Undergoing training in general medical

practice or specialist training

DOCTORS IN TRAINING

Undergoing training in general medical

practice or specialist training

GENERAL PRACTITIONERS

Self-employed GPs Employed GPs (in

hospitals)

GENERAL PRACTITIONERS

Self-employed GPs Employed GPs (in

hospitals)

SPECIALISTS

Self-employed specialists

Employed specialists (in hospitals)

SPECIALISTS

Self-employed specialists

Employed specialists (in hospitals)

CURRENT NUMBER OF MEDICAL DOCTORS (PER SEPTEMBER 8TH

2011)

Total number of MDs: 40.346Self-employed MDs: 18.215General practitioners: 13.324Medical specialists: 20.093Employed MDs: 22.133

ZEVA Meeting – Krakow 2011 3

SOCIAL INSURANCE IN AUSTRIA

Statutory social insuranceAccess to services is regulated by law

(General Social Insurance Act)99% of the population is protectedPatients can choose family physicianFree access to most other forms of

medical care (no gate-keeping function)ZEVA Meeting – Krakow 2011 4

ORGANISATION OF THE AUSTRIAN SOCIAL INSURANCE SYSTEM

gr

ZEVA Meeting – Krakow 2011 5

3 BRANCHES OF AUSTRIANSOCIAL INSURANCE

•Health insurance•Accident insurance•Pension insurance

3 BRANCHES OF AUSTRIANSOCIAL INSURANCE

•Health insurance•Accident insurance•Pension insurance

22 INSURANCE INSTITUTIONS

•15 health insurance funds•7 insurance institutions

22 INSURANCE INSTITUTIONS

•15 health insurance funds•7 insurance institutions

6ZEVA Meeting – Krakow 2011Source: …..

HAUPTVERBAND

Main association of Austrian Social insurance institutions

Umbrella organization Preservation of general interests of social

insurance Representation of insurance companies regarding

common affairs

7ZEVA Meeting – Krakow 2011

FINANCING OF THE SOCIAL INSURANCE

Contributions - have to be paid by the insured

(employers/employees)

Basis for calculation: income earned by insured

(up to certain income threshold).

8ZEVA Meeting – Krakow 2011

Contribution rate   Total Employees Employers

Health insurance 7,65% 3,82% 3,83%Accident insurance 1,40% 0,00% 1,40%

Pension insurance 22,80% 10,25% 12,55%

CO-PAYMENTS

Provisions of remedies: 10%, (€ 28 minimum) Spectacles/contact lenses E-card service-fee: € 10/year Prescription charge: € 5,10 (per package) Accommodation/cost fee hospital: € 10,91/day Cost for health resorts and rehabilitation: € 0 - €

17, according to gross income

ZEVA Meeting – Krakow 2011 9

FINANCING AND EXPENDITURE

Combination of contributions, public income (taxes) and private payments (direct & indirect co-payments)

Outpatient care: social health insurance funds In-patient care: public sector & social insurance Increases in health expenditure in the last years

In 2009, total health care expenditure amounted to around EUR 30.3 billion, which is 11.3% of gross domestic product.

ZEVA Meeting – Krakow 2011 10

Total expenditure on health by function, 2009*

ZEVA Meeting – Krakow 2011 11Source: OECD, latest available data

THANK YOU FOR YOUR ATTENTION!

ZEVA Meeting – Krakow 2011 12