In Austria, health care is based on a social insurance system, which includes
pension as well as unemployment insurance. The underlying law is the Austrian
Insurance Law (Allgemeines Sozialversicherungsgesetz, ASVG), effective since
implementation of social insurance is ensured by the umbrella organisation the
of Austrian Social Security Institutions (Hauptverband der österreichischen
HVB) and its 19 sickness funds. Approximately 98% of the population is
covered by the social health insurance (SHI); health care contributions are
based on the income
of the insured person. Exemptions are made for socially disadvantaged persons
persons with communicable diseases.
Besides health insurance contributions, accounting for about 50%, health care in
funded through a mix of personal contributions (30%; out-of pocket payment (OPP)
health insurance) and general taxation (20%).
In the year 2006, total spending for health care was around 10.1% of gross
(GDP). While public health expenditure accounts for two thirds of total health
(THE), private expenditure (co-payments, private health insurance fees and other
pocket expenditure) amounts to one third of THE.
The Federal Ministry of Health, Family and Youth (Bundesministerium für
und Jugend, BMGFJ) is the main policy-maker in health care at federal level.
actors in this field are the HVB and the Austrian Federal Agency for Safety in
(Bundesamt für Sicherheit im Gesundheitswesen, BASG) acting as the Austrian
In 2007, a total of 40,798 medical doctors provided inpatient and outpatient
care for the Austrian
population. General practitioners (GPs) offer primary care and act as
general they have contracts with one or more SHI plans and are remunerated by
fees and by fee-for-service payments. Specialist care is either administered in
hospitals or in
consultation offices. The basis for remuneration of public and non-profit-making
and public specialised hospitals is the diagnosis-related group (DRG)
Krankenanstaltenfinanzierung, LKF / DRG) system...