Carriers for patients – Transfer certificate will soon be celebrating a large comeback

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Current plans in the Health Fund provide political vertebrae. The good, old transfer certificate must be used again and thus contaminate the self -reinforcement of specialists and outpatient clinics by patients. It is also considered about the introduction of a bonus malus system.

The vertebrae were activated by statements per cash register co-chairman Andreas Huss. The “crown” spoke to him. He emphasizes that the such “patient steering” is in the government program and is also laid down in the financial equalization between federal and national governments. The fact that you now want to take steps in this direction is “nothing new and no surprise”. Like some media report, it is about a savings program, Huss emphasizes.

“We don’t even know if we will save ourselves.” In the first rule it is about relieving overcrowded hospital outpatient clinics and specialists, sometimes waiting for months. Huss speaks openly that the problems are also related to strong immigration. Many migrants don’t even know a resident doctor system and are the first to go to the hospital sampling.

Styria, Upper Austria and Salzburg should become pilot regions
How the obligation to transfer in detail is designed is far from permanent place. Firstly, different models of patient control must start in three federal states – probably Styria, Upper Austria and Salzburg. Huss wants to sit in advance with the federal states and the respective medical associations to develop the models together. Scandinavian countries, the Netherlands and the German Baden-Württemberg serve as a model.

Rewards and penalties are used in the sample areas. If you stick to the fact that you always go to the doctor first, there is financial exemption, such as reducing the recipe costs or a decree of the e-card reimbursement, and so on. The penalties could be in the form of self -management. Pediatricians and gynecologists must be exempt from the obligation to transfer.

Medical association must play a role
The control of the patient is planned in the government program, but social security is generally managed by itself. You decide on self -residence and the like. However, you need the approval of the medical association and the federal states to introduce an obligation to transfer. He had already contacted.

However, the plans are already skeptical. Edgar Wutscher of the Medical Association: “At the moment these are ideas, how do I manage to summarize Christmas, Easter and Mijnwille from my birthday.” Patient lawyer Michaela Wlattnig also locates open questions in the ‘Ö1’ afternoon news, such as whether there is sufficient capacity in the field of general medicine, so that the transfer activity can also be carried out. It must be differentiated because a transfer means an intermediate step. The Salzburg Health Councilor Daniela Gutschi of the ÖVP is actually in favor, but you still have to look at the details. “We have to be careful not to complain the system now,” she says in the lunch diary.

Source: Krone

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