Change Required – Secondary Transports: Poaching in the Emergency Doctor Pool

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Because the hospitals rely on the external pool of emergency doctors for transfer transports, there is a lack of emergency doctors in Tyrol for primary operations. From a purely legal point of view, the hospitals should man the transports themselves.

The reports of the “Krone” about the shortage of emergency doctors have provoked countless reactions. The accusation by Andrea Haselwanter-Schneider, party leader of the Fritz List, that there are enough emergency doctors but that they are poorly coordinated, is not heeded by Red Cross chief doctor Thomas Fluckinger. In connection with the shortage of emergency doctors, he points to the problem that hospitals rely on external emergency doctors for transfer transport. “Obviously we don’t have those for the primary missions they’re actually intended for,” Fluckinger says.

Hospitals don’t have doctors
From a purely legal point of view, the hospitals should provide the doctor themselves if, for example, a patient was taken from the Hall hospital to the Innsbruck clinic. “Unfortunately, they don’t,” Fluckinger says angrily. And why not? “Because they also miss the doctors,” he knows. There are plenty of private providers that can take over such transfer journeys. However, these would not come into play as their rates are significantly higher. The party leader does not want to accept this situation: “The country must take the money to solve this problem.”

More challenges
Regardless of the problem of transfer trips, Red Cross chief physician Fluckinger also points out that in Tyrol several emergency medical systems must be filled from one pool. There is the A&E system with family doctors – for example in the Zillertal – but also the A&E doctors employed by the Red Cross and the A&E doctors who work with an employment contract. In addition, the medical emergency helicopter system must also be manned.

Double burden for hospitals a problem
Doctors working in hospitals have a part-time job that must be approved by the employer. “And of course he wants employees who have slept well and are not under extra stress,” notes Fluckinger. Hospitals would not necessarily want their doctors to work as emergency physicians in addition to their main job.

The tariff recommendations of the medical association presented in the “Krone” are very high, no one is willing to pay them. Emergency doctors with a Red Cross employment contract receive 50 euros gross per hour. According to Dr. Matthias Jäger from Aschau only 36.67 euros and about 138 euros per order (with an average of two orders per service) – all before tax.

You also have to take care of the equipment yourself. Profitable looks different.

Source: Krone

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