This contribution is part of our series of blog posts by students at MCI | The Entrepreneurial School®. The views expressed are those of the students themselves and are intended to inform and stimulate discourse.
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Author: Eva Memmel
Study program: International Health & Social Management, MCI
As part of the lecture: Master Thesis
Date: 19.06.2024
Contact
FH-Prof. Dr. Lukas Kerschbaumer
Lecturer & Head of Bachelor's Program Social, Health & Public Management
+ 43 512 2070 - 3711
lukas.kerschbaumer@mci.edu
Laura Schamberger, MA
Assistance & Project Management
+ 43 512 2070 - 7444
laura.schamberger@mci.edu
Introduction & Problem Statement
Healthcare systems worldwide face significant challenges, including shortages of healthcare professionals and long waiting times, posing barriers to access, and affecting population health. In Austria, waiting times are highly debated, yet are neither scientifically studied nor officially monitored. Despite the commendable achievements of the Austrian healthcare system, inequalities in waiting times exist, raising concerns about health equity in access to care. Therefore, the aim of this study is to investigate which measures enable and restrict that waiting times align with the principle of health equity in Austria. It provides an overview of existing gaps between the aspiration and the reality of health equity in Austria, and thus offers important insights for improving overall public health.
Methods
In March and April 2024, 14 semi-structured, in-depth interviews were conducted with experts working in the Austrian healthcare sector. Content analysis (Mayring) was used to synthesize and present key themes and patterns identified in the interviews.
Results
Waiting times can have negative impacts on individuals by worsening health outcomes, prolonging absence from work, and thus increasing overall costs of the healthcare system. Insufficient capacity, particularly a shortage of statutory health insurance (SHI) contracted doctors, exacerbates waiting times and contributes to inequalities in care. This shortage is attributed to the current SHI requirements and financing. The complexity of the system and limited collaboration exacerbate the issue. Despite the implementation of measures such as various legal frameworks, the establishment of group practices like primary care centers, and the provision of acute medical care for all, there is a resounding call to improve equitable waiting times and access. Several potential solutions have been suggested, including improving working conditions for SHI-accredited physicians, strengthening primary care, enhancing collaboration, particularly between the intramural and extramural sectors, and adjusting medical education.
Conclusion
The findings highlight significant disparities in waiting times, emphasizing the critical importance of addressing insufficient capacity to ensure equitable access to healthcare. Improving working conditions for contracted professionals, strengthening primary care, and fostering collaboration are pivotal steps. The insights call for an overarching approach to align waiting times with the principle of health equity, ultimately improving public health.