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HEALTH

How critical is the situation in Austrian hospitals?

Austria's labour shortage is affecting its hospitals, with many warning of possible collapse in the (near) future. Here's what you need to know.

Austria is experiencing a shortage of nurses. Photo by Luis Melendez on Unsplash
Austria is experiencing a shortage of nurses and doctors. Photo by Luis Melendez on Unsplash

Conditions in Austrian hospitals are visibly deteriorating as hospitals lack staffing, local media has reported.

Most recently, senior physicians at Vienna’s Ottakring Hospital warned of a temporary breakdown of the central emergency room in the summer due to labour shortages, as reported.

At Donaustadt Hospital, the entire neurosurgery ward will have to close due to a massive shortage of nursing staff. As a result, from June or July at the latest, twelve of the 15 beds will be moved to the emergency room, where operations will be carried out.

A growing number of hospitals in Austria are now facing concerns over the shortage of nursing staff. This is evident at the Kepler University Hospital in Linz, where nearly ten percent of the beds are out of operation due to the shortage. The situation has been described as “threatening” by Hellmut Samonigg, the rector of Graz University Hospital, as early as the end of January.

READ ALSO: Everything foreigners need to know about the Austrian healthcare system

The issue of a looming shortage of physicians has been a topic of discussion for some time now. However, in reality, there are enough doctors available – the problem lies in their uneven distribution across the country, the daily Der Standard reported. 

Austria-wide problem

For instance, there is a significant lack of anesthesiologists in many regions, and multiple child and adolescent psychiatry positions remain vacant. While the Medical University Hospital in Graz has an adequate number of medical staff, other hospitals in Austria are facing an exodus of doctors. 

The reasons for this trend are yet to be thoroughly researched, but some indicators suggest that many physicians are choosing to start their own private practices while others are leaving the medical field altogether due to mounting pressures.

The shortage of nursing staff in Austria has been a persistent issue for years, but the COVID-19 pandemic exacerbated it. Even though the pandemic is now over, the problem persists, with hundreds of beds in Vienna’s hospitals remaining closed due to a lack of nursing staff. 

READ ALSO: ‘We need immigration’: Austrian minister insists foreign workers are the only solution

This shortage is attributed to the demanding nature of the job and the low pay. 

In the Vienna Health Association (Wigev), there are currently 545 vacancies in nursing – and 134 open positions for physicians. The municipal hospital operator points to a national shortage of skilled workers.

Additionally, it mentions the demographic development, with many specialists gradually reaching retirement age at the same time as the demand for medical services is increasing due to the ageing population.

Austria has tried to combat this by making the healthcare profession more attractive, including raising salaries and benefits and making efforts to recruit international nursing staff.

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HEALTH

Patients in Vienna face long waits for specialist health appointments

Waiting times to get appointments with health specialists in Vienna have increased significantly, a new study has revealed.

Patients in Vienna face long waits for specialist health appointments

Accessing essential healthcare within a reasonable timeframe is becoming increasingly difficult for Viennese residents.

The Vienna Medical Association presented their new study this week which shows that waiting times for appointments with health specialists have increased significantly in recent years.

The study, which involved contacting over 850 doctors’ practices via so-called “mystery calls,” revealed that child and adolescent psychiatry currently had the longest waiting times in the city.

Patients can expect to wait an average of 90 days for an appointment.

Other specialisations where patients have to wait long to receive help include radiology (57 days), neurology (45 days), ophthalmology (44 days), pulmonology (36 days), internal medicine (33 days), and dermatology (28 days).

The waiting time for seeing a gynaecologist has increased fourfold since 2012, with patients now waiting an average of 32 days.

READ MORE: Why are there fewer public sector doctors in Austria?

No new patients accepted

In certain specialist areas, there is no capacity to accommodate new patients. The situation where no new patients are accepted occurs particularly often in paediatric practices, where more than half of the public healthcare practices have put a freeze on admissions.

In child and adolescent psychiatry, 40 percent do not accept new patients, and among gynaecologists, it is almost a third (30 percent). Family doctors also struggle with welcoming new patients, and many of their practices have already reached full capacity.

The Medical Association calls for immediate action, urging the health insurance sector to become more attractive and receive better funding. This could involve measures to incentivise doctors to work within the public system, potentially reducing wait times and improving patient access to care.

During the study presentation, Johannes Steinhart, president of the association, described the increased waiting times as the result of neglect within the established health insurance sector. He said he believes that the public health system is massively endangered.

Naghme Kamaleyan-Schmied, chairwoman of the Curia of the resident doctors in the association, pointed out that while the population of the federal capital has grown by 16 percent since 2012, the number of public doctors has fallen by 12 percent in the same period.

The association now wants to make the public healthcare system more attractive to doctors, which could cut down waiting times and make it easier for patients to receive care. The association’s demands for this to happen include increasing flexibility in contract options, integrating health and social professions in individual practices, reducing bureaucracy, and improving fees.

ÖGK, Österreichische Gesundheitskasse, Austria’s largest public healthcare fund, is currently creating 100 additional public health positions, with almost two-thirds of the positions already having applicants, as well as planning for another 100 positions. They also aim to create a central telemedicine service and a platform for making appointments by phone and online, which is meant to reduce waiting times and improve access to care.

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