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Table 2 Directives outlined in federal and state laws

From: Hospital physician payment mechanisms in Austria: do they provide gateways to institutional corruption?

Federal laws

Good health

Equity

Efficiency

State laws, regulations and treaties

15a Agreement ‘Target Control Health’

   

State treaty ‘Target Control Health’ [64]

Art. 5 (1–2) Provision of medical care at the ‘best point of service’

  

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Definition of public service obligations for all care levels (primary, hospital outpatient and inpatient care) and launching implementation

Art. 5 (2–3) Coordination of services across all sectors, offering of patient-oriented and needs-based services and prevention or reduction of parallel structures

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Development of interdisciplinary forms of care in the ambulatory setting

Art. 5 (3–2) Relief of the inpatient sector in hospitals through medically and economically justified relocation of services to day care and ambulatory care

 

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Art. 5 (3–7) Development of remuneration schemes, which guarantee service provision at the best point of service

  

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Participation at the federal level in developing incentives to promote outpatient care

Federal Hospitals Act (KAKuG)

   

Styrian Hospitals Act (StKAG)

§16 Non-profit hospitals must

   

§51 adopts §16 KAKuG

 • admit everyone in need of medical care in accordance with the hospital’s facilities

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 • accommodate every patient as long as medically required

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 • ensure that medical treatment, irrespective of accommodation in the special class, is based on the medical condition of the patient solely […]

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 • secure that the staff, notwithstanding §27 (4) and §46 (1), must not be remunerated by patients or their family members

 

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 • not run more than 25% of the total beds as special-class beds

 

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§22 (2): Public hospitals are obliged to admit any socially insured patients

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§87 (1) adopts §22 (2) KAKuG

§27 (4-1) State legislation has to determine

    

 • whether and

 

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§66 regulates the prerequisites for implementation of the special class

 • what further charges may be levied in the special class

 

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§75 regulates special fees

§46 (1) The department heads of university hospitals may agree a separate fee with special-class patients […], irrespective of the special-class patients’ obligations to pay special fees […], if these patients request treatment by the department head. This separate fee is not subject to §27 (4) […].

 

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