Unregulated access to health-care services is associated with overutilization--lessons from Austria
© The Author 2014. Published by Oxford University Press on behalf of the European Public Health Association..
The Austrian health-care system is characterized by free provider choice and uncontrolled access to all levels of care. Using primary data, the ECOHCARE study shows that hospitalization rates for the secondary and tertiary care levels in Austria are both 4.4 times higher than those reported from the USA using a similar methodology. At the same time, essential functions of the primary care sector are weak. We propose that regulating access to secondary and tertiary care and restricting free provider choice to the primary care level would both reverse over utilization and strengthen the primary care sector.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2015 |
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| Erschienen: |
2015 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:25 |
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| Enthalten in: |
European journal of public health - 25(2015), 3 vom: 16. Juni, Seite 401-3 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Pichlhöfer, Otto [VerfasserIn] |
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| Links: |
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| Anmerkungen: |
Date Completed 24.02.2016 Date Revised 02.12.2018 published: Print-Electronic ClinicalTrials.gov: NCT01261845 Citation Status MEDLINE |
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| doi: |
10.1093/eurpub/cku189 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM243737092 |
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| 520 | |a © The Author 2014. Published by Oxford University Press on behalf of the European Public Health Association. | ||
| 520 | |a The Austrian health-care system is characterized by free provider choice and uncontrolled access to all levels of care. Using primary data, the ECOHCARE study shows that hospitalization rates for the secondary and tertiary care levels in Austria are both 4.4 times higher than those reported from the USA using a similar methodology. At the same time, essential functions of the primary care sector are weak. We propose that regulating access to secondary and tertiary care and restricting free provider choice to the primary care level would both reverse over utilization and strengthen the primary care sector | ||
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