HealthDataNavigator Assess available data on different performance domains across various settings

Austria

Population (2011): 8,420,900
GDP per capita, US$ PPP at current prices (2011): 42,132,177
Health expenditure per capita, US$ PPP (2010): 4,394.8
Life expectancy at birth, years (2010): 80.7

The Austrian health care system is characterized by the federalist structure of the country and the delegation of competencies to self-governmental organizations, most notably the Federation of Social Insurance Institutions and the health professionals’ associations. Social insurance is man­da­tory and covered 99.9% of the Austrian population in 2011. The system of social insurance con­tributes about 50% of health care financing and is mostly responsible for outpatient care. The state contributes about 24% of financing via tax revenues. The Länder take charge of inpatient care. Copayments made by the population are rather high and make up 22.5% of current health care spending.

Health System Data in Austria

The first contact point for health care data is Statistics Austria, the Austrian statistical office, which provides aggregate data related to health status and all performance dimensions. In many cases, user requests are necessary for longer time series or more detailed data. Another rich source on the aggregate level is a database provided by the Main Association of Austrian Social Security Institutions on demand. 

As far as patient level data is concerned the availability of health care information is primarily hospital utilization data. There is also some information on outpatient care by practice-based physicians under contract with one or more sick funds (54% of practice-based physisicans). Pilot projects for developing better outpatient data collection are underway in three federal states. At the moment, little data is available combining both in- and outpatient care. With the implementation of the electronic health record (ELGA project), patient level data covering outpatient and inpatient care as well as medication will be collected centrally. There are few health related surveys most of which are conducted and administered by Statistics Austria. Generally, user requests for individual level data sets are necessary for the most part and often involve costs.

 

Health Status

Aggregate data

  • Statistics Austria reports on causes of death (according to ICD-10-Codes since 1970), cancer incidence (per year by localization and sex since 1983) and health status, all by region pfeil zu
  • ÖGIS (the Austrian Health Information System) is an instrument of health reporting organized as a geographic information system. It provides data on all epidemiological key themes (e.g. life expectancy, mortality, cancer incidence, self-reported health) pfeil zu
  • REGIS provides data on demographic variables and healthcare provision at regional level up to 2006
  • Statistisches Handbuch der österreichischen Sozialversicherung provides annual data on number of days and cases of sick leave by region, sex, age, type of sickness
  • The Ministry of Health maintains a register of notifiable communicable diseases containing annual data by region since 1990 and monthly data for the current year [in German only].
  • The Ministry of Labour, Social Affairs and Consumer Protection issues a yearly publication on the state of long-term care in Austria, containing information on how many benefit from (Federal and Laender) allowances by sex, age, region and degree of dependency [in German only]

Individual level data

  • Statistics Austria maintains records of birth, marriages, causes of death and mortality data pfeil zu
  • Austrian National Cancer Registry is a complete census of all cancer patients treated in hospitals pfeil zu
  • DIAG-Extranet provides administrative as well as medical data on each hospital stay, i.e. main diagnosis and additional diagnoses (both based on ICD 10) pfeil zu
  • The “Austrian Health Interview Survey 2006/07” provides detailed information on self-perceived health, chronic diseases and mental conditions, life quality, health impairment pfeil zu
  • GAP-DRG (General Approach for Patient oriented Outpatient-based DRG) is a research data base with reimbursement data for outpatient services of sickness funds (social insurance) and Federal Ministry of Health (hospital data).pfeil zu

Quality (valued outcomes)

Aggregate data

  • Statistics Austria reports on cancer survival (1-, 5-, 10- and 15- year cumulative relative survival by sex since 1985)
  • Krankenanstalten in Zahlen (hospitals in figures) provides data on social insurance funded hospitals by region since 1985. Data on structural quality [in German]

Individual level data 

  • National Cancer Registry maintained by Statistics Austria, contains information on diagnoses and mortality pfeil zu
  • The “Austrian Health Interview Survey 2006/07” provides detailed information on waiting lists regarding prospective operations pfeil zu
  • The “Patient Satisfaction Survey 2010/11” (carried out at Austrian hospitals) contains information on health status prior and after hospital stay, hospital admission, discharge and follow-up care as well as data on coordination between different health service providers pfeil zu
  • DIAG-Extranet provides data on patient information, diagnoses and treatments, date and type of discharge for social insurance funded hospitals: data on diagnoses available since 1989, on treatment since 1997, documentation of intensive care since 1998 pfeil zu
  • Critical Incident Reporting System was launched in November to allow medical and non-medical respondents to anonymously report adverse events
  • GAP-DRG (General Approach for Patient oriented Outpatient-based DRG) is a research data base with reimbursement data for outpatient services of sickness funds (social insurance) and Federal Ministry of Health (hospital data).pfeil zu

Efficiency/Economy

Physical Inputs (infrastructure)

Aggregate data

  • Statistics Austria provides data on health care staff in Austrian hospitals since 1980, number of hospitals and beds since 1985, by region
  • ÖGIS provides detailed information on almost all subsectors of the health care system (e.g. acute care hospitals, rehabilitation centres, care homes and nursing homes, practice-based physicians, mobile care services or ambulance service centres). pfeil zu
  • Krankenanstalten in Zahlen (hospitals in figures) provides data on social insurance funded hospitals by region since 1985. Data is available on hospital beds, staff, number and types of hospitals [in German]
  • Pflegedienstleistungsstatistik maintained by Statistics Austria provides data on employment in the long-term care sector by care type (inpatient care, short-term care etc.) and by region
  • Statistics Austria issues yearly data on number of first-year students, current students and graduates by health care profession and school/university type

Individual level data

  • DIAG-Extranet provides detailed information on staff and equipment in each Austrian hospital funded by the social insurance pfeil zu

Activity/Utilization

Aggregate data

  • Statistics Austria issues data on the frequency of consultations of practice-based physicians by age, gender and type of physician for the years 1991 and 1999, the consumption of medicine, hospital services and hospital discharges including average length of stay, all by region (data provided by Ministry of Health and Austrian Medical Association)
  • ÖGIS provides administrative data on key epidemological topics (e.g. inpatients per year) in combination with information on almost all subsectors of the health care system (e.g. acute care hospitals, rehabilitation centres, care and nursing homes, practice-based physicians, mobile care services) pfeil zu
  • Krankenanstalten in Zahlen (hospitals in figures): data is available on type (hospital unit) and length of hospital stays [in German]
  • Pflegedienstleistungsstatistik maintained by Statistics Austria contains data on beneficiaries of long-term care services by care type (inpatient care, short-term care etc.) and by region as well as beneficiaries of long-term care allowances provided by both the Federal government and the Laender.

Individual level data

  • The “Austrian Health Interview Survey 2006/07” provides detailed information on in- and outpatient treatment, preventative treatment, medication pfeil zu
  • DIAG-Extranet provides treatment and epidemiological data for social insurance funded hospitals: administrative (length of stay, in which ward etc.), patient (age, gender etc.) and medical data (main and additional diagnoses, selected treatments) pfeil zu
  • PRIKRAF provides data for all privately held but publicly funded hospitals (16% of all Austrian hospitals): dates of hospitalization, diagnoses at hospital admission and discharge (ICD 10), treatment by sex, age, region and insurance carrier 
  • Ärztekostenstatistik (statistics on physicians’ cost) provides at Länder level and for each type of practice-based physician information on number of patients per quarter
  • BIG (Buisness Intelligence in the health care system), a health data pool hosted by the Main Association of Austrian Social Security institutions, is particularly rich on pharmaceutical consumption. pfeil zu

Cost and Expenditure

Aggregate data

  • Statistics Austria provides a table compatible with SHA tables showing main aggregates of private and public health expenditure and investment since 1990
  • Statistisches Handbuch der österreichischen Sozialversicherung provides annual data on income and expenditure of all social insurance carriers since 1991 for each region and broken down by sex and type of occupation (white- or blue-collar etc.)
  • Ärztekostenstatistik (statistics on physicians’ cost) provides at Länder level and for each type of practice-based physician information on number of patients per quarter, revenue per patient per quarter. Information on diagnoses is not available.
  • Krankenanstalten in Zahlen (hospitals in figures) provides data on social insurance funded hospitals by region since 1985. Data covers total costs, personnel cost, cost for medication, cost for ambulatory and stationary care, cost per bed, day and stay [in German]
  • Pflegedienstleistungsstatistik maintained by Statistics Austria provides data on full cost of long-term care services by care type (inpatient care, short-term care etc.) and by region as well as expenditure by both the Federal government and the Laender on long-term care allowances.
  • The Ministry of Labour, Social Affairs and Consumer Protection issues a yearly publication on the state of long-term care in Austria, containing information on the cost of long-term care allowances for the federal and Laender level by the beneficiaries' sex, age, region and degree of dependency [in German only]

Individual level data

  • LIVE-dataset maintained by the Main Association: health expenditure by age and gender (serves as basis for SHA table 7)
  • DIAG-Extranet provides data for social insurance funded hospitals: total costs, personnel cost, cost for medication, cost for inpatient care including hospital outpatient care, cost per bed, day and stay pfeil zu
  • BIG (Buisness Intelligence in the health care system), a health data pool hosted by the Main Association of Austrian Social Security institutions, is particularly rich on pharmaceutical consumption. pfeil zu
  • PRIKRAF provides data for all privately held but publicly funded hospitals (16% of all Austrian hospitals): cost of each hospital stay by diagnosis (ICD 10), treatment, sex, age, region and insurance carrier. Includes hospital outpatient care. 

Access/Equity 

Individual level data

  • FoKo datasets ("Folgekosten-Datenbank") maintained by individual sick funds provide socio-demographic data (age, gender, occupation, income) as well as information on diagnoses and treatment in in- and outpatient care, on medication and on sick days. FoKo datasets are available for all federal provinces but differ in scope as well as depth of information contained.
  • The “Austrian Health Interview Survey 2006/07” provides detailed information on socio-economic factors, such as income, occupation, education, citizenship and country of birth pfeil zu

Non-health care determinants

Aggregate data

Individual level data

  • The “Austrian Health Interview Survey 2006/07” provides detailed information on body weight and height, smoking habits, alcohol and cannabis consumption, physical activity, sleep disorder, eating as well as drinking habits pfeil zu

 Health System Design and Context