Unregulated access to health-care services is associated with overutilization--lessons from Austria.
Open Access
- 23 November 2014
- journal article
- Published by Oxford University Press (OUP) in European Journal of Public Health
- Vol. 25 (3), 401-3
- https://doi.org/10.1093/eurpub/cku189
Abstract
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.Keywords
This publication has 9 references indexed in Scilit:
- Depression and anxiety among migrants in Austria: A population based study of prevalence and utilization of health care servicesJournal of Affective Disorders, 2013
- Europe’s Strong Primary Care Systems Are Linked To Better Population Health But Also To Higher Health SpendingHealth Affairs, 2013
- Access points to the different levels of health care and demographic predictors in a country without a gatekeeping system. Results of a cross-sectional study from AustriaEuropean Journal of Public Health, 2013
- Assessing primary care in Austria: room for improvementFamily Practice, 2012
- The Cost of SatisfactionJAMA Internal Medicine, 2012
- Health Care in The NetherlandsThe Journal of the American Board of Family Medicine, 2012
- The effects of gatekeeping: A systematic review of the literatureScandinavian Journal of Primary Health Care, 2010
- Funding for primary health care in developing countriesBMJ, 2008
- The Ecology of Medical Care RevisitedNew England Journal of Medicine, 2001