{"id":439672,"date":"2026-01-29T17:37:35","date_gmt":"2026-01-29T16:37:35","guid":{"rendered":""},"modified":"2026-05-27T11:15:14","modified_gmt":"2026-05-27T09:15:14","slug":"structural-problems-and-coordination-issues-in-the-austrian-health-system","status":"publish","type":"publication","link":"https:\/\/www.wifo.ac.at\/en\/publication\/439672\/","title":{"rendered":"Structural Problems and Coordination Issues in the Austrian Health System"},"content":{"rendered":"","protected":false},"featured_media":0,"template":"","class_list":["post-439672","publication","type-publication","status-publish","hentry"],"acf":{"subtitle":"","text":"The Austrian healthcare system is characterised by a complex and fragmented structure of planning, decision-making, and financing. A governance analysis suggests that this fragmentation creates misaligned incentives in patient navigation and in the coordination between outpatient and inpatient care. Deficiencies in steering and coordination across care sectors, combined with fragmented financing arrangements, contribute to a tendency for patients to utilise more costly hospital outpatient departments or inpatient services rather than consulting office-based specialists. The study further examines empirically how regional differences in physician density affect the utilisation of inpatient services. In addition, it analyses the impact of newly established primary care centres on inpatient services as well as on other healthcare providers.","onlinedate":"2026-05-27 11:00:00","lang":"German","publication_series":"","publication_date":"20260527","publication_date_year":"","publication_date_full":true,"publication_num_pages":"142","keywords":"[]","jelcodes":"[]","related_publications":"[]","pdf":448448,"zip":null,"link":"","monthly_report":false,"monthly_report_main":false,"monthly_report_volume":"","monthly_report_pages":"","monthly_report_pages_sort":"0","issue":"","journal":"","publisher":"","invisible":false,"external":false,"embargo_date":"2026-05-27 11:00:00","types":[81966],"research_groups":[3500,3510],"collaboration":"","persons":[3792,4917,4401,273297],"persons_data":"[{\"personId\":3792,\"personName\":\"Hans Pitlik\",\"organisationNames\":[]},{\"personId\":4917,\"personName\":\"Benjamin Bittschi\",\"organisationNames\":[]},{\"personId\":4401,\"personName\":\"Ulrike Famira-M\u00fchlberger\",\"organisationNames\":[]},{\"personId\":273297,\"personName\":\"Manuel Zerobin\",\"organisationNames\":[]}]","clients":[10670],"subclients":[],"partners":[],"topics":[],"host_publication_title":"","host_publication_subtitle":"","place_of_publication":"","host_publication_editors":"[]","type_description":"","output_media":"","chapter":"","article_number":"","citations":"{\"apa\":\"<div class=\\\"rendering rendering_researchoutput  rendering_researchoutput_apa rendering_bookanthology rendering_apa rendering_bookanthology_apa\\\"><span>Pitlik, H.<\\\/span><span>, Bittschi, B.<\\\/span><span>, Famira-M\u00fchlberger, U.<\\\/span><span>, &amp; Zerobin, M.<\\\/span> (2026). <span><em>Struktur- und Schnittstellenprobleme im \u00f6sterreichischen Gesundheitssystem<\\\/em><\\\/span>. WIFO.<\\\/div>\",\"vancouver\":\"<div class=\\\"rendering rendering_researchoutput  rendering_researchoutput_vancouver rendering_bookanthology rendering_vancouver rendering_bookanthology_vancouver\\\"><span>Pitlik H<\\\/span><span>, Bittschi B<\\\/span><span>, Famira-M\u00fchlberger U<\\\/span><span>, Zerobin M<\\\/span>. <span class=\\\"title\\\"><span>Struktur- und Schnittstellenprobleme im \u00f6sterreichischen Gesundheitssystem<\\\/span><\\\/span>. WIFO; 2026.<\\\/div>\",\"bibtex\":\"<div class=\\\"rendering rendering_researchoutput  rendering_researchoutput_bibtex rendering_bookanthology rendering_bibtex rendering_bookanthology_bibtex\\\"><div>@book{28334bc59c144716b2ab837ae8fa64f4,<\\\/div><div>  title    = \\\"Struktur- und Schnittstellenprobleme im {\\\\\\\"o}sterreichischen Gesundheitssystem\\\",<\\\/div><div>  abstract = \\\"Das {\\\\\\\"o}sterreichische Gesundheitssystem weist eine komplexe und zersplitterte Planungs-, Entscheidungs- und Finanzierungsstruktur auf. Eine Governance-Analyse impliziert, dass dabei Fehlanreize in der Patient:innensteuerung und in der Abstimmung zwischen extramuraler und intramuraler Versorgung entstehen. Steuerungs- und Koordinationsprobleme zwischen den Versorgungssektoren tragen bei fragmentierten Finanzierungsstrukturen dazu bei, dass Patient:innen tendenziell h{\\\\\\\"a}ufiger teure Spitalsambulanzleistungen oder station{\\\\\\\"a}re Leistungen in Anspruch nehmen, anstatt niedergelassene Fach{\\\\\\\"a}rzt:innen zu besuchen. Die Studie untersucht weiters empirisch, wie regionale Unterschiede in der {\\\\\\\"a}rztlichen Versorgungsdichte die Nutzung station{\\\\\\\"a}rer Leistungen beeinflussen. Zus{\\\\\\\"a}tzlich wird analysiert, welche Auswirkungen neu gegr{\\\\\\\"u}ndete Prim{\\\\\\\"a}rversorgungszentren sowohl auf intramurale Leistungen als auch auf andere Gesundheitsdienstleister:innen haben.\\\",<\\\/div><div>  author   = \\\"Hans Pitlik and Benjamin Bittschi and Ulrike Famira-M{\\\\\\\"u}hlberger and Manuel Zerobin\\\",<\\\/div><div>  year     = \\\"2026\\\",<\\\/div><div>  month    = may,<\\\/div><div>  day      = \\\"27\\\",<\\\/div><div>  language = \\\"Deutsch\\\",<\\\/div><p>}<\\\/p><\\\/div>\",\"ris\":\"<div class=\\\"rendering rendering_researchoutput  rendering_researchoutput_ris rendering_bookanthology rendering_ris rendering_bookanthology_ris\\\"><p>TY  - BOOK<\\\/p><p>T1  - Struktur- und Schnittstellenprobleme im \u00f6sterreichischen Gesundheitssystem<\\\/p><p>AU  - Pitlik, Hans<\\\/p><p>AU  - Bittschi, Benjamin<\\\/p><p>AU  - Famira-M\u00fchlberger, Ulrike<\\\/p><p>AU  - Zerobin, Manuel<\\\/p><p>PY  - 2026\\\/5\\\/27<\\\/p><p>Y1  - 2026\\\/5\\\/27<\\\/p><p>N2  - Das \u00f6sterreichische Gesundheitssystem weist eine komplexe und zersplitterte Planungs-, Entscheidungs- und Finanzierungsstruktur auf. Eine Governance-Analyse impliziert, dass dabei Fehlanreize in der Patient:innensteuerung und in der Abstimmung zwischen extramuraler und intramuraler Versorgung entstehen. Steuerungs- und Koordinationsprobleme zwischen den Versorgungssektoren tragen bei fragmentierten Finanzierungsstrukturen dazu bei, dass Patient:innen tendenziell h\u00e4ufiger teure Spitalsambulanzleistungen oder station\u00e4re Leistungen in Anspruch nehmen, anstatt niedergelassene Fach\u00e4rzt:innen zu besuchen. Die Studie untersucht weiters empirisch, wie regionale Unterschiede in der \u00e4rztlichen Versorgungsdichte die Nutzung station\u00e4rer Leistungen beeinflussen. Zus\u00e4tzlich wird analysiert, welche Auswirkungen neu gegr\u00fcndete Prim\u00e4rversorgungszentren sowohl auf intramurale Leistungen als auch auf andere Gesundheitsdienstleister:innen haben.<\\\/p><p>AB  - Das \u00f6sterreichische Gesundheitssystem weist eine komplexe und zersplitterte Planungs-, Entscheidungs- und Finanzierungsstruktur auf. Eine Governance-Analyse impliziert, dass dabei Fehlanreize in der Patient:innensteuerung und in der Abstimmung zwischen extramuraler und intramuraler Versorgung entstehen. Steuerungs- und Koordinationsprobleme zwischen den Versorgungssektoren tragen bei fragmentierten Finanzierungsstrukturen dazu bei, dass Patient:innen tendenziell h\u00e4ufiger teure Spitalsambulanzleistungen oder station\u00e4re Leistungen in Anspruch nehmen, anstatt niedergelassene Fach\u00e4rzt:innen zu besuchen. Die Studie untersucht weiters empirisch, wie regionale Unterschiede in der \u00e4rztlichen Versorgungsdichte die Nutzung station\u00e4rer Leistungen beeinflussen. Zus\u00e4tzlich wird analysiert, welche Auswirkungen neu gegr\u00fcndete Prim\u00e4rversorgungszentren sowohl auf intramurale Leistungen als auch auf andere Gesundheitsdienstleister:innen haben.<\\\/p><p>M3  - Studie<\\\/p><p>BT  - Struktur- und Schnittstellenprobleme im \u00f6sterreichischen Gesundheitssystem<\\\/p><p>ER  - <\\\/p><\\\/div>\"}","scientific_assistance":"[\"Grandner Lydia\",\"Haintz Gabriel\",\"Schobert Cornelia\",\"Schreml Stephan\"]","scientific_review":"[\"Schratzenstaller Margit\",\"Url Thomas\"]","version":"","release_date":null,"expiration_date":null,"surveyor":"","research_assistance":"","edv":"","additional_info_de":"","additional_info_en":""},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.0 (Yoast SEO v28.0) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Structural Problems and Coordination Issues in the Austrian Health System - WIFO<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.wifo.ac.at\/en\/publication\/439672\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Structural Problems and Coordination Issues in the Austrian Health System\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.wifo.ac.at\/en\/publication\/439672\/\" \/>\n<meta property=\"og:site_name\" content=\"WIFO\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/WIFOat\/\" \/>\n<meta property=\"article:modified_time\" content=\"2026-05-27T09:15:14+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.wifo.ac.at\/wp-content\/uploads\/2024\/05\/WIFO-Gebaeude-FotoAlexanderMueller-www.alexandermueller.at-IMG_6326-Bearbeitet-1.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1920\" \/>\n\t<meta property=\"og:image:height\" content=\"1280\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:site\" content=\"@WIFOat\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.wifo.ac.at\\\/en\\\/publication\\\/439672\\\/\",\"url\":\"https:\\\/\\\/www.wifo.ac.at\\\/en\\\/publication\\\/439672\\\/\",\"name\":\"Structural Problems and Coordination Issues in the Austrian Health System - 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