Public Expenditure
2,4% 4,4%

Privat Expenditure

Source: Health at a Glance OECD 2009
7,3%
4,5 6,5 8,5 10,5

8,7%
12,5 14,5 16,5

OECD : 8,9%, Germany: 10,4%, Greece: 9,6 %, Austria: 10,1 %
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Solutions: More private health market

Employment in the Health- and Social Sector
20,0

15,9
15,0 12,5 11,6 10,0 9,8 8,9 9,9 1995 2008 5,3 11,6

5,0

0,0 Greece Austria France OECD Germany Switzerland United States (2003-08) Netherlands

Quelle: OECD Health at a Glance 2009

Growth in Austria: +2.4% per annum (WIFO), in the future every fifth Job in Austria
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Austria uses too many resources…

 3.6 doctors per 1,000 inhabitants (OECD average 3.1).  16.8 MRI units per one million population (OECD average: 10.2 million)  29.8 CT scanners per one million population (OECD average: 19.2).  6.1 acute care beds per 1,000 population (OECD average: 3.9).  Hospital admissions per 100 inhabitants: 28.8 (EU: 17.5)

Every operation is a risk to the patient
Mandel operations per 10,000 inhabitants: 67 (Italy: only 11!) Caesareans: Tirol Austria is 17.8 percent above the average Appendectomies: 6,000 appendectomies and 15 deaths per year avoided Cardiac catheter examinations: currently twice as many as can be expected.

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Challenges in the Future
 Quality (process, outcome)  Increasing Costs: OECD expected in the year 2020: 16% more of the European GDP in healthcare spending  Avoidable mistakes (diagnosis, treatment)  21st century medical technology ist delivered with 19th century organization structures and management practices

What are possible solutions?

Is it possible to create a Health Care Market?
Generally, the rules of the market also fit for the Health care market. Special characteristics of the Health Market:  asymmetry of information  Induced demand  Patient value

 The competition in our Health Care Systems is strongly restricted

Is it possible to create a Health Care Market?
„Only