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PORTFOLIO 17

Meilensteine bis zur konkreten Umsetzung

Für die konkrete Umsetzung sollten folgende Punkte noch geklärt bzw. bearbeitet werden:
Erstens ein soll ein positiver ELER Förderungsantrag gestellt werden, der die Finanzierung des Projekts essentiell unterstützen würde. Außerdem ist es noch nicht geklärt, welche Ärzt/innen Teil des Netzwerks sein werden, und zu klären ist auch, welche Praxis welches erweiterte Angebot bei sich aufnimmt. Weiters muss eine gesamte EDV Infrastruktur für das SÖM geschaffen werden, mit dem die Ärzt/innen vernetzt arbeiten und regelmäßigen Austausch bei Meetings pflegen könnten. Es gibt somit eine realistische Wahrscheinlichkeit, dass das Projekt ‘PVN im SÖM’ in den nächsten 2 Jahren umgesetzt wird.

Blog: Text

PORTFOLIO 11

Individual statements and profiles of each team member

Blog: Willkommen

LISA CECON


Strengths and Interests

As a start, I would like to describe my strengths that qualify me for the project. In addition to the ongoing project work, I have the role in the team of documenting the entire discussions with lecturers, the project partner or other people. My strength is that I can listen carefully and attentively, that I write down all discussed issues and to highlight the most important aspects. I also remember what we discussed, and I can always point out things to the team. I have experience in project management because I have worked on a project of several months before.
Now I want to come to my interests. Even before I started my studies, I knew that I would like to focus on healthcare management, and I would like to work in this area later. Areas such as project management and human resource management are exciting to me.

A brief description of my personal understanding of what is the most central element / the most important problem horizon of our project (including sources)

A primary care facility is designed to provide comprehensive health care for the population (RIS 2017). In my opinion, there are several important points in our primary healthcare project that we need to consider. We should work out what the individual advantages are for the residents of the selected location, for the state of Tyrol, for the doctors and other health professions who work in the center. We must include many perspectives, for example what the Austrian Medical Association (Österreichische Ärztekammer) or the Austrian Health Insurance Fund (Österreichische Gesundheitskasse) says about primary healthcare, for this purpose we conduct interviews with experts. Hopefully this will help us to find out why there are still no primary healthcare centers in Tyrol (Österreichisches Forum Primärversorgung 2020). Issues such as financing and the retirement of general practitioners in the coming years must also be considered. I think an important part of our work is also the comparison with other federal states in Austria. Some regions already have well-developed primary healthcare systems.

In addition, we also look at the European situation and the international situation and compare them. At best practice examples of countries in which primary healthcare centers have already well established, we may be able to orient our work (Österreichisches Forum Primärversorgung 2017).

The guideline or manual we are developing should contain tips and information so that people who want to start a primary healthcare center can use it as a guide. We would like to back up this work with examples, for example based on which criteria we selected a location. It is essential for me that we argue and justify all our decisions.

Sources

Österreichisches Forum Primärversorgung (2017): Österreich hat ein „schwaches“ Primärversorgungssystem. Was macht Europa anders? Online verfügbar unter https://primaerversorgung.org/2017/03/13/oesterreichs-hat-ein-schwaches-primaerversorgungssystem-was-macht-europa-anders/, zuletzt aktualisiert am 13.03.2017, zuletzt geprüft am 05.05.2020.

Österreichisches Forum Primärversorgung (2020): Versorgungskarte. Online verfügbar unter https://primaerversorgung.org/versorgungskarte/, zuletzt geprüft am 05.05.2020.

RIS (2017): Primärversorgungsgesetz. Rechtsinformationssystem des Bundes. Online verfügbar unter https://www.ris.bka.gv.at/GeltendeFassung.wxe?Abfrage= Bundesnormen&Gesetzesnummer=20009948, zuletzt geprüft am 05.05.2020.

CV CECON

Blog: Dateien

CARINA KAPELLER


Strengths/Interests

I’ve always been curious about healthcare and the medical sector. When I was about five or six years old, I attended the childrens’ university summer event at the University of Vienna, where I listened to lectures like ‘Why is blood red’. After graduating from high school, I chose to do a voluntary social year, where I trained to be a paramedic and worked as such for the next nine months. To this day, I work as a paramedic voluntary wise, since this experience impacted me a lot. In the medical field, everyone has to work fast and precise, especially under pressure. This is something that I would add to my folder of strengths because I really learned how to stay calm and execute medical help step by step. So far, I was able to save two lives with resuscitation, which are the moments I am most proud of in my life so far. This voluntary work taught me not only how to handle stress, but also how to communicate effectively. When the patients’ life is in danger, there cannot be any miscommunication, so we have special methods to keep the whole team informed about every important detail, so no one misses something like blood pressure vitals. This effective communication is also something I would call one of my strengths.

Due to my interest in the healthcare sector I chose to study the branch of healthcare management. In summer last year, I had an internship at the umbrella cooperation of social security providers and worked with the topic of primary healthcare and primary health care centers specifically. Those two months of internship got me interested in the topic and I was excited when our professors announced the project ‘primary healthcare’. The project team then chose me to be the leader. I think that my biggest quality as a leader and member of a group is that I am able to keep a general overview of the whole project and focus on what needs to be done. When working in teams, I can motivate other members and keep a good working atmosphere.

Overall, I am excited and motivated for the last two months of this project, and still energized even though we are already three months in.


Problem statement

The main problem in the austrian healthcare system is the high retirement number of general practitioners in the next few years. To compensate, the austrian government implicated the primary healthcare law in 2017 (RIS 2017). However, there are various issues with the implementation of these primary healthcare centers: so far there still are no PHCs in Tyrol (Österreichisches Forum Primärversorgung 2020). One issue with the implementation is that those centers have to be attractive not only to the patients, but to the ones implementing and founding them as well – the general practitioners that work as freelancers. Those that would be willing to set up a PHC by investing time, energy and a lot of money face many issues, like low doctor’s fees, shareholder issues, as well as bureaucracy burdens. (Österreichische Ärztekammer 2020).

Therefore, the groups’ task on one hand is to collect experts' opinions and views on the current situation and what kind of steps have to be taken to increase the attractiveness of the system of PHCs for the ones implementing those centers, which are the general doctors themselves. On the other hand, the task is to gather information on whether the residents of the PHC’s location would use such a healthcare facility and what kind of service offers they would take part in and use. 



Bibliography

Österreichisches Forum Primärversorgung (2020): Versorgungskarte. Online verfügbar unter https://primaerversorgung.org/versorgungskarte/, zuletzt geprüft am 05.05.2020.

RIS (2017): Primärversorgungsgesetz. Rechtsinformationssystem des Bundes. Online verfügbar unter https://www.ris.bka.gv.at/GeltendeFassung.wxe?Abfrage= Bundesnormen&Gesetzesnummer=20009948, zuletzt geprüft am 05.05.2020.

Österreichische Ärztekammer (2020): ÖÄK-Steinhart: Mehr Maßnahmen zur PVE-Attraktivierung. Hg. v. APA-OTS. Online verfügbar unter https://www.ots.at/presseaussendung/OTS_20200127_OTS0075/oeaek-steinhart-mehr-massnahmen-zur-pve-attraktivierung, zuletzt aktualisiert am 27.01.2020, zuletzt geprüft am 06.05.2020.

CV KAPELLER

Blog: Dateien

ISABELLA PIEGGER


Strengths
Due to my vast professional experience in the healthcare sector, I bring a lot of practical knowledge to the teamwork. Through this I have already gained a network which is of benefit for this project. A further strength of mine is that I spread a good mood, radiate optimism and provide motivation. I also regularly try to praise each team member, emphasizing their strengths and thus giving them more self-confidence.

Interests
Since I worked in privat health centres, there is in principle great interest in the primary health care concept. Due to my education as a health trainer I am interested in health promotion, which will be included in the project work. Since I am used to improving processes and working in a solution-oriented way, I enjoy this project work very much. Furthermore, I like to work in teams, because the work is more enjoyable and one gets many new perspectives through different approaches.

Problem statement

The implementation of primary health care centre should function at the right time, in the right place, with highest medical quality, and at the lowest overall economic cost. All federal provinces from Austria except Tyrol and Vorarlberg have succeeded in implementing it.

Six primary health care centres would be planned for Tyrol by 2021, as outpatient clinics are to be relieved and the strong retirement of general practitioners is to be counteracted. Difficulties such as the lack of attractiveness, low subsidies and the current situation of Covid-19 are reasons for the delayed implementation. Further issues are financing problems like low doctor’s fees, or shareholder issues. Compared to other countries in Europe, Austria has a weakly developed primary health care system. Positive examples in Europe are Finland, Spain, Portugal, the Netherlands and the United Kingdom. The reasons for this are the perception of primary health care by politicians and those responsible for action, the lack of a coordinating function for patients, the low number of general practitioners and insufficient remuneration (Österreichisches Forum Primärversorgung 2020).

Through interviews with experts and a survey in the communities, we find out what difficulties there are with implementation and how the setting is towards primary health care in the chosen location. This enables us to develop a guideline and show possibilities of attractiveness to make the realisation of primary health care centres in Tyrol easier.

Literatur
Österreichisches Forum Primärversorgung (2020): Versorgungskarte. Online verfügbar unter https://primaerversorgung.org/versorgungskarte/, zuletzt geprüft am 06.05.2020.

CV PIEGGER

Blog: Dateien

DAVID REISENAUER


Strengths and interest
Basically the following strengths distinguish me for the PHC project. On the one hand I have got good time management skills while on the other hand  I have got social media skills. Furthermore I have got vast digital competences which are very useful during the project process, because we have to deal with different programmes like Lime Survey or SPS- Statistics. In our group I have got always a positive spirit and I´d like to motivate the whole team members. I´m very interested in the healthcare sector and through two internships I have got broaden my horizon in this working field. I have done internships by SVS  social insurance for self-employed persons and (Tirol Kliniken), an hospital in Innsbruck in the quality and risk management department. 


Central elements of the project
In general  in a primary healthcare centre (PHC) several general practitioners work together with different health care professions. The extended team around the general practitioners can consist of the following professions: Qualified health care and nursing, psychotherapy, physiotherapy, logopedics, occupational therapy, dietetics, social work, obstetrics and primary care management. Primary healthcare centres should serve as first contact points for patients of all diseases (ÖGK 2020).
Due to the future lack of general practitioners, the law of primary healthcare was passed in 2017 (RIS 2017). By 2021 some primary healthcare centres should have been implemented throughout Austria, six in Tyrol. Up to now none of them is realized. (Österreichisches Forum Primärversorgung 2020).


Goal of the project 
The main goal of the project is to plan a concept for a PHC in Tyrol. Furthermore we want to develop guidelines for entrepreneurs who want to found a PHC. The extended goal, is to do  qualitative and quantitative research. In the qualitative research we do four interviews with experts from the healthcare sector to find out why there is no PHC in Tyrol so far. In our quantitative research we want to find out the personal point of view from inhabitants of a PHC in Lans.



Bibliography
ÖGK (2020): Die neue Primärversorgung: Schlüssel zur Verbesserung der Gesundheitsversorgung. Österreichische Gesundheitskasse. Online verfügbar unter https://www.gesundheitskasse.at/cdscontent/?contentid=10007.833111, zuletzt geprüft am 16.04.2020. 
Österreichisches Forum Primärversorgung (2020): Versorgungskarte. Online verfügbar unter https://primaerversorgung.org/versorgungskarte/, zuletzt geprüft am 16.04.2020. 
RIS (2017): Primärversorgungsgesetz. Rechtsinformationssystem des Bundes. Online verfügbar unter https://www.ris.bka.gv.at/GeltendeFassung.wxe?Abfrage=Bundesnormen&Gesetzesnummer=2 0009948, zuletzt geprüft am 16.04.2020.

CV REISENAUER

Blog: Dateien

Präsentation 1 / Presentation 1

In this video you can watch the progress of our project, ideas and a glimpse into future work.

Blog: Video

CHOSEN LOCATION

After agreement with our Project Partner we decided on the Location 1 (Lans).
Further steps will be the planning of the medical team, interviews and a survey, as well as drawing up a business plan.

Blog: Über uns

PORTFOLIO 8

WhatsApp Image 2020-04-02 at 18.53.05.jp
Blog: Dateien

Location Possibilities

Location 1 with focus on the catchment area (Lans & surroundings)

Location 2 with focus on families/children (Lohbach & surroundings)

Location 3 with focus on chronically ill people (Olympisches Dorf & surroundings)

Criteria: child rate, senior rate, service provider, population, existing doctors (General practitioners, pediatricians), age of doctors, infrastructure (pharmacies, public transportation, etc.)

Blog: Willkommen

LOCATIONS

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LOCATION 1

Lans, Aldrans, Sistrans, Igls, Patsch, Rinn, Tulfes, Vill

Lohbachsiedlung_LI.jpg

LOCATION 2

Lohbachsiedlung, Hörtnagelsiedlung, Völs

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LOCATION 3

Olympic Village, New-Rum, New-Arzl

Blog: Dienstleistungen
Suche

Demography comparision

In this graph we compared various criteria to be able to chose the location of our PHC. From top to bottom we listed: inhabitants,...

Blog: Blog2
Blog: Music Player
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