Possible consequences of the introduction of a patient's card in Austria

The use of "Smartcards", i.e. intelligent electronic data carriers for medical purposes, has been considered in some Western countries.

The main purpose of Med-, Sana- or Healthcards, as they are called in European pilot projects, is to provide access to medical information about the patient - which could be life-saving in an emergency. Even in non-emergency situations, however, it is thought that patient cards could improve the information flow and even cut administrative costs by obviating the need for multiple diagnosis.

The project carried out in collaboration with the Austrian Federal Institute of Health (ÖBIG) described the chip card technology and possible alternatives (laser card, combination card) and collected information from international pilot projects: around 60% of the planned projects do not proceed beyond the planning stage. The success of plastic cards in the health sector depends on the health service itself. Factors impeding introduction include: 

  • technical problems;
  • problems with the standardisation of medical records;
  • lack of infrastructure (too little advanced computerisation of the health service);
  • data protection questions;
  • lack of acceptance by doctors;
  • weaknesses in project management.

Hopes that Medicards will help cut costs must be scaled down: a savings potential exists, but mostly by simplifying the patient/social security charging system. In Austria a more efficient, computer-assisted charging system for doctors and social security organisations would appear to be more important.

Finally, a catalogue of measures was drawn up indicating the steps that would be required if a system of this type were to be introduced for the various areas of the health service in Austria (health administration, social security, doctors and patients/clients).

Publikationen

Publikationen

  • Wild, C., & Peissl, W. (1992). Patient cards: an assessment of a new information technology in health care. Project Appraisal, 67-78.
  • Peissl, W., Tschakalov, O., & Wild, C. (1991). Die möglichen Folgen einer Einführung der Medcard in Österreich – Teil A, Studie im Auftrag des BMf Gesundheit, Sport u. Konsumentenschutz, Jänner, Wien. doi:/10.1553/ITA-pb-b05
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Konferenzbeiträge/Vorträge

Konferenzbeiträge/Vorträge

  • 28/01/2002
    Walter Peissl: 
    Chipkarten im Gesundheitsbereich – Grundsätzliche Überlegungen aus Sicht der Technikfolgen-Abschätzung
    Vortrag im Rahmen der HTA-Vortragsreihe "Entscheidungsunterstuetzung im Gesundheitswesen" Wien
    Other Lecture
  • 24/11/1994
    Walter Peissl: 
    Die Chipkarte im Gesundheitsbereich – Technologieentwicklung im Spannungsfeld von theoretisch denkbar
    technisch machbar und gesellschaftlich sinnvoll. Referat auf der Tagung 'Die Zukunft der Chipkarte und optischen Karte', Teil II, Fellbach
    Other Lecture
  • 23/06/1991 , Helsinki
    Walter Peissl: 
    Patient-Cards in Austria?
    A Technology Assessment. 7th Annual Meeting ISTACH
    Other Lecture
  • 1

Duration

01/1991 - 12/1991

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