INTERPROFESSIONAL COLLABORATION IN INTEGRATED HEALTH CARE

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Abstract

Health care systems originated in earlier epochs as responses to the needs of the time and currently present themselves as evolved systems that in many respects no longer meet the requirements of the present day. The Austrian health care system is based on the social insurance model of Otto von Bismarck, the former Chancellor of the Prussian Empire (1815-1898). Although continuously developed, health care providers, as well as patients, are confronted with evolved structures that have to be overcome by mostly costly compensation services. Patients who are becoming more self-determined as well as upcoming generations of health professionals are demanding more and more meaningfully designed treatment processes. Integrated care, in both forms population-based and indication-based form, guarantees good coordination of the care pathways. The prerequisite for this is, in addition to the approach to the "best points of service" along the health care pathways, good interprofessional cooperation between health professionals within care institutions and across institutions. The results of this research show that, in addition to the creation of suitable health policy framework conditions, the culture of interprofessional cooperation across institutional and sectoral boundaries is of decisive importance. Strategies based on shared guiding principles and responsibility by leadership and management for the entire care pathway, are among the most influential factors for a contemporary design of the health care system.

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