Investigating human rights Therefore, in the opinion of the AOB, it is necessary to better utilise existing resources through targeted measures on a regional basis and ensure that there will continue to be contracts for medical practice with the public health insurance offices over the long term. To this end, out-patient care offerings in medical facilities and hospitals must be coordinated and networked. One approach would be to include paediatricians in primary health care centres which would offer expanded office hours on weekends and holidays. Necessity to ensure care close to home on a regional basis In the in-patient care area, there were a total of 1,394 beds for paediatric and adolescent patients in medical facilities for the treatment of acute illnesses in 2014. There were an additional 297 beds for paediatric and adolescent surgery patients and 363 beds for paediatric and adolescent psychiatry patients. As compared to target bed numbers in the 2012 Austrian Health Structure Plan, many Laender were below the target numbers. In-patient care In particular, there is inadequate bed capacity in the area of paediatric and adolescent psychiatry. There are also significant gaps in care in the area of office-based practices. Thus, for example, in Styria and Burgenland there are no contracted specialists for paediatric and adolescent psychiatry. Problems with paediatric and adolescent psychiatry This problem is treated in detail in the chapter on the AOB’s activities as National Preventive Mechanism (NPM), since this structural care deficit in the area of paediatric and adolescent psychiatry is a focus of the activities of the Austrian NPM under the OPCAT mandate. There is another glaring care deficit in the rehabilitation of children and adolescents. There are no specialised rehabilitation centres for children and adolescents in Austria. The AOB has already discussed the inadequate offering of family-oriented paediatric and adolescent rehabilitation in Austria in the Annual Report 2009 and the Annual Report 2011. It has also addressed the problem many times on the ORF TV programme “BürgerAnwalt”. After long negotiations, an agreement was reached in 2014 on the financing and the scope of paediatric and adolescent rehabilitation. After additional delays and postponements, the locations for the paediatric rehabilitation centres were finally established, for the most part, in December 2016. Accordingly, 306 of the planned 343 beds have been specifically allocated. Only the locations for Tyrol and Vorarlberg are still missing, and they will be allocated by May 2017. Sites for the rehabilitation of paediatric and adolescent patients Health insurance - waiting times for MRI and CT scans When entering into contracts for the conduct of MRI (magnetic resonance imaging) and CT (computed tomography) scans, health insurance carriers are bound by the requirements of the large-scale equipment plan, which is a component of the Austrian Health Structure Plan. Large-scale equipment plan limits the range of services 55

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