Sick system! 2100 doctors already missing in the country (2024)

It's no longer a secret that the domestic healthcare system is in dire straits. While in most cases care is still functioning reasonably well, the forecasts for the future look more than bleak. Doctors and nurses are clearly in short supply in the country, as the "Krone" reported in detail.

A new study for the specialist atlas of the Stepstone job exchange now confirms the worst fears. The number of job advertisem*nts in the healthcare sector has risen enormously since 2019: In the second quarter of 2024, there were 80 percent more vacancies for doctors across Austria than in the same period last year. The search for nursing staff also rose to a new record of 6583 vacancies.

However, the situation has worsened significantly once again, particularly for doctors. There was already a record high of almost 1500 unfilled vacancies at the beginning of the year, but now the number has risen by a whopping 46% to 2100. The federal states of Vienna and Upper Austria are leading the way in terms of numbers in all areas.

Bewilderment is spreading
"The demographically induced shortage of skilled workers is particularly pronounced in the healthcare sector, which also explains the significant increase in advertised vacancies," explains Nikolai Dürhammer, Managing Director of the recruiting platform Stepstone in Austria.

In addition to employee retention measures, the professionals recommend giving career changers a chance and recruiting specialists abroad. Another natural way to respond to the staff shortage is to train skilled workers yourself.

The local medical association has also sounded the alarm for doctors. A proper strategy at federal level is probably lacking: "We finally need sustainable monitoring of where the new doctors are and what they want to do. Of the approximately 2,300 graduates per year, only around 1,400 register on the list of doctors, the rest disappear on a trip around the world or have no idea where," says Harald Schlögel, Vice President of the Austrian Medical Association, expressing his bewilderment.

The strongly anchored federalism in the healthcare system will probably no longer work in the future, and even desperate and sometimes sobering attempts at solutions such as the recruitment of nurses from the Far East, 100 new doctor's posts plus the start-up bonus of up to 100,000 euros from the federal government are of little help. "As of July 1, twelve doctors have been contracted," explained a spokeswoman for the health insurance fund recently. Too few, once again!

"It takes courage to solve problems"
As deputy head of the Austrian Medical Association, Harald Schlögel is actually considered to be friendly and very level-headed, but when it comes to the issue of doctor shortages, he doesn't mince his words in an interview with the "Krone" newspaper:

"Krone":Dr. Schlögel, hundreds of doctors are currently being sought. Where are they?
Dr. Schlögel:That's a good question. The fact is that 25 to 30 percent of all graduates of a domestic medical degree go directly abroad after graduation. Our hands are usually tied. We also currently have 300 vacancies that are not filled. Around 180 general practitioners, and the rest are specialists, especially in the fields of pediatrics, gynecology, ophthalmology and dermatology. All around, however, we hardly see a shortage, especially not in the private sector.

So everything is set for two-tier medicine?
Two-tier medicine is already here. But I want to make it very clear: Just because a doctor is private does not necessarily make him better. Patients have simply got used to it. However, people's patience is often remarkable, with some waiting more than a year for an appointment. The outcry is often limited.

Well, complaining to your own doctor will probably also be difficult?
It would also be too easy to blame the doctors. To be honest, we are helpless. The framework conditions are simply not good.

What would it take to get a grip on the situation with regard to the shortage of doctors?
We need someone with a lot of courage who wants to solve the problems. We basically have a great range of courses, but career planning is completely lacking. Every sensible company has an interest in retaining its own highly trained specialists and deploying them properly. However, the Austrian state simply watches as qualified doctors leave the country.

Perhaps the job is too uninteresting after all?
I don't think so, but changes are needed. Young people usually want group practices in urban areas, flexible working hours and not just 100,000 euros as a bonus for setting up a practice. That alone will cost an avalanche.

This article has been automatically translated,
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