Issue/problem Government and social insurance-funded health promotion and prevention interventions in Austria are surveyed on an irregular basis. Comprehensive data on government expenditures, categorized according to financial providers and/or intervention types had not been published since 2012. Description of the problem In accordance with Austrias current federal target contract, the survey is intended to support the targeted use of funds in the fields of health promotion and prevention by providing timely and detailed information on public spending in these areas. Results In 2016, the public sector spent 2,441.3 million euros on health promotion and prevention, which corresponds to 280.6 euros per capita (of the Austrian population). Additionally, administrative bodies reported staff-related costs, which could not be monetarily assessed for all administrative levels. 70 per cent of the expenditure on health promotion and prevention incurred by public institutions in Austria went towards tertiary prevention. The shares for primary and secondary prevention are 13.5 and 13.2 per cent respectively, the remaining funds were spent on health promotion and capacity building (3.4 per cent). Lessons The collection and coordination effort is considerable for data reporters and study authors, still more frequent collection facilitates data reporting and quality. An overview of the data is still not available at the administrative level of the countries (Länder), this could contribute to informed decisions. Key messages Expenditures on health promotion and primary prevention show high growth rates for the period 2012-2016 (+21.3%) reflecting the continuing social importance that this topic has gained in recent years. An allocation of funds to the areas prioritized in the Austrian health promotion strategy 2013-2016 is evident for at least three topic areas.

Nachdem die Jahrestagung der DeGEval zwei Jahre aufgrund der COVID-19-Pandemie in einem Onlineformat durchgeführt worden war, fand sie im Jahr 2022 in Präsenz an der Pädagogischen Hochschule Oberösterreich in Linz statt. Damit waren auch ein persönliches Zusammenkommen und der Austausch abseits von Zoom-Räumen oder formellen Tagungssettings wieder möglich.Das Thema lieferte Gesprächsstoff: Es durften die vielfältigen Beziehungen von Macht und Wissen im Evaluationskontext diskutiert werden. Doch bevor die Teilnehmenden in das Programm einstiegen, hatte es Weiterbildungsangebote gegeben. In einem halbtägigen Seminar bot Prof. Dr. Jan Hense Inhalte zu Implementierungstreue in Evaluationen an. Melanie Braun führte in die Analyse qualitativer Evaluationsdaten mit dem Softwareprogramm MAXQDA ein. Am Abend stand die Mitgliederversammlung der DeGEval auf dem Programm, in deren Rahmen inhaltlich angeregt diskutiert und ein neues Vorstandsmitglied gewählt wurde: Susanne von Jan will als Teil des Vorstands der DeGEval fortan die Professionalisierung von Evaluation als Arbeitsschwerpunkt vorantreiben.Am Vormittag des 15. September 2022 tagten die 18 Arbeitskreise des Netzwerks: Diese Treffen bieten die Möglichkeit, das breite Wissen aus dem Netzwerk zusammenzuführen, aktuelle Themen zu diskutieren und die Weiterentwicklung schwerpunktspezifischer Themen voranzutreiben. Auch wurde ein Ad-hoc-Arbeitskreis zum Thema Nachhaltigkeit eingerichtet, dessen Mitglieder sich nach der Tagungseröffnung in der Pause trafen. Nähere Informationen zur Ad-hoc-Gruppe finden sich auf der Website der DeGEval. 3

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Issue/problem The Austrian health care system regularly shows high performance. While about 99.9% of the population is covered by the compulsory health insurance system, the system is highly fragmented with shared responsibilities for inpatient and outpatient care. Description of the problem Primary health care in Austria is mainly provided by general practitioners (GP) in solo practises with average opening hours of 16-20 hours a week. This leads to high frequencies in outpatient care departments of hospitals and secondly to inefficiencies due to a high level of uncoordinated care. Thus in June 2014, the Federal Target-Based Governance Commission adopted a new concept for providing primary Health Care in an integrative, quality-assured manner and steering patients to the Best Point of Service. PHC centres are providing care in a multiprofessional approach (psychologists, nutritionists, and nurses) and have significantly longer opening hours with 45 hours per week. Results In 2015, the State Target-Based Governance Commission of Vienna commissioned the Austrian Public Health Institute (Gesundheit Österreich GmbH) with the evaluation of these pilot centers. The evaluation results of the first two years of the first PHC center shows a high level of satisfaction with the services provided by PHC and high level of utilisation, indicating an improvement in the service offered. PHC patients show a significantly higher level of utilisation of general medical care and at the same time a lower level of utilisation of specialist medical care than patients of the control group. Furthermore PHC patients have a significantly lower frequency of contacts in general emergency outpatient clinics. Lessons Changes in structural conditions such as the expansion in the range of services and the provision of care by a multiprofessional team results in advantages for patients, the team and the utilization of services at the best point of service. Key messages PHC centers can lead to a lower utilization of outpatient departments and thus to an improvement in the coordination of care. Cooperation in multi-professional teams can lead to a relief of the physicians and a higher job satisfaction.

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