24-hour care

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The legal regulation of 24-hour care represents an attempt by Austrian politicians to direct the often illegally carried out care in home nursing into legal channels.

history

In 1989, after the fall of the Iron Curtain , there was slowly but steady care in home nursing, where so-called Bohemian sisters lived in the household for two weeks each, and for this, in addition to board and lodging and travel expenses, also a payment of around 350 euros Week received. After these two weeks, a second person started alternately for the next two weeks, while the first person returned home for two weeks.

The person concerned, the person being cared for, paid an annual amount to an association for the placement and organization, while the personal carers, actually only women, had insurance in their home country and paid their taxes.

The development was promoted by care grants from various countries; Vorarlberg was a pioneer in 1990 with Fredy Mayer , and ultimately the nationwide introduction of care allowance in 1993.

2006

In the federal election campaign in the summer of 2006 there was a heated debate on care, especially since a few people were threatened with high tax payments because of complaints. Conversely, the situation is such that even with a good pension and a high level of care allowance, this self-determined form of care cannot be financed without savings.

2007

In the government program for the XXIII. During the legislative period, the further development of needs-based care and nursing models was announced. An annual adjustment of the care allowance to inflation was rejected, however. The care allowance should only be revalued once every four years. The government wants to review the classification of care levels, where inconsistencies in the actual hours spent by care have been reported.

After negotiations between the two governing parties SPÖ and ÖVP in June 2007, the House Care Act came into being , with effect from July 1, 2007. With the House Care Act, the free trade of caregiving as an independent activity was regulated for the first time, with a model work contract and a model employment contract. This law was soon followed by a so-called amnesty rule until the end of the year.

2008

At the beginning of the year they wanted to extend the amnesty again, which it was agreed that the amnesty would last until June 2008 if the person concerned registers the carers, independently or as dependent, with retroactive effect from January 1, 2008.

On March 13, 2008, an amendment to the Health and Nursing Act was passed in parliament, which regulates the qualifications of caregivers who have to demonstrate theoretical training (200 hours) comparable to home help.

In addition, the existing nursing training was combined with the option of studying nursing. A university of applied sciences is to begin in Vienna in autumn 2008, where a master's degree at the University of Vienna is possible.

The current focus of politics on the sub-problem of 24-hour care obscures the view of the bigger picture of care. The competencies were retained, however, because many ministries and local authorities are still involved. Again, it was not possible to find a uniform Austria-wide solution. The fact that the current diploma training as a nurse does not lead to the Matura creates the risk of an educational dead end .

The need for the least possible participation by various caregivers has been met with 24-hour care. The competencies of the caregiver could even be expanded, but not without clarification and control by qualified staff. The 24-hour care is still affordable for only a few. The profession of care and support is still undervalued, both in terms of qualifications, as well as in terms of image, payment and career opportunities.

2009

The number of legally self-employed home carers has increased from 7,700 to 20,000 within one year.

2017

For 2017, the number of legal self-employed home carers for Austria was assumed to be 70,000, and the trend is rising, with costs of 1,500 to 2,000 euros per month. Due to the abolition of the nursing recourse on January 1, 2018, an increasing shift to nursing homes is now assumed.

Financial support in addition to the care allowance

Entitlement to funding exists if the person in need of care

  • must be looked after around the clock and
  • Receives care allowance from level 3
  • or in stage 1–2 there is dementia and
  • the income does not exceed the limit of € 2500 for a single person. This income limit increases by € 400.00 for each dependent dependent, and by € 600.00 for each disabled dependent dependent. Income does not include (extracts) family allowances, childcare allowances and care allowances, housing allowances , special payments. Assets of the person responsible for care have not been taken into account since November 1st, 2008.
  • In order to be able to claim the support, it has to be proven since January 1, 2009 that the caregiver has had theoretical training that corresponds to a home helper or has been caring for a person in need of care for at least 6 months in the sense of the Home Care Act or in accordance with the Has carried out the Personal Care Act of the Trade Regulations or performs certain nursing activities according to instructions, instruction and under the control of a qualified nurse or a doctor.
  • For dependent (employed) caregivers, the subsidy is € 550 per month and carer. The maximum funding is € 1,100 per month and applies to two carers.
  • For self-employed caregivers (entrepreneurs with a trade license), the subsidy amounts to € 275 per month and carer. The maximum funding is € 550 per month and applies to two carers. It should be noted here that self-employed caregivers who are exempt from compulsory health and pension insurance are not eligible for funding.

The regional offices of the Federal Social Welfare Office are the contact point for funding . The funding applications must be submitted there.

literature

Individual evidence

  1. ^ ORF: Labor Law - Nurses could bring expensive lawsuits. ( Memento from October 20, 2007 in the Internet Archive )
  2. ↑ BIZEPS Extract from the program of the Austrian Federal Government: 7. Social challenges, health 7.1. Affordable Care and Support, January 9, 2007
  3. ↑ Federal Ministry for Economy and Labor ( Memento of October 12, 2007 in the Internet Archive ) House Care Act, Federal Law Gazette I 33/2007 PDF 35 KB
  4. ↑ Federal Ministry for Economy and Labor ( Memento from October 12, 2007 in the Internet Archive ) Declarations on self-employment PDF 666 KB
  5. ↑ Federal Ministry for Economy and Labor ( Memento from October 12, 2007 in the Internet Archive ) Sample of a contract for work PDF 75 KB
  6. ↑ Federal Ministry for Economy and Labor ( Memento of October 12, 2007 in the Internet Archive ) Sample of an employment contract PDF 91 KB
  7. ↑ ORF: Care Act - Unclear costs. ( Memento from January 6, 2008 in the Internet Archive )
  8. ↑ Law on the job description, training and further education as well as the implementation of home help (Wiener Heimhilfegesetz - WHHG)
  9. ↑ help.gv.at care provision: care allowance, caring relatives, care at home (house care), social services, old people's and nursing homes
  10. ↑ Legal basis for nursing studies is created. Der Standard, March 7, 2008
  11. ↑ 24-hour care - Circulus vitiosus. (PDF; 1.9 MB) Interview with Walter Marschitz, Managing Director of the Austrian Aid Organization. In: www.pflegenetz.at. Medical Update Marketing & Media GmbH, February 2008, pp. 4–5 , accessed on August 19, 2019 .
  12. ↑ 24-hour care - Circulus vitiosus. (PDF; 1.9 MB) Interview with Erich Fenninger, Managing Director of Volkshilfe Österreichs. In: www.pflegenetz.at. Medical Update Marketing & Media GmbH, February 2008, pp. 6–9 , accessed on August 19, 2019 .
  13. ^ ORF 2, number of legal carers triples, report: Bodlarka Kiss, Zeit im Bild, October 4, 2009
  14. ↑ Thomas Holzinger: Nursing regress: What will be different? And when? netdoktor.at, June 2017