The Covid-19 vaccination takes place in Tyrol in vaccination streets, hospitals and service points of the Austrian health insurance company. In addition, around 600 general practitioners also offer immunization with Biontech and Pfizer as well as AstraZeneca. They are compensated 45 euros for each vaccinated person. These vaccinations in the practices are currently starting in Tyrol.
Elderly people in particular, often with previous illnesses, would have made a note of the vaccination with their general practitioners. But you would now be disappointed, criticized the President of the Medical Association, Artur Wechselberger: “They said to themselves: My medical examiner knows my risk and will rank me accordingly, so that my turn will be quick. All of these people must now learn that many younger people are preferred in the vaccination streets without risk. This is a profoundly unhealthy situation that urgently needs to be changed, ”said Wechselberger. He demanded that registered people be contacted immediately as soon as a vaccine is available for them, regardless of the desired vaccination location they originally specified.
“Ridiculously small amounts” of vaccination doses
Many Tyrolean doctors are currently advising their patients to make a note of a vaccination route because the practices lack the vaccine. Around 8,300 cans are currently available for all residents in Tyrol. Last week there were around two vials per practice in the Innsbruck-Land district, which is enough for around 20 to 22 vaccine doses. In other districts there were three ampoules – about 30 to 33 doses. In many places, however, up to a thousand people want to be vaccinated in one practice. If the vaccine is no longer available, it takes many months to process all of the pre-registrations.
“There is currently far too little vaccine to even come close to covering our needs,” criticized Wechselberger. The big problem is that nobody knows when that will change. “Everyone in Innsbruck-Stadt has not yet received a vaccine dose at all. With the others, the quantities are so ridiculously small that it isn’t even the famous drop in the bucket. If this continues, the doctors will still be vaccinating in a year and those willing to vaccinate will still have to wait, ”feared the Chamber President.
Vaccination logistics brings practices to their limits
It is also a long and complex road to vaccination in the practices: the doctors first have to find out who has registered with them online. Many have also kept their own lists, which now have to be compared with the online reservations. Subsequently, those willing to vaccinate must be ranked according to age or previous illnesses. It must also be clarified when and how much vaccine is available. This is delivered to pharmacies and from there to the practices.
Only then can specific appointments be made and a back-up list drawn up for possible failures. All of this has to be handled alongside day-to-day business. “The administration is crushing the doctor’s offices, we are supposed to handle all of this for weeks and months. That can’t be done, ”said Wechselberger with conviction. “That delays the vaccinations further, it is now about speed!”
Tilg sees the doctors’ obligation
The responsible state health councilor Bernhard Tilg (ÖVP) pointed out that there was an agreement at the federal level on which tasks the ordinations should perform. The medical association also agreed: “Of course it is a lot of work, but it is also important that you accompany your patients and make appointments. We understand that this involves a lot of effort, but an attempt has been made here to define a nationwide procedure with the medical association, and this package will of course also be implemented in Tyrol. ”
He understands the criticism regarding the administrative work involved. Tilg did not want to confirm that people get there faster in vaccination streets: “I don’t want to say that vaccination streets are faster or slower, but logistically a vaccination street is set up differently than an ordination. Now you may see in the operational implementation where there is a problem. If many people have contacted certain doctors, it will be important to point out that there is also the possibility of a vaccination route. It may be necessary for a reorientation to take place, ”said Tilg.
Districts should get more vaccination roads
The possibility of vaccination in the doctor’s offices is an important addition to the public vaccination routes, it said from the country. Efforts are being made to allocate vaccine, but there is a shortage. It is hoped to get more cans “towards April” in order to provide all system partners with good supplies. In any case, they want to achieve around 50,000 vaccinations per week in Tyrol by June, according to Tilg.
The capacities of the public vaccination routes are to be expanded: In three to four weeks, district capitals and larger metropolitan areas will also have additional large vaccination routes that will be housed in event centers. This should then also relieve the medical practices, according to the country.