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Die Regierung hat in den vergangenen Jahren mehrfach darauf hingewiesen, dass die bestehende Bedarfsplanung im Bereich der Grundversorgung überprüft und Anpassungen beziehungsweise Lockerungen geprüft werden. Insbesondere wurde verschiedentlich auf die Herausforderungen bei der Sicherstellung der medizinischen Versorgung sowie auf die Notwendigkeit einer zeitgemässen Ausgestaltung der Zulassungsregelungen hingewiesen.

\r\n

Bislang liegen dem Landtag jedoch keine näheren Informationen über den aktuellen Stand dieser Arbeiten, die geplante Ausrichtung einer Reform oder einen möglichen Zeitplan vor. Vor diesem Hintergrund bitte ich die Regierung um die Beantwortung der folgenden fünf Fragen.

\r\n

Welche konkreten Arbeitsschritte zur Überprüfung beziehungsweise Anpassung der ärztlichen Bedarfsplanung wurden seit Beginn der laufenden Legislaturperiode abgeschlossen?

\r\n

Zu welchen Aspekten der bestehenden Bedarfsplanung sieht die Regierung heute einen Anpassungsbedarf und bei welchen Aspekten hält sie am bestehenden System fest?

\r\n

Liegen der Regierung bereits fachliche oder rechtliche Grundlagen vor, die eine Anpassung der Bedarfsplanung ermöglichen würden? Falls ja, welche Schlussfolgerungen zieht die Regierung daraus?

\r\n

Bis wann wird die Regierung dem Landtag die Ergebnisse der laufenden Arbeiten beziehungsweise einen konkreten Vorschlag für das weitere Vorgehen vorlegen?

\r\n

Falls die Regierung keinen Zeitpunkt für die Vorlage der Ergebnisse nennen kann: Welche Voraussetzungen müssen aus ihrer Sicht noch erfüllt werden und bis wann rechnet sie damit, dass diese vorliegen?

","affair_title",219741,"30274_2_answer","2026-06-11","Antwort vom 12. Juni 2026","

zu Frage 1:

\r\n

Die Regierung hat die Liechtensteinische Ärztekammer (LAEK) und den Liechtensteinischen Krankenkassenverband (LKV) bereits kurz nach Beginn der Legislatur beauftragt, die Bedarfsplanung in den Bereichen Kinder- und Jugendmedizin, Psychiatrie, Grundversorgung sowie Gynäkologie und Geburtshilfe zu überprüfen und anzupassen. Ziel war es, bestehende Rekrutierungshindernisse zu beseitigen oder zumindest zu verringern und dadurch die Besetzung offener Bedarfsstellen zu erleichtern. Kurz vor Jahresfrist haben die Verbände dem Ministerium einen Vorschlag unterbreitet, der in dieser Form nicht umsetzbar gewesen wäre. Aus Sicht des Ministeriums wären dadurch zu viele Stellen ohne klare Bedarfsnachweise geschaffen worden. In weiteren Gesprächen sucht die Regierung nun mit den Verbänden gangbare Lösungen, die eine Flexibilisierung des Systems – also Anpassungsfähigkeit auf aktuelle Bedürfnisse – statt einer einseitigen Öffnung ermöglichen. Dabei sollen sowohl die geographische Verteilung als auch die Altersstruktur der Ärzteschaft berücksichtigt werden. Hier nähert man sich nun Schritt für Schritt an, womit die Regierung davon ausgeht, dass gute Lösungen für alle Beteiligten gefunden werden können.

\r\n

zu Frage 2:

\r\n

Grundsätzlich ist festzuhalten, dass die ärztliche Bedarfsplanung gem. Art. 16b KVG von LAEK und LKV gemeinsam erstellt wird und die Regierung diese im Anschluss zu genehmigen hat. Die Regierung kann mittels Verordnung Vorgaben zum Inhalt der Bedarfsplanung machen oder diese mittels Verordnung erlassen, sofern die Verbände keine Einigung erzielen. Die ärztliche Bedarfsplanung fällt daher primär in den Zuständigkeitsbereich von LAEK und LKV. Eine Änderung der Zuständigkeit bedürfte einer Gesetzesanpassung. Hiervon hat die Regierung bis anhin Abstand genommen, da sie grundsätzlich einen konsensualen Weg mit den Verbänden gehen möchte. Ein Vorgehen mit der Brechstange würde dem Miteinander und dem gesamten System mehr schaden als nützen.

\r\n

Generell sieht das Ministerium jedoch Anpassungs- bzw.- Verbesserungsbedarf bei den Vorgaben zur Ausübung und Auslastung von Bedarfsplanungsstellen oder aber auch beim Ausschreibungs- und Vergabeverfahren. Dieses sollte transparenter ausgestaltet und einem möglichst breiten Kreis potenzieller Bewerberinnen und Bewerber zugänglich gemacht werden. Darüber hinaus sollten die bestehenden, von den Verbänden vereinbarten Reihungs- und Vergabekriterien kritisch überprüft werden.

\r\n

So werden beispielsweise derzeit Bewerberinnen und Bewerber, die eine Praxisübernahme zusichern und bereits zuvor als Arzt oder Ärztin in praktischer Weiterbildung, als Vertretung oder als angestellte Ärztin beziehungsweise angestellter Arzt in einer Praxis tätig waren, im Vergabeverfahren teilweise stark begünstigt. Dies kann zwar Vorteile im Hinblick auf die Kontinuität der Versorgung und die Nachfolgeplanung mit sich bringen, birgt jedoch gleichzeitig die Gefahr, den Bewerberkreis unnötig einzuschränken und den Wettbewerb um die bestgeeignete Besetzung einer Bedarfsstelle zu reduzieren. Es sollte daher der Grundsatz gelten, dass Bedarfsplanungsstellen der Sicherstellung der medizinischen Versorgung dienen und nicht als wirtschaftlich handelbares Gut betrachtet werden dürfen.

\r\n

zu Frage 3:

\r\n

Siehe Antwort auf Frage 2.

\r\n

zu Frage 4 und 5:

\r\n

Das Ministerium, LKV und LAEK haben sich nach diesem Prozess darauf geeinigt, dass das Ministerium verstärkt bei der Besetzung der offenen Bedarfsstellen hinzugezogen wird. Dabei konzentriert man sich auf die punktuelle Suche nach Lösungen für einzelne Herausforderungen. Somit kann kein fixer Anfangs- und Endpunkt eines «grossen Wurfes» genannt werden, sondern es wird in einer rollenden Planung dafür gesorgt, dass die Bevölkerung medizinisch adäquat versorgt wird.

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Open the editor to rearrange the colours, labels and order, and export.","voting_editor_show_counts","Show vote counts","voting_editor_show_percent","Show percentages","voting_editor_show_title","Show vote title","voting_editor_show_affair","Show affair title","voting_editor_show_body","Show body title","voting_editor_show_all_titles","Show all titles","voting_editor_show_party_band","Show parliament line","voting_editor_show_group_line","Show group line","voting_editor_transparent","speeches_title","speeches_loading","Searching speeches…","speech_person","Speaker","speech_body","Institution","speech_affair","speech_meeting","groups_title","no_groups","No groups found.","group_untitled","Untitled group","section_meetings","no_meetings","No recorded meetings.","view_all_meetings","View all meetings","meetings_title","meeting_untitled","meeting_upcoming","Upcoming","facet_time","When","facet_upcoming","facet_past","Past","group_abbreviation","Abbreviation","group_description","Description","group_official_record","Official page","group_contact","member_unknown","section_votings","interests_title","interest_details","Details","interest_person","Declared by","interest_body","Granting body","interest_role","interest_type","interest_group","interest_place","Place","interest_period","Period","meeting_details","meeting_type","meeting_state","meeting_number","meeting_location","Location","meeting_period","meeting_group","meeting_body","group_type","description","controls_search_placeholder_meetings","Search meetings …","controls_search_hint_meetings","Name, location or description","section_agendas","no_agendas","No agenda items.","view_all_agendas","View all agenda items","agenda_untitled","speech_speaker_unknown","video","doc_untitled","Document","doc_body","doc_affair","doc_meeting","doc_agenda","section_contributors","Contributors","no_contributors","No contributors.","view_all_contributors","View all contributors","sort_number","topics_title","Most-used words","topics_intro","The words this person uses most across their speeches, with common filler words removed. 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Widen the range.","loyalty_chart_alt","Dissent rate of each member, coloured by party.","loyalty_col_member","loyalty_col_party","loyalty_col_group","loyalty_col_ballots","loyalty_col_dissents","Against","loyalty_col_rate","Dissent","loyalty_from","loyalty_to","loyalty_scale","Scale","loyalty_scale_log","Log","loyalty_scale_linear","Linear","cohesion_title","Group cohesion","cohesion_hint","mean Agreement Index (1 = unanimous)","section_alignment","Voting alignment","no_alignment","Not enough shared votes to compare.","view_all_alignment","View full alignment","sort_agreement","Agreement","sort_shared","Shared votes","facet_min_shared","Min. shared","min_shared_10","≥ 10","min_shared_20","≥ 20","min_shared_50","≥ 50","min_shared_100","≥ 100","section_body_alignment","body_alignment_subtitle","How members of this chamber vote relative to one another, from the votes they have in common. In the map, members who vote alike sit close together and opponents far apart. Colours are parties, so blocs and coalitions show up as clusters. The grid gives the average agreement between each pair of parties (the diagonal is each party's own internal cohesion).","alignment_from","alignment_to","alignment_view","View","alignment_view_scatter","Map","alignment_view_heatmap","Party grid","alignment_empty","Not enough votes in this window to build the model.","alignment_window_note","Most meaningful within a single legislative period: the model compares members from the votes they have in common. If the window spans an election or a change in composition, members with different terms barely overlap and positions become less comparable.","alignment_no_parties","No party groups to compare in this window.","alignment_scatter_alt","Members placed by voting similarity","alignment_pairs","pairs","alignment_heatmap_caption","Each cell is the average agreement between members of the two parties (diagonal = a party's internal cohesion). ± is the 95% confidence range and n the number of member-pairs behind it. A small range over many pairs means the alignment is well-established; a wide range means it's only suggestive.","alignment_members_heading","Members","alignment_col_member","alignment_col_party","alignment_col_votes","alignment_col_chamber","Aligns with chamber","alignment_col_party_align","Within party","alignment_zoom_in","Zoom in","alignment_zoom_out","Zoom out","alignment_zoom_reset","Reset zoom","alignment_filters","Filters","section_lobby","Lobby network","lobby_subtitle","The organizations members of this chamber declare in their register of interests, and where those ties overlap. In the network, members are dots (coloured by party) and organizations shared by two or more members are squares. Members who share the same organizations pull together. The breakdown shows how many mandates are paid versus unpaid, and who holds the most.","lobby_empty","No declared interests for this chamber in this window.","lobby_no_shared","No organizations are shared by two or more members here. See the breakdown.","lobby_network_alt","Members and the organizations they share","lobby_mandates","mandates","lobby_members_tied","members","lobby_unknown","Unknown","lobby_org_node","Organization","lobby_payment_heading","Paid vs unpaid mandates","lobby_top_orgs","Most-shared organizations","lobby_top_members","Members by mandates","discussion_title","Speech profiles","discussion_intro","Where members sit on a latent axis derived purely from the words they use in their speeches (Wordfish scaling).","discussion_calculating","Scaling speeches…","lobby_calculating","Computing lobby network…","discussion_error","The speech scaling could not be computed.","discussion_converged","Model converged","discussion_not_converged","Model did not fully converge. Read positions with extra caution.","discussion_members_scored","Members scored","discussion_vocab","Vocabulary","discussion_window","Window","discussion_show_all","discussion_show_reliable","Reliable only","discussion_methodology","How this is computed","discussion_range_label","Time range","discussion_range_1y","1 year","discussion_range_2y","2 years","discussion_range_4y","4 years","discussion_range_8y","8 years","discussion_plot_alt","Members placed along a word-choice axis","discussion_plot_caption","Each dot is one member, placed by the words they use in their speeches. Members who reach for the same distinctive words sit close together; members who talk very differently sit far apart. So a member's spot isn't assigned by us; it comes out of how they actually speak. For example, someone who keeps saying “tax”, “budget” and “spending” lands far from someone who mostly says “asylum”, “border” and “integration”. Hover any dot for its details. Filled dots have enough speech to place reliably; hollow rings spoke too little, so read their position with caution.","discussion_empty","No speeches are available for this parliament, so its members can't be placed on the axis. This scaling reads the words members actually speak, and the data set only holds speech transcripts for a few parliaments: the federal chambers and a handful of cantons such as Bern, Basel-Stadt or St. Gallen. You can also try a longer time range above.","discussion_empty_sparse","There is too little speech transcript text for this parliament to place its members on the axis. Try a longer time range above.","discussion_pole_a","One pole","discussion_pole_b","Other pole","discussion_col_party","discussion_key_filled","Enough text (reliable)","discussion_key_ring","Below the word floor (low confidence)","discussion_align_title","Does the axis track party?","discussion_align_hint","How much of the spread in positions is explained by party membership (η²): 100% = parties are perfectly separated, ~0% = party tells you nothing.","discussion_align_strong","parties are clearly separated","discussion_align_moderate","parties are partly separated","discussion_align_weak","party barely explains the axis","discussion_poles_title","What the axis is made of","discussion_poles_hint","The words that most pull members towards each pole. The axis only means something once you read these. Its direction is arbitrary.","discussion_no_party","No party","discussion_col_name","discussion_col_position","Position","discussion_col_words","Words","discussion_col_speeches","discussion_low_confidence","low confidence","discussion_table_title","discussion_read_title","How to read this","discussion_read_direction","The axis direction is arbitrary: Wordfish finds the split, not which side is “left” or “right”. Read the word poles to see what each side means.","discussion_read_uncertainty","Positions are standardized, so the spread is a convention, not a real distance. Wider error bars (and hollow dots) mean less certainty, so don't over-read those members.","discussion_read_confound","Speech style reflects role as much as ideology: committee chairs, ministers and frequent speakers can land at a pole because of what they do, not only what they believe.","organizations_title","organizations_none","No organizations.","org_members","org_mandates","org_bodies","org_members_heading","org_no_members","No members.","org_col_member","org_col_party","org_col_body","org_col_role","org_col_payment","Payment","org_col_period","sort_members","sort_mandates","Mandates","interest_unknown","lobby_panel_person","Declared organizations","lobby_panel_org","Members with this mandate","lobby_table_heading","Who is tied to what","lobby_table_explain","The full matrix marks every member against every shared organization: one dot per declared tie, the exhaustive view of who is tied to what.","lobby_table_large","For this chamber that is","lobby_table_cells","cells","lobby_table_show","Show table","lobby_select_hint","Select a member or organization to see its ties.","close","not_found_person","Person not found","not_found_body","Parliament not found","not_found_affair","Affair not found","not_found_group","Committee or group not found","not_found_voting","Voting not found","not_found_meeting","Meeting not found","not_found_interest","Interest not found","not_found_organization","Organization not found","not_found_text","Text not found","not_found_doc","Document not found","not_found_speech","Speech not found","not_found_hint","There is no entry with the ID {id}. It may have been removed, or the link may be outdated.","not_found_back","Back to the overview","about","About","faq","FAQ","section_title","section_title_bodies","section_title_affairs","section_title_votings","section_title_texts","section_title_docs","section_subtitle_search","section_subtitle_discussion",{"_1553":1554,"_1570":723,"_1571":1572,"_1573":1574,"_1575":896,"_1274":485,"_1254":285,"_19":489,"_1576":492,"_1559":295,"_1577":1578,"_1579":694,"_1372":245,"_102":255,"_1556":397,"_107":265,"_104":495,"_109":275,"_1580":1006,"_1581":1193,"_1582":1229,"_1583":1193,"_1584":1585,"_1586":1193,"_1587":1588,"_1589":485,"_1590":662,"_1591":1193,"_1592":1574,"_1593":489,"_1560":364,"_1594":1595,"_1192":1193,"_1596":602,"_1205":1193,"_100":500,"_1597":1400,"_1598":1266,"_1599":1300,"_1600":1578,"_1601":1384,"_1561":305,"_1602":1376,"_1603":1193},"section_switcher",{"_1551":1552,"_1553":1554,"_1555":245,"_98":441,"_102":255,"_1556":397,"_1557":331,"_1254":285,"_109":275,"_1558":265,"_1559":295,"_1560":364,"_1561":305,"_1562":1563,"_1564":1565,"_1566":1567,"_1568":1569},"section_title_speeches","section_title_groups","section_title_interests","section_title_meetings","section_title_organizations","label_section","Section","home","Home","people","affairs","groups","documents","interests","meetings","organizations","group_parliament","Actors","group_proceedings","Proceedings","group_records","Records","group_lobbying","Lobbying","search","eyebrow","Data on {{name}}","overview","Overview","personal_data","memberships","access_badges","Lobby","images","texts_overview","text_details","docs_overview","doc_details","votings_overview","Voting","voting_details","voting_diagram","Diagram","voting_tally","speeches_overview","speech_details","groups_overview","contributions","interests_overview","Interest","meetings_overview","vocabulary","loyalty","alignment","lobby","discussion","organizations_overview","org_details",{"_1647":1648,"_1649":1650,"_1605":1651,"_196":1652},"intro",{"_1607":1608,"_1609":1610,"_1611":1612,"_1613":1614,"_1615":1616},"en",{"_1617":1642,"_1619":1643,"_1621":1644,"_1623":1645,"_1625":1646},"de",{"_1617":1637,"_1619":1638,"_1621":1639,"_1623":1640,"_1625":1641},"fr",{"_1617":1632,"_1619":1633,"_1621":1634,"_1623":1635,"_1625":1636},"it",{"_1617":1627,"_1619":1628,"_1621":1629,"_1623":1630,"_1625":1631},"es",{"_1617":1618,"_1619":1620,"_1621":1622,"_1623":1624,"_1625":1626},"cookie","Solo utilizamos cookies esenciales y funcionales. Sin análisis, sin seguimiento.","dataLang","Suiza tiene cuatro lenguas nacionales, y estos datos existen en varias de ellas. Algunos registros están en varias lenguas, otros en una sola. Puede elegir en qué idioma se muestra el contenido; cuando su elección no está disponible para un registro, se utilizan las demás lenguas en un orden de prioridad fijo. Esto es independiente del idioma de la interfaz. Configúrelo en Ajustes › Idioma del contenido (arriba a la derecha).","alt","Esta página también está disponible en español.","switch","Ver en español","dismiss","No volver a mostrar","Utilizziamo solo cookie essenziali e funzionali. Nessuna analisi, nessun tracciamento.","La Svizzera ha quattro lingue nazionali e questi dati esistono in diverse di esse. Alcune voci sono in più lingue, altre in una sola. Puoi scegliere in quale lingua mostrare i contenuti; se la tua scelta non è disponibile per una voce, vengono usate le altre lingue secondo un ordine di priorità prestabilito. Questo è indipendente dalla lingua dell'interfaccia. Impostabile in Impostazioni › Lingua del contenuto (in alto a destra).","Questa pagina è disponibile anche in italiano.","Vedi in italiano","Non mostrare più","Nous utilisons uniquement des cookies essentiels et fonctionnels. Aucune analyse, aucun suivi.","La Suisse a quatre langues nationales, et ces données existent dans plusieurs d'entre elles. Certaines entrées sont en plusieurs langues, d'autres dans une seule. Vous pouvez choisir la langue d'affichage du contenu ; si votre choix n'est pas disponible pour une entrée, les autres langues sont utilisées selon un ordre de priorité défini. Ceci est indépendant de la langue de l'interface. Réglable dans Paramètres › Langue du contenu (en haut à droite).","Cette page est aussi disponible en français.","Voir en français","Ne plus afficher","Wir verwenden nur essenzielle, funktionale Cookies. Keine Analyse, kein Tracking.","Die Schweiz hat vier Landessprachen, und diese Daten liegen in mehreren davon vor. Manche Einträge sind mehrsprachig, andere nur in einer Sprache. Sie können wählen, in welcher Sprache die Inhalte angezeigt werden; ist Ihre Wahl für einen Eintrag nicht verfügbar, werden die übrigen Sprachen in einer festen Prioritätsreihenfolge verwendet. Dies ist unabhängig von der Oberflächensprache. Einstellbar unter Einstellungen › Inhaltssprache (oben rechts).","Diese Seite ist auch auf Deutsch verfügbar.","Auf Deutsch anzeigen","Nicht mehr anzeigen","We use only essential, functional cookies. No analytics, no tracking.","Switzerland has four national languages, and this data comes in several of them. Some records are in multiple languages, some in only one. You can choose which language the content is shown in; when your choice isn't available for a record, the remaining languages are used in a set priority order. This is independent of the interface language. Set it under Settings › Content language (top right).","This page is also available in English.","View in English","Don't show again","settings",{"_1689":1690,"_1691":1692,"_1693":1057,"_1694":1695,"_1696":1059,"_1697":1061,"_1698":1699,"_1700":1701,"_1702":1703,"_1704":1705,"_1706":1707,"_550":551,"_1708":1709,"_1710":1711,"_1712":1713,"_1714":1715,"_1716":1717},"nav",{"_1553":1661,"_1662":600,"_1663":1664,"_1665":1666,"_1562":1563,"_1564":1565,"_1566":1567,"_1568":1569,"_1555":245,"_98":441,"_1557":331,"_1556":397,"_102":255,"_1560":364,"_1254":285,"_109":275,"_1558":265,"_1559":295,"_1561":305,"_1667":1654,"_1668":1669,"_1531":1532,"_1670":1671,"_1533":1534,"_1672":1673,"_1674":1675,"_1676":1677,"_1678":1679,"_1680":1681,"_1682":1658,"_1683":1684,"_1685":1686,"_1687":1688},{"_1617":1642,"_1619":1643,"_1621":1644,"_1623":1645,"_1625":1646},{"_1653":1654,"_1655":1656,"_1657":1658,"_1659":1660},"project.title","Project","project.desc","About parlhub: what the portal is, answers to common questions, and how the data fits together.","experiments.title","Experiments","experiments.desc","Experimental analyses and methodology showcases on parlhub, including the Wordfish scaling of parliaments from their speeches.","parlhub home","explore","start","Start here","start_desc","Quicklinks to chambers, cantons and communes","project","project_desc","The project at a glance","about_desc","What parlhub is and who is behind it","faq_desc","Answers to common questions","data_guide","Data guide","data_guide_desc","Every kind of data, in plain terms, with examples","data_map","Data map","data_map_desc","How the data fits together, at a glance","experiments","experiments_desc","Experimental analyses and methodology write-ups","wordfish","Wordfish scaling","wordfish_desc","Placing members on an axis by the words in their speeches","menu_label","Settings","appearance","Appearance","theme","theme_system","System","theme_light","theme_dark","font_size","Font size","font_size_decrease","Decrease font size","font_size_increase","Increase font size","high_contrast","High contrast","grayscale","Grayscale","interface_language","Interface","content_language","Content language","content_language_auto","Auto (follow interface)","content_language_note","Language of the displayed data (names, titles, texts). Independent of the interface; when a record isn't available, the next language is used.","content_language_priority","Priority",{"_1693":1719,"_1698":1720,"_1721":154,"_1722":148,"_1723":148,"_1724":154,"_1725":-5},"system",100,"show_cookie_consent_message","ui_high_contrast","ui_grayscale","msg_lang_hint","content_lang"]