I'm not sure how to begin a review of AKH... As an English speaker whose German is not the best, and someone unaccustomed to universal healthcare (the good and bad parts about it), I think I can offer a unique perspective on this hospital. (Summation at the very bottom!)
1. For the most part, I've found the personnel at AKH to be friendly, that is, patient with my poor German (and offering to switch to English when it was obvious that I was struggling!), and compassionate. I'm including not only doctors and nurses when I talk about personnel, but also general staff members (e.g., at intake/registration).
It is my understanding that most personnel at AKH (nurses and doctors) speak some English, and if you encounter someone who doesn't, they can and will bring in someone who does. (I haven't encountered this problem: I've either made do with my German, or the personnel with whom I've interacted have spoken English well enough.)
2. AKH is a ridiculously enormous hospital, physically and organizationally (so many departments!); however, I haven't found myself lost in the shuffle.. Quite the contrary! Since they have an entire department devoted to the treatment/management of endometriosis, for example (more than one department, in fact, depending on whether or not you are trying to conceive, etc), I have been able to seek help related to my specific gynecological problem (that is, endometriosis), and thus have physicians attend to me who are highly specialized in this particular field of gynecology.
I think this is a good example of the merits of AKH: you are able to get "specialized specialist" help - not just see a specialist, but see a specialist who specializes in treating your specific condition. (I know there isn't a department for every single disease/condition, but there are MANY sub-departments (and sub-sub-departments), which I see as a huge advantage for any such institution, be it as large as AKH or a smaller hospital).
3. Initially the "Ambulanz" system was strange to me: I didn't understand if it was customary to present to the equivalent of an ER for something that seemed to me "routine" (/with a doctor's order or referral); however, I have since learned that you can make an appointment with the different departments at AKH, and thus minimize your waiting time.
4. For any non-German speakers intimidated by the idea of going to the ER in Vienna (I know I was, and I avoided it "more so" than I normally would, if that makes any sense):
(a) You need only present your e-card and identification. I'm not sure about the system for tourists (/people without e-cards), but I wouldn't worry too much about it. Instead, if you're in Vienna and you need a hospital, AKH is where you should go, because you will be able to find someone who speaks English (or any other "major"/popular language - they'll bring in someone to translate.)
(b) Apparently you do not pay anything when you go to the ER (or to call an ambulance! How different from the States is that?!). No matter what type of insurance you have in Austria (BVA, WGKK), you can present to any Ambulanz department (at any hospital) without being charged for it.
I'm providing this info so that others who feel the need to go to the hospital don't delay treatment because they aren't sure what the system is like; in the U.S. I know it's ridiculously expensive to go to the ER/hospital for any reason, but here it's not like that, at all!
5. Because of 4(b) above, wait times at the ER ("Ambulanz") can be really long (same as the ER in the U.S.) - so bring a book or iPad or something. However, if you need immediate medical attention, make it clear that you need immediate medical attention, and you will be seen pretty quickly. When I first presented for what I thought was appendicitis, it was taking a while to be seen, but when my fiancé caught a nurse and told her it (seemed) pretty urgent, I was seen immediately, and before you knew it, I was "in the system" and rushed to the GI department for evaluation.
---
All in all, I'm impressed with the level of care I've received at AKH, and I'm impressed with the organization and the many, many specialties and sub-specialties they offer (for emergency and "routine" care). I find it to be surprisingly and refreshingly not so bureaucratic (not so Austrian!).
If you have an emergency, it's a great institution because of the languages available for communication, as well as the specialized departments, although depending on the urgency of your emergency, you might encounter long wait times (just as in the U.S.).. I highly recommend making an appointment for non-emergencies, unless you can't get an appointment "soon enough" for what you want. read more