The Upper Austrian Red Cross offers with its Rescue- and Patient Transport System an important social service, which is taken up daily several hundred times in the most different situations and from the most diverse implications. Therefore the Red Cross is in upper Austria the largest offerer on this sector.In an international comparison this special range of capacity takes a privileged position. First only the few members of the International Red Cross and Red Half Moon Movement offer services like the Rescue- and Patient Transport Service. Austria generally, and upper Austria especially differ thereby from other countries. In the federal capital Vienna, the Red Cross offers a Rescue and Patient Transport Service, but is here however only one provider under many. It is incidental, that this range of capacity is carried elsewhere either by hospitals, state institutions or by private offerers, so the Red Cross faces a comparison on these providers, both in a national and in an international context. The integration of volunteers into this process represents a special case as well.This extraordinary position is worked out by means of organization-sociological view in an international comparison, whereby also the structure and the operating mode of the capacity range Rescue- and Patient Transport System are represented. Interdependences are described, which on the one hand side change the everyday picture of this capacity range, and on the other hand point out the high social relevance of this topic for the health system. Moreover, the relevant problems of the organization are lit up.From the collected data and facts representations are abstracted, which refer to concrete problem areas and point these out.