Integrated care in Switzerland: Results from the first nationwide survey.

TitreIntegrated care in Switzerland: Results from the first nationwide survey.
Publication TypeJournal Article
Year of Publication2018
AuthorsFilliettaz, SSchusselé, Berchtold, P, Kohler, D, Peytremann-Bridevaux, I
JournalHealth Policy
Volume122
Issue6
Pagination568-576
Date Published06/2018
DOI10.1016/j.healthpol.2018.03.006
ISSN1872-6054
Mots-clésDelivery of Health Care, Health Personnel/organization & administration, Health Plan Implementation, Health Policy, Humans, Integrated/economics, Integrated/methods, Multilingualism, Surveys and Questionnaires, Switzerland
Abstract

Due to fragmentation of care delivery, health systems are under pressure and integrated care is advocated for. Compared to the numerous existing integrated care initiatives in Europe and elsewhere, Switzerland seems to lag behind.
The objective of the survey was to produce a comprehensive overview of integrated care initiatives in Switzerland. To be included, initiatives needed to meet four criteria: present some type of formalization, consider >2 different groups of healthcare professionals, integrate >2 healthcare levels, be ongoing. We systematically contacted major health system organizations at federal, cantonal and local level. Between 2015 and 2016, we identified 172 integrated care initiatives and sent them a questionnaire. We performed descriptive analyses.
Integrated care initiatives in Switzerland are frequent and increasing. The implementation of initiatives over time, their distribution between linguistic areas, the number of healthcare levels integrated, and the number of professionals involved vary according to the type of initiatives.
Despite Switzerland's federalist structure and organization of healthcare, and only recent incentives to develop integrated care, initiatives are frequent and diverse. Stakeholders should support existing initiatives and facilitate their development. They should also promote innovative avenues, experiment alternative payment models for integrated care, foster people-centeredness and incentivize interprofessional models. This will require systems thinking and contributions from all actors of the healthcare system.

Alternate URL

http://www.ncbi.nlm.nih.gov/pubmed/29650245?dopt=Abstract

First publication date (online)

03/2018

WOS ID (UT)

000438479000002

Alternate JournalHealth Policy
Citation Key / SERVAL ID8817
Peer reviewRefereed
PubMed ID29650245

                         

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