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

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State: Public
Version: Author's accepted manuscript
Serval ID
serval:BIB_9A92F0716F8D
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Integrated care in Switzerland: Results from the first nationwide survey.
Journal
Health policy
Author(s)
Schusselé Filliettaz S., Berchtold P., Kohler D., Peytremann-Bridevaux I.
ISSN
1872-6054 (Electronic)
ISSN-L
0168-8510
Publication state
Published
Issued date
06/2018
Peer-reviewed
Oui
Volume
122
Number
6
Pages
568-576
Language
english
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
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.
Keywords
Delivery of Health Care, Integrated/economics, Delivery of Health Care, Integrated/methods, Health Personnel/organization & administration, Health Plan Implementation, Health Policy, Humans, Multilingualism, Surveys and Questionnaires, Switzerland
Pubmed
Web of science
Open Access
Yes
Create date
19/04/2018 19:25
Last modification date
20/08/2019 16:01
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