Continuity and coordination of care in primary care in Switzerland: variations according to the linguistic regions

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State: Public
Version: After imprimatur
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Serval ID
serval:BIB_DD705D9C7455
Type
A Master's thesis.
Publication sub-type
Master (thesis) (master)
Collection
Publications
Institution
Title
Continuity and coordination of care in primary care in Switzerland: variations according to the linguistic regions
Author(s)
HORISBERGER G.
Director(s)
SENN N.
Codirector(s)
COHIDON Ch.
Institution details
Université de Lausanne, Faculté de biologie et médecine
Publication state
Accepted
Issued date
2019
Language
english
Number of pages
16
Abstract
Switzerland is a multicultural country, with 4 official languages. Its health system is quite uniform in terms of general regulation and teaching of physicians. However, differences are frequently observed between the linguistic regions, even when considering other possibly confounding factors. Data from 1065 general practitioners (GPs) on continuity and coordination of care from the International Health Policy Survey by the Commonwealth Fund, are analysed in this research. We described 42 selected questions and searched for differences between the French-speaking and German-speaking areas. Of these questions, 17 were selected for deeper analysis to observe association with language while considering socio-demographic factors (age, sex, rurality and type of practice). The results show significant differences in more than half of the 42 first selected questions between linguistic areas, favouring continuity and use of computerized system in the German-speaking region, and favouring better coordination in the French-speaking region. When applying the multivariate analysis on the 17 selected questions, it showed consistency with the first results even after considering socio-demographic factors. These differences can be due to a different culture between the language areas, but we found other factors that could possibly explain some of the variation. These factors include propharmacy that is only present in some German-speaking administrative divisions (cantons), managed care that is more present in the German-speaking area, patient experience, attitude of GPs towards prevention and some aspects of integrated care. Linguistic regions’ variation is a subject that needs deeper investigation, and might be a socio-demographic factor to include in further studies in Switzerland.
Keywords
Continuity, coordination, primary care, language, culture
Create date
03/09/2020 16:02
Last modification date
15/10/2020 6:26
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