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

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Ressource 1Télécharger: SchusseleFilliettaz_et_al_2018_03_HealthPolicy.pdf (612.63 [Ko])
Etat: Serval
Version: Author's accepted manuscript
ID Serval
serval:BIB_9A92F0716F8D
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Integrated care in Switzerland: Results from the first nationwide survey.
Périodique
Health policy
Auteur(s)
Schusselé Filliettaz S., Berchtold P., Kohler D., Peytremann-Bridevaux I.
ISSN
1872-6054 (Electronic)
ISSN-L
0168-8510
Statut éditorial
Publié
Date de publication
06/2018
Peer-reviewed
Oui
Volume
122
Numéro
6
Pages
568-576
Langue
anglais
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Résumé
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.
Mots-clé
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
Oui
Création de la notice
19/04/2018 19:25
Dernière modification de la notice
08/05/2019 22:34
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