Titre
Integrated care in Switzerland: Results from the first nationwide survey.
Type
article
Institution
UNIL/CHUV/Unisanté + institutions partenaires
Auteur(s)
Schusselé Filliettaz, S.
Auteure/Auteur
Berchtold, P.
Auteure/Auteur
Kohler, D.
Auteure/Auteur
Peytremann-Bridevaux, I.
Auteure/Auteur
Liens vers les personnes
Liens vers les unités
ISSN
1872-6054
Statut éditorial
Publié
Date de publication
2018-06
Volume
122
Numéro
6
Première page
568
Dernière page/numéro d’article
576
Peer-reviewed
Oui
Langue
anglais
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
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.
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.
PID Serval
serval:BIB_9A92F0716F8D
PMID
Open Access
Oui
Date de création
2018-04-19T17:25:18.895Z
Date de création dans IRIS
2025-05-21T02:13:38Z
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Nom
SchusseleFilliettaz_et_al_2018_03_HealthPolicy.pdf
Version du manuscrit
postprint
Taille
612.63 KB
Format
Adobe PDF
PID Serval
serval:BIB_9A92F0716F8D.P001
URN
urn:nbn:ch:serval-BIB_9A92F0716F8D0
Somme de contrôle
(MD5):246772639345850e4ea6eac232954609