Séverine Schusselé Filliettaz1, Peter Berchtold2, Dimitri Kohler3, Isabelle Peytremann-Bridevaux4. 1. Institute of Social and Preventive Medicine (Lausanne University Hospital & University of Lausanne), Route de la Corniche 10, CH-1010 Lausanne, Switzerland; Forum Managed Care (FMC), Zugerstrasse 193, CH-6314 Neuägeri, Switzerland. Electronic address: severine.schussele@fmc.ch. 2. Forum Managed Care (FMC), Zugerstrasse 193, CH-6314 Neuägeri, Switzerland. Electronic address: peter.berchtold@fmc.ch. 3. Swiss Health Observatory (OBSAN) (former employer), Espace de l'Europe 10, CH-2010 Neuchâtel, Switzerland. Electronic address: dimitri.kohler@gmail.com. 4. Institute of Social and Preventive Medicine (Lausanne University Hospital & University of Lausanne), Route de la Corniche 10, CH-1010 Lausanne, Switzerland. Electronic address: isabelle.peytremann-bridevaux@chuv.ch.
Abstract
INTRODUCTION: 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. METHODS: 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. RESULTS: 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. DISCUSSION: 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.
INTRODUCTION: 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. METHODS: 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. RESULTS: 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. DISCUSSION: 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.
Authors: Ingrid Gilles; Séverine Schusselé Filliettaz; Peter Berchtold; Isabelle Peytremann-Bridevaux Journal: Int J Integr Care Date: 2020-03-18 Impact factor: 5.120
Authors: Natascha Schuetz Haemmerli; Liliane Stoffel; Kai-Uwe Schmitt; Jeannine Khan; Tilman Humpl; Mathias Nelle; Eva Cignacco Journal: Int J Environ Res Public Health Date: 2022-04-04 Impact factor: 3.390