Integrated care in Switzerland: Results from the first nationwide survey

Filliettaz, Séverine Schusselé; Berchtold, Peter; Kohler, Dimitri; Peytremann‐Bridevaux, Isabelle

doi:10.1016/j.healthpol.2018.03.006

Cited by 35 publications

(33 citation statements)

References 36 publications

(45 reference statements)

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“…In this cross-sectional study, we conducted secondary analyses of self-reported data from the Swiss Survey of Integrated Care (SSIC) [40]. Conducted between July 2015 and July 2016, its aim was to characterize Swiss integrated care initiatives meeting four eligibility criteria: (i) formalization of integrated care principles; (ii) integration of at least two levels of healthcare services (e.g.…”

Section: Study Design and Datamentioning

confidence: 99%

“…Responses from nine initiatives were subsequently removed because they were sub-programs of already included initiatives or because they did not target patients. Characteristics of the 153 initiatives included in our analyses are described in detail elsewhere [40].…”

Section: Sample Characteristicsmentioning

confidence: 99%

“…While interpreting these results, the following limitations need to be considered. First, the operational definition of integrated care used here may be discussed [40]. Nevertheless, it was developed after gathering criterion from the literature and discussing with integrated care experts.…”

Section: Predictormentioning

confidence: 99%

See 2 more Smart Citations

Financial Barriers Decrease Benefits of Interprofessional Collaboration within Integrated Care Programs: Results of a Nationwide Survey

Gilles

Filliettaz²,

Berchtold³

et al. 2020

Int J Integr Care

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Introduction: Interprofessional collaboration (IPC) is a key ingredient of integrated care. Nevertheless, IPC benefits remain unclear and its implementation within integrated care initiatives is not straightforward. In this study, we first explored whether IPC was associated with organisational and patient care improvements in Swiss integrated care initiatives; we then investigated the effect of various barriers faced by these initiatives, on these associations. Methods: Self-reported data from 153 integrated care initiatives included in the Swiss Integrated Care Survey was used. We conducted moderated mediation analyses in which patient care improvements were the outcome, the degree of IPC implementation was the predictor, organisational improvements were the mediator, and professional, patient and financial barriers to integrated care, the moderators. Results: IPC implementation within integrated care was associated with organisational improvements, which in turn were associated with patient care improvements; this path no longer existed when financial barriers to integrated care were considered. Conclusion: Organisational improvements should be considered a priority when implementing IPC within integrated care initiatives since patient care improvements due to IPC can be expected mainly when organisational aspects are improved. More importantly, the role of financial barriers should be acknowledged, and actions taken to reduce their impact on integrated care.

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Section: Study Design and Datamentioning

confidence: 99%

Section: Sample Characteristicsmentioning

confidence: 99%

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Financial Barriers Decrease Benefits of Interprofessional Collaboration within Integrated Care Programs: Results of a Nationwide Survey

Gilles

Filliettaz²,

Berchtold³

et al. 2020

Int J Integr Care

Self Cite

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“…At the beginning of the 21 st century, the World Health Organization (WHO) has advocated that countries should promote the development of integrated care and enhance the coordination ability of health service supply. At present, the transition from uncoordinated healthcare systems to integrated healthcare systems is a relatively popular trend in many countries [7][8][9][10].…”

Section: Introductionmentioning

confidence: 99%

Selection of Policy Instruments on Integrated Care in China: Based on Documents Content Analysis

Xin

Liu

2020

IJERPH

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Facing the aggravating trend of an aging population and a fragmented medical service delivery system, the Chinese Central Government has introduced a series of policies to promote the development of integrated care against the background of the “Healthy China Strategy”. The achievement of integrated care depends on the choice of policy instruments. However, few studies have focused on how policy instruments promote the practice of integrated care in China. This article aims to obtain a deeper understanding of the use of policy instruments in the development of integrated care in China. Policy documents are the carriers of policy instruments. National-level integrated care policy documents from 2009 to 2019 were selected. Using the qualitative document analysis method, this paper conducts an analysis of integrated care policy instruments. In order to comprehensively view the integrated care policy instruments, a three-dimensional analytical framework consisting of the policy instruments dimension, stakeholders dimension, and health service supply chains dimension is proposed. The results are as follows. (1) From the perspective of policy instruments, the integrated care policy has adopted supply-side policy instruments, demand-side policy instruments, and environmental policy instruments. Among the three types of policy instruments, environmental policy instruments are used most frequently, supply-side policies are preferred, while demand-side policy instruments are relatively inadequate. (2) As for the stakeholders dimension, the central policy instruments focus on the health service providers, while less attention is paid to the health service demanders. (3) In terms of health service supply chains, the number of policy instruments used in the prevention stage is the highest, followed by the treatment stage, whereas less attention paid to the rehabilitation stage. Finally, suggestions were made for the development of integrated care by better perfecting policy instruments.

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“…The case study shows how the region has coped with these challenges by transforming fragmented service delivery into a population health system spanning multiple providers and sectors. The system is organised around the Healthcare Centre Lower Engadin and considered as one of the pioneering population health systems in Switzerland [101112]. …”

Section: Introductionmentioning

confidence: 99%

Preserving Care Delivery in Hard-to-Serve Regions: A Case Study of a Population Health System in the Swiss Lower Engadin

Mitterlechner

Hollfelder

Koppenberg

2018

International Journal of Integrated Care

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Introduction:Many countries report difficulties in preserving access to care in rural areas. This paper examines how hard-to-serve regions sustain care provision by transforming service delivery into population health systems.Theory and methods:The paper builds on theory on care delivery in hard-to-serve regions. It presents a qualitative case study from the Lower Engadin, a rural high mountain valley in the Swiss Alps. Data sources include semi-structured interviews, participant observations, and documents. Data are analysed using recent conceptual research on population health systems.Results:The case study illustrates how politicians and providers in the Lower Engadin resolved a care crisis and preserved access to care by forming a population health system. The system is organised around the Healthcare Centre Lower Engadin. Citizen-centred interventions target an aging population and include health promotion and prevention programs as well as case management based on an ambulatory-before-inpatient care strategy.Conclusion:Hard-to-serve regions like the Lower Engadin preserve access to care by reorganising service delivery towards population health systems. The paper contributes to research on population health systems and care provision in rural areas.

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Integrated care in Switzerland: Results from the first nationwide survey

Cited by 35 publications

References 36 publications

Financial Barriers Decrease Benefits of Interprofessional Collaboration within Integrated Care Programs: Results of a Nationwide Survey

Financial Barriers Decrease Benefits of Interprofessional Collaboration within Integrated Care Programs: Results of a Nationwide Survey

Selection of Policy Instruments on Integrated Care in China: Based on Documents Content Analysis

Preserving Care Delivery in Hard-to-Serve Regions: A Case Study of a Population Health System in the Swiss Lower Engadin

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