redesigning primary care in switzerland: how to get primary care doctors on board?

Redesigning Primary Care in Switzerland: How to Get Primary

Care Doctors on Board?

Redesigning Primary Care in Switzerland: How to Get Primary

Care Doctors on Board?

Thomas ZeltnerProfessor of Public Health, University of Bern, Switzerland.Former Secretary of Health of Switzerland (1991-2009)

Commonwealth Fund International Survey Webinar, February 5, 2013

GovernmentRegulator

GovernmentRegulator

Citizen,Customer,

Patient

Citizen,Customer,

Patient

Health ServiceProvider

Health ServiceProvider

HealthInsuranceCompany

HealthInsuranceCompany

The Regulated Market Model of Switzerland

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Specific Aspects of the Swiss Health Care Systems:85% of the Population consult the Internet for Health Information (2011) NZZ am Sonntag, 29/012012

Specific Aspects of the Swiss Health Care Systems:Voluntary Gate Keeping (2012)

YES: 88%

NO: 11%

Question: Do you have a Family Doctor?(N = 6663)

No answer: 1%

Study by gfs Bern, October 2012

< 1/3 mile

< 3 miles

Specific Aspects of the Swiss Health Care Systems

Specific Aspects of the Swiss Health Care Systems:Distance to Next Primary Care Doctor (2012)

No answer: 1%

Question: How long does it take you to get to your primary care doctor?(N = 5889)

>60min: 1%31-60min: 5%

16-30min: 20%

11-15min: 17%

6-10min: 28%

< 5min: 28%

Study by gfs Bern, October 2012

Specific Aspects of the Swiss Health Care Systems:eHealth Literacy in the Medical Community Is Age Dependent

Specific Aspects of the Swiss Health Care Systems:Demography of Medical Doctors (2011)

Age

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ps

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Specific Aspects of the Swiss Health Care Systems:Part Time Employment of Medical Doctors (2011)

Working hours (as % of a full time employment)

Do

cto

rs in

%

Women Men

GPs and Specialists are allowed to(and are reimbursed by the social health insurance)

-Run their own laboratories-Dispense medications (in part of the country)-Offer methods of “complementary medicine”-Offer X-ray examinations

Specific Aspects of the Swiss Health Care Systems:

…RUN THEIR OWN LABORATORIES !

“016“015“016“015

Popular Referendum “YES FOR FAMILY DOCTORS”

2014

Challenges for the Future:Annual Growth Health Insurance Premiums/Capita

THANK YOU!