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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Specific Aspects of the Swiss Health Care Systems:Part Time Employment of Medical Doctors (2011)
Working hours (as % of a full time employment)
Do
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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!
