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

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Redesigning Primary Care in Switzerland: How to Get Primary Care Doctors on Board? mas Zeltner fessor of Public Health, University of Bern, Switzerland. mer Secretary of Health of Switzerland (1991-2009) Commonwealth Fund International Survey Webinar, February 5, 2013

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Redesigning Primary Care in Switzerland: How to Get Primary Care Doctors on Board?. Commonwealth Fund International Survey Webinar, February 5, 2013. Thomas Zeltner Professor of Public Health, University of Bern, Switzerland. Former Secretary of Health of Switzerland (1991-2009). - PowerPoint PPT Presentation

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Page 1: 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

Page 2: Redesigning Primary Care in Switzerland: How to Get Primary Care Doctors on Board?

GovernmentRegulator

GovernmentRegulator

Citizen,Customer,

Patient

Citizen,Customer,

Patient

Health ServiceProvider

Health ServiceProvider

HealthInsuranceCompany

HealthInsuranceCompany

The Regulated Market Model of Switzerland

Page 3: Redesigning Primary Care in Switzerland: How to Get Primary Care Doctors on Board?

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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

Page 4: Redesigning Primary Care in Switzerland: How to Get Primary Care Doctors on Board?

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

Page 5: Redesigning Primary Care in Switzerland: How to Get Primary Care Doctors on Board?

< 1/3 mile

< 3 miles

Specific Aspects of the Swiss Health Care Systems

Page 6: Redesigning Primary Care in Switzerland: How to Get Primary Care Doctors on Board?

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

Page 7: Redesigning Primary Care in Switzerland: How to Get Primary Care Doctors on Board?

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

Page 8: Redesigning Primary Care in Switzerland: How to Get Primary Care Doctors on Board?

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

Age

grou

ps

Page 9: Redesigning Primary Care in Switzerland: How to Get Primary Care Doctors on Board?

DoctoDocto

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

Page 10: Redesigning Primary Care in Switzerland: How to Get Primary Care Doctors on Board?

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:

Page 11: Redesigning Primary Care in Switzerland: How to Get Primary Care Doctors on Board?

…RUN THEIR OWN LABORATORIES !

Page 12: Redesigning Primary Care in Switzerland: How to Get Primary Care Doctors on Board?
Page 13: Redesigning Primary Care in Switzerland: How to Get Primary Care Doctors on Board?

“016“015“016“015

Popular Referendum “YES FOR FAMILY DOCTORS”

2014

Page 14: Redesigning Primary Care in Switzerland: How to Get Primary Care Doctors on Board?

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

Page 15: Redesigning Primary Care in Switzerland: How to Get Primary Care Doctors on Board?

THANK YOU!