thomas zeltner professor of public health, university of bern, switzerland
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How to Improve Care for Patients with Complex Needs in the Framework of the Swiss Health Care System? . Commonwealth Fund International Survey Webinar January 11, 2012 . Thomas Zeltner Professor of Public Health, University of Bern, Switzerland. - PowerPoint PPT PresentationTRANSCRIPT
How to Improve Care for Patients with Complex Needs in the
Framework of the Swiss Health Care System?
Thomas ZeltnerProfessor of Public Health, University of Bern, Switzerland.Former Secretary of Health of Switzerland (1991-2009)
Commonwealth Fund International Survey Webinar January 11, 2012
GovernmentRegulator
Citizen,Customer
Patient
Health ServiceProvider
HealthInsuranceCompany
The Regulated Market Model of Switzerland
< 1/3 mile
< 3 miles
Specific Aspects of the Swiss Health Care Systems
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
Number of Hospitals in Switzerland (7.8 Mio Citizens):
General Hospitals 119Specialized Clinics 178TOTAL 297
Specific Aspects of the Swiss Health Care Systems
Challenges for the Future
Challenges for the Future:Density of General Practitioners
Health Insurance Plans in Switzerland (2010)
Gate Keeper Models (without Capitation)
Managed Care Models with Capitation
Models with Telemedicine
“Regular Insurance Plans”
Challenges for the Future:
Challenges for the Future:
35%
35%
20%
10%
Determinants of Health
Health BehaviorsSocioeconomic FactorsClinical CareGenetics
Challenges for the Future:
0
2
4
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16
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United StatesFranceSwitzerlandGermanyCanadaNetherlandsNew ZealandDenmarkSwedenUnited KingdomNorwayAustralia
Total expenditures on health as percent of GDP
Next Reforms of the Swiss Health Care System:
Strengthening the Position of General Practitioners (2009)
Integrated Care shall become “Regular Model of Care” (2012)
Strengthening Health Promotion/Disease Prevention (2012)
Introducing Disease Management Programs (2014)