Integrated Care in Switzerland: Strengths and Weaknesses of a Federal System

Introduction: Switzerland’s fragmented healthcare system mirrors its federal structure and mix of cultures and languages. Although the Swiss have a higher life expectancy than most of their neighbours, their healthcare system faces similar challenges that call for more integrated care (IC). Aim/Meth...

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Autores principales:	Séverine Schusselé Filliettaz, Peter Berchtold, Ursula Koch, Isabelle Peytremann-Bridevaux
Formato:	article
Lenguaje:	EN
Publicado:	Ubiquity Press 2021
Materias:	mesh switzerland integrated delivery systems healthcare systems political systems health policies Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/9f812f4797a046fa8c467f94374000b0
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spelling	oai:doaj.org-article:9f812f4797a046fa8c467f94374000b02021-11-08T08:08:08ZIntegrated Care in Switzerland: Strengths and Weaknesses of a Federal System1568-415610.5334/ijic.5668https://doaj.org/article/9f812f4797a046fa8c467f94374000b02021-10-01T00:00:00Zhttps://www.ijic.org/articles/5668https://doaj.org/toc/1568-4156Introduction: Switzerland’s fragmented healthcare system mirrors its federal structure and mix of cultures and languages. Although the Swiss have a higher life expectancy than most of their neighbours, their healthcare system faces similar challenges that call for more integrated care (IC). Aim/Method: This article aims to provide insight into the specificities of and latest developments in Switzerland’s healthcare system and how they may have influenced the development and implementation of IC there. Description/Discussion: The number of local IC initiatives has been growing steadily for 20 years. With a certain lag, various policies supporting IC have been established. Among them, a recent democratic debate on the federal mandatory health insurance law could either induce a radical move towards centralised support for IC or continue to support scattered local IC initiatives. Conclusion: In the future, Switzerland’s healthcare system will probably navigate between local IC initiatives and centralised, federal support for IC initiatives. This will be the reflection of a very Swiss way forward in a world without clear evidence on whether centralised or decentralised initiatives are more successful at developing IC.Séverine Schusselé FilliettazPeter BerchtoldUrsula KochIsabelle Peytremann-BridevauxUbiquity Pressarticlemeshswitzerlandintegrated delivery systemshealthcare systemspolitical systemshealth policiesMedicine (General)R5-920ENInternational Journal of Integrated Care, Vol 21, Iss S2 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	mesh switzerland integrated delivery systems healthcare systems political systems health policies Medicine (General) R5-920
spellingShingle	mesh switzerland integrated delivery systems healthcare systems political systems health policies Medicine (General) R5-920 Séverine Schusselé Filliettaz Peter Berchtold Ursula Koch Isabelle Peytremann-Bridevaux Integrated Care in Switzerland: Strengths and Weaknesses of a Federal System
description	Introduction: Switzerland’s fragmented healthcare system mirrors its federal structure and mix of cultures and languages. Although the Swiss have a higher life expectancy than most of their neighbours, their healthcare system faces similar challenges that call for more integrated care (IC). Aim/Method: This article aims to provide insight into the specificities of and latest developments in Switzerland’s healthcare system and how they may have influenced the development and implementation of IC there. Description/Discussion: The number of local IC initiatives has been growing steadily for 20 years. With a certain lag, various policies supporting IC have been established. Among them, a recent democratic debate on the federal mandatory health insurance law could either induce a radical move towards centralised support for IC or continue to support scattered local IC initiatives. Conclusion: In the future, Switzerland’s healthcare system will probably navigate between local IC initiatives and centralised, federal support for IC initiatives. This will be the reflection of a very Swiss way forward in a world without clear evidence on whether centralised or decentralised initiatives are more successful at developing IC.
format	article
author	Séverine Schusselé Filliettaz Peter Berchtold Ursula Koch Isabelle Peytremann-Bridevaux
author_facet	Séverine Schusselé Filliettaz Peter Berchtold Ursula Koch Isabelle Peytremann-Bridevaux
author_sort	Séverine Schusselé Filliettaz
title	Integrated Care in Switzerland: Strengths and Weaknesses of a Federal System
title_short	Integrated Care in Switzerland: Strengths and Weaknesses of a Federal System
title_full	Integrated Care in Switzerland: Strengths and Weaknesses of a Federal System
title_fullStr	Integrated Care in Switzerland: Strengths and Weaknesses of a Federal System
title_full_unstemmed	Integrated Care in Switzerland: Strengths and Weaknesses of a Federal System
title_sort	integrated care in switzerland: strengths and weaknesses of a federal system
publisher	Ubiquity Press
publishDate	2021
url	https://doaj.org/article/9f812f4797a046fa8c467f94374000b0
work_keys_str_mv	AT severineschusselefilliettaz integratedcareinswitzerlandstrengthsandweaknessesofafederalsystem AT peterberchtold integratedcareinswitzerlandstrengthsandweaknessesofafederalsystem AT ursulakoch integratedcareinswitzerlandstrengthsandweaknessesofafederalsystem AT isabellepeytremannbridevaux integratedcareinswitzerlandstrengthsandweaknessesofafederalsystem
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Integrated Care in Switzerland: Strengths and Weaknesses of a Federal System

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