Thomas Zeltner Professor of Public Health University of Bern Switzerland Former Secretary of Health of Switzerland 19912009 Commonwealth Fund International Survey Webinar January 11 2012 ID: 417936
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How to Improve Care for Patients with Complex Needs in the Framework of the Swiss Health Care System?
Thomas Zeltner
Professor of Public Health, University of Bern, Switzerland.
Former Secretary of Health of Switzerland (1991-2009)
Commonwealth Fund International Survey Webinar January
11, 2012 Slide2
Government
Regulator
Citizen,
Customer
Patient
Health Service
Provider
Health
Insurance
Company
The Regulated Market Model of SwitzerlandSlide3
< 1/3 mile
< 3 miles
Specific Aspects of the Swiss Health Care SystemsSlide4
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 SystemsSlide5
Number of Hospitals in Switzerland (7.8 Mio Citizens):
General Hospitals 119
Specialized Clinics 178
TOTAL 297
Specific Aspects of the Swiss Health Care SystemsSlide6
Challenges for the FutureSlide7
Challenges for the Future:
Density of General PractitionersSlide8
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:Slide9
Challenges for the Future:Slide10
Challenges for the Future:
Total expenditures on
health as
percent of GDPSlide11
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)