Redesigning Primary Care in Switzerland: How to Get Primary Care Doctors on Board? Thomas Zeltner Professor of Public Health, University of Bern, Switzerland.

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Presentation transcript:

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

Government Regulator Government Regulator Citizen, Customer, Patient Citizen, Customer, Patient Health Service Provider Health Service Provider Health Insurance Company Health Insurance Company The Regulated Market Model of Switzerland

Ffff 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 groups

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

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 !

Popular Referendum YES FOR FAMILY DOCTORS 2014

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

THANK YOU!