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

1 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 (1991-2009) Commonwealth Fund International Survey Webinar, February 5, 2013

2 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

3 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

4 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

5 < 1/3 mile < 3 miles Specific Aspects of the Swiss Health Care Systems

6 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

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

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

9 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

10 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:

11 …RUN THEIR OWN LABORATORIES !

12

13 016015 Popular Referendum YES FOR FAMILY DOCTORS 2014

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

15 THANK YOU!

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