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Redesigning Primary Care in Switzerland: How to Get Primary Care Doctors on Board?

Redesigning Primary Care in Switzerland: How to Get Primary Care Doctors on Board?. Commonwealth Fund International Survey Webinar, February 5, 2013. Thomas Zeltner Professor of Public Health, University of Bern, Switzerland. Former Secretary of Health of Switzerland (1991-2009).

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Redesigning Primary Care in Switzerland: How to Get Primary Care Doctors on Board?

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  1. Redesigning Primary Care in Switzerland: How to Get Primary Care Doctors on Board? Commonwealth Fund International Survey Webinar, February 5, 2013 Thomas Zeltner Professor of Public Health, University of Bern, Switzerland. Former Secretary of Health of Switzerland (1991-2009)

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

  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) No answer: 1% NO: 11% Question: Do you have a Family Doctor? (N = 6663) YES: 88% Study by gfs Bern, October 2012

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

  6. Specific Aspects of the Swiss Health Care Systems: Distance to Next Primary Care Doctor (2012) No answer: 1% >60min: 1% 31-60min: 5% < 5min: 28% 16-30min: 20% Question: How long does it take you to get to your primary care doctor? (N = 5889) 11-15min: 17% 6-10min: 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) Women Men Doctors in % Working hours (as % of a full time employment)

  10. 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

  11. …RUN THEIR OWN LABORATORIES !

  12. “016“015 Popular Referendum “YES FOR FAMILY DOCTORS” 2014

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

  14. THANK YOU!

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