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Ten years of integrated care in Switzerland


Peter Berchtold ,

About Peter
Dr. Director of the College for Management in Healthcare, also Assistant Professor at the University of Bern Medical School and President of the Swiss Forum Managed Care, Bern, Switzerland
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Isabelle Peytremann-Bridevaux

About Isabelle
MD, MPH, DSc, Healthcare Evaluation Unit, Institute of Social and Preventive Medicine (IUMSP), Centre HospitalierVaudois and University of Lausanne, Bugnon 17, CH-1005 Lausanne
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In Switzerland, a growing part of primary care is provided by networks of physicians and health maintenance organizations (HMOs) acting on the principles of gatekeeping. To date, an average of one out of eight insured person in Switzerland, and one out of three in the regions in north-eastern Switzerland, opted for the provision of care by general practitioners in one of the 86 physician networks or HMOs. About 50% of all general practitioners and more than 400 other specialists have joined a physician networks. Seventy-three of the 86 networks (84%) have contracts with the healthcare insurance companies in which they agree to assume budgetary co-responsibility, i.e. to adhere to set cost targets for particular groups of patients. Within and outside the physician networks, at regional and/or cantonal levels, several initiatives targeting chronic diseases have been developed, such as clinical pathways for heart failure and breast cancer patients or chronic disease management programs for patients with diabetes. The relevance of these developments towards more integration of healthcare as well as their implications for the future are discussed.

How to Cite: Berchtold P, Peytremann-Bridevaux I. Ten years of integrated care in Switzerland. International Journal of Integrated Care. 2011;11(5):None. DOI:
Published on 09 Mar 2011.
Peer Reviewed


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