Transcript Zeltner Presentation - The Commonwealth Fund

Commonwealth Fund International Survey Webinar, February 5, 2013
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)
The Regulated Market Model of Switzerland
Citizen,
Customer,
Patient
Government
Regulator
Health
Insurance
Company
Health Service
Provider
Specific Aspects of the Swiss Health Care Systems:
85% of the Population consult the Internet for
Health Information (2011)
NZZ am Sonntag, 29/012012
Ffff
Specific Aspects of the Swiss Health Care Systems:
Voluntary Gate Keeping (2012)
NO: 11%
No answer: 1%
Question: Do you
have a Family
Doctor?
(N = 6663)
YES: 88%
Study by gfs Bern, October 2012
Specific Aspects of the Swiss Health Care Systems
< 1/3 mile
< 3 miles
Specific Aspects of the Swiss Health Care Systems:
Distance to Next Primary Care Doctor (2012)
31-60min: 5%
16-30min: 20%
>60min: 1% No answer: 1%
< 5min: 28%
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
Specific Aspects of the Swiss Health Care Systems:
eHealth Literacy in the Medical Community Is Age Dependent
Age groups
Specific Aspects of the Swiss Health Care Systems:
Demography of Medical Doctors (2011)
Specific Aspects of the Swiss Health Care Systems:
Part Time Employment of Medical Doctors (2011)
Doctors in %
Women
Men
Docto
Working hours (as % of a full time employment)
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
…RUN THEIR OWN LABORATORIES !
Popular Referendum “YES FOR FAMILY DOCTORS”
“016“015
2014
Challenges for the Future:
Annual Growth Health Insurance Premiums/Capita
THANK YOU!