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Please use this identifier to cite or link to this item: https://doi.org/10.21256/zhaw-28284
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dc.contributor.authorCarron, Tania-
dc.contributor.authorDomeisen Benedetti, Franzisca-
dc.contributor.authorFringer, André-
dc.contributor.authorFierz, Katharina-
dc.contributor.authorPeytremann-Bridevaux, Isabelle-
dc.date.accessioned2023-07-20T13:52:15Z-
dc.date.available2023-07-20T13:52:15Z-
dc.date.issued2023-07-10-
dc.identifier.issn1356-1294de_CH
dc.identifier.issn1365-2753de_CH
dc.identifier.urihttps://digitalcollection.zhaw.ch/handle/11475/28284-
dc.description.abstractRationale, Aimsand Objectives: Healthcare systems are confronted with a rising number of patients with chronic conditions and complex care needs, requiring the development of new models of coordinated, patient-centred care. In this study, we aimed to describe and compare a range of new models of care recently implemented in primary care in Switzerland, as well as to gain insight into the type of coordination or integration implemented, the strengths and weaknesses of each model and the challenges they face. Method: We used an embedded multiple case study design to describe in-depth a series of current Swiss initiatives that specifically aim to improve care coordination in primary care. For each model, documents were collected, a questionnaire was administered and semistructured interviews with key actors were conducted. A within-case analysis followed by a cross-case analysis were performed. Based on the Rainbow Model of Integrated Care framework, similarities and differences between the models were highlighted. Results: Eight integrated care initiatives were included in the analysis, representing three types of models: independent multiprofessional GP practices, multiprofessional GP practices/health centres that are part of larger groups and regional integrated delivery systems. Recognized effective activities and tools to improve care coordination, such as multidisciplinary teams, case manager involvement, use of electronic medical records, patient education and use of care plans, were implemented by at least six of the eight initiatives studied. The main obstacles to the implementation of integrated care models were the inadequate Swiss reimbursement policies and payment mechanisms and the desire of some healthcare professionals to protect their territory in a context where new roles are emerging. Conclusion: The integrated care models implemented in Switzerland are promising; nevertheless, financial and legal reforms must be introduced to promote integrated care in practice.de_CH
dc.language.isoende_CH
dc.publisherWileyde_CH
dc.relation.ispartofJournal of Evaluation in Clinical Practicede_CH
dc.rightshttp://creativecommons.org/licenses/by/4.0/de_CH
dc.subjectSwitzerlandde_CH
dc.subjectDelivery of healthcarede_CH
dc.subjectIntegratedde_CH
dc.subjectIntersectoral collaborationde_CH
dc.subjectOrganizational case studyde_CH
dc.subjectPatient care managementde_CH
dc.subjectPrimary healthcarede_CH
dc.subject.ddc362: Gesundheits- und Sozialdienstede_CH
dc.titleIntegrated care models in Swiss primary care : an embedded multiple case studyde_CH
dc.typeBeitrag in wissenschaftlicher Zeitschriftde_CH
dcterms.typeTextde_CH
zhaw.departementGesundheitde_CH
zhaw.organisationalunitInstitut für Pflege (IPF)de_CH
dc.identifier.doi10.1111/jep.13891de_CH
dc.identifier.doi10.21256/zhaw-28284-
dc.identifier.pmid37427549de_CH
zhaw.funding.euNode_CH
zhaw.issue6de_CH
zhaw.originated.zhawYesde_CH
zhaw.pages.end1038de_CH
zhaw.pages.start1025de_CH
zhaw.publication.statuspublishedVersionde_CH
zhaw.volume29de_CH
zhaw.publication.reviewPeer review (Publikation)de_CH
zhaw.author.additionalNode_CH
zhaw.display.portraitYesde_CH
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Carron, T., Domeisen Benedetti, F., Fringer, A., Fierz, K., & Peytremann-Bridevaux, I. (2023). Integrated care models in Swiss primary care : an embedded multiple case study. Journal of Evaluation in Clinical Practice, 29(6), 1025–1038. https://doi.org/10.1111/jep.13891
Carron, T. et al. (2023) ‘Integrated care models in Swiss primary care : an embedded multiple case study’, Journal of Evaluation in Clinical Practice, 29(6), pp. 1025–1038. Available at: https://doi.org/10.1111/jep.13891.
T. Carron, F. Domeisen Benedetti, A. Fringer, K. Fierz, and I. Peytremann-Bridevaux, “Integrated care models in Swiss primary care : an embedded multiple case study,” Journal of Evaluation in Clinical Practice, vol. 29, no. 6, pp. 1025–1038, Jul. 2023, doi: 10.1111/jep.13891.
CARRON, Tania, Franzisca DOMEISEN BENEDETTI, André FRINGER, Katharina FIERZ und Isabelle PEYTREMANN-BRIDEVAUX, 2023. Integrated care models in Swiss primary care : an embedded multiple case study. Journal of Evaluation in Clinical Practice. 10 Juli 2023. Bd. 29, Nr. 6, S. 1025–1038. DOI 10.1111/jep.13891
Carron, Tania, Franzisca Domeisen Benedetti, André Fringer, Katharina Fierz, and Isabelle Peytremann-Bridevaux. 2023. “Integrated Care Models in Swiss Primary Care : An Embedded Multiple Case Study.” Journal of Evaluation in Clinical Practice 29 (6): 1025–38. https://doi.org/10.1111/jep.13891.
Carron, Tania, et al. “Integrated Care Models in Swiss Primary Care : An Embedded Multiple Case Study.” Journal of Evaluation in Clinical Practice, vol. 29, no. 6, July 2023, pp. 1025–38, https://doi.org/10.1111/jep.13891.


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