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Healthcare stakeholders' perspective on barriers to integrated care in Switzerland: Results from the open‐ended question of a nationwide survey
OBJECTIVE: We aimed to identify the main barriers to integrated care (IC) as reported by healthcare stakeholders from various linguistic regions and health system specificities, according to their reality of practice. METHODS: Information was gathered through an open‐ended question from a national s...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley & Sons, Inc.
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9291149/ https://www.ncbi.nlm.nih.gov/pubmed/34327788 http://dx.doi.org/10.1111/jep.13605 |
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author | Rawlinson, Cloé Lesage, Saphir Gilles, Ingrid Peytremann‐Bridevaux, Isabelle |
author_facet | Rawlinson, Cloé Lesage, Saphir Gilles, Ingrid Peytremann‐Bridevaux, Isabelle |
author_sort | Rawlinson, Cloé |
collection | PubMed |
description | OBJECTIVE: We aimed to identify the main barriers to integrated care (IC) as reported by healthcare stakeholders from various linguistic regions and health system specificities, according to their reality of practice. METHODS: Information was gathered through an open‐ended question from a national survey conducted in Switzerland in 2019. Responses were analysed qualitatively with the IRaMuTeQ software. RESULTS: Answers from 410 respondents were obtained. Respondents reported barriers at two levels: the system and professional level. Threat to financial benefits, concerns for patient data sharing and tensions between quality of care and benefits for patients versus costs were mentioned at the professional level, in their activity and in patient care. At the system level, limitations at the political level due to federalism and the lack of support and training for professionals were important barriers, in addition to the lack of recognition and compensation for professionals and the fragmented functioning of the health care system. CONCLUSION: Our study underlines the importance of implementing innovative funding strategies and reimbursement schemes, as well as political willingness to move towards IC. The alignment between federal policies and cantonal specificities also appears as necessary to achieve involvement of professionals, promote integration of services and coordination of professionals for continuous and efficient care. |
format | Online Article Text |
id | pubmed-9291149 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | John Wiley & Sons, Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-92911492022-07-20 Healthcare stakeholders' perspective on barriers to integrated care in Switzerland: Results from the open‐ended question of a nationwide survey Rawlinson, Cloé Lesage, Saphir Gilles, Ingrid Peytremann‐Bridevaux, Isabelle J Eval Clin Pract Brief Report OBJECTIVE: We aimed to identify the main barriers to integrated care (IC) as reported by healthcare stakeholders from various linguistic regions and health system specificities, according to their reality of practice. METHODS: Information was gathered through an open‐ended question from a national survey conducted in Switzerland in 2019. Responses were analysed qualitatively with the IRaMuTeQ software. RESULTS: Answers from 410 respondents were obtained. Respondents reported barriers at two levels: the system and professional level. Threat to financial benefits, concerns for patient data sharing and tensions between quality of care and benefits for patients versus costs were mentioned at the professional level, in their activity and in patient care. At the system level, limitations at the political level due to federalism and the lack of support and training for professionals were important barriers, in addition to the lack of recognition and compensation for professionals and the fragmented functioning of the health care system. CONCLUSION: Our study underlines the importance of implementing innovative funding strategies and reimbursement schemes, as well as political willingness to move towards IC. The alignment between federal policies and cantonal specificities also appears as necessary to achieve involvement of professionals, promote integration of services and coordination of professionals for continuous and efficient care. John Wiley & Sons, Inc. 2021-07-29 2022-02 /pmc/articles/PMC9291149/ /pubmed/34327788 http://dx.doi.org/10.1111/jep.13605 Text en © 2021 The Authors. Journal of Evaluation in Clinical Practice published by John Wiley & Sons Ltd. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes. |
spellingShingle | Brief Report Rawlinson, Cloé Lesage, Saphir Gilles, Ingrid Peytremann‐Bridevaux, Isabelle Healthcare stakeholders' perspective on barriers to integrated care in Switzerland: Results from the open‐ended question of a nationwide survey |
title | Healthcare stakeholders' perspective on barriers to integrated care in Switzerland: Results from the open‐ended question of a nationwide survey |
title_full | Healthcare stakeholders' perspective on barriers to integrated care in Switzerland: Results from the open‐ended question of a nationwide survey |
title_fullStr | Healthcare stakeholders' perspective on barriers to integrated care in Switzerland: Results from the open‐ended question of a nationwide survey |
title_full_unstemmed | Healthcare stakeholders' perspective on barriers to integrated care in Switzerland: Results from the open‐ended question of a nationwide survey |
title_short | Healthcare stakeholders' perspective on barriers to integrated care in Switzerland: Results from the open‐ended question of a nationwide survey |
title_sort | healthcare stakeholders' perspective on barriers to integrated care in switzerland: results from the open‐ended question of a nationwide survey |
topic | Brief Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9291149/ https://www.ncbi.nlm.nih.gov/pubmed/34327788 http://dx.doi.org/10.1111/jep.13605 |
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