Abstract
Switzerland is considered to have among the best performing healthcare systems among countries that are members of the Organisation for Economic Co-operation and Development. However, a 2011 analysis of the Swiss healthcare system identified fragmented provision of services, along with lack of coordination and integration as major deficits and suggested that the relatively high healthcare expenditures were not being used efficiently.
The “Programme cantonal Diabète” (PcD), launched in 2010 in the canton of Vaud, aims to limit the increase in the incidence of diabetes and improve the quality of diabetes care. Based on the Chronic Care Model and following both a top-down and bottom-up approach including all stakeholders, it was seen as the solution to allow the integration of all healthcare professionals and all levels of care delivery of the canton. Designed for the whole canton, projects target people with diabetes (children and adults), practicing healthcare professionals, the general population and the healthcare system. The evaluation of single projects of the PcD, and of the PcD itself and its elements, will help stakeholders to identify their appropriateness for future developments.
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Peytremann-Bridevaux, I., Berchtold, P., Hagon-Traub, I. (2017). Switzerland. In: Amelung, V., Stein, V., Goodwin, N., Balicer, R., Nolte, E., Suter, E. (eds) Handbook Integrated Care. Springer, Cham. https://doi.org/10.1007/978-3-319-56103-5_34
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