ArticleInternational journal of integrated care
An empirical investigation of the efficiency effects of integrated care models in Switzerland.
Article in International journal of integrated care. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed.
- Impact of integrated care models on inpatient costs and health services efficiency: evidence from a difference-in-differences analysis in China.Health policy and planning · 2026Article
- Preferences for innovations in healthcare delivery models in the Swiss elderly population: a latent class, choice modelling study.European journal of public health · 2024Article
- Patient and Public Preferences for Coordinated Care in Switzerland: Development of a Discrete Choice Experiment.The patient · 2022Review
- Characteristics and health care costs in patients with a diagnostic imaging for low back pain in Switzerland.The European journal of health economics : HEPAC : health economics in prevention and care · 2022Article
- Degree of regional variation and effects of health insurance-related factors on the utilization of 24 diverse healthcare services - a cross-sectional study.BMC health services research · 2020Article
- Exploring geographic variation of and influencing factors for utilization of four diabetes management measures in Swiss population using claims data.BMJ open diabetes research & care · 2020Article
- Variation of colorectal, breast and prostate cancer screening activity in Switzerland: Influence of insurance, policy and guidelines.PloS one · 2020Article
- Hospital readmission risk prediction based on claims data available at admission: a pilot study in Switzerland.BMJ open · 2019Article
- Treatment patterns in patients using triptan and prophylactic medication: an analysis of clinical practice prior to the introduction of CGRP antagonists.Journal of pain research · 2019Article
- Variation of preoperative chest radiography utilization in Switzerland and its influencing factors: a multilevel study with claims data.Scientific reports · 2018Article
- Epidemiology and costs of multiple sclerosis in Switzerland: an analysis of health-care claims data, 2011-2015.Neuropsychiatric disease and treatment · 2017Article
- Effects of Integrated Care on Disease-Related Hospitalisation and Healthcare Costs in Patients with Diabetes, Cardiovascular Diseases and Respiratory Illnesses: A Propensity-Matched Cohort Study in Switzerland.International journal of integrated care · 2016Article
- How does hospitalization affect continuity of drug therapy: an exploratory study.Therapeutics and clinical risk management · 2016Article
- Does managed care reduce health care expenditure? Evidence from spatial panel data.International journal of health care finance and economics · 2014Article
- Article
- The Impact of the Swedish Care Coordination Act on Hospital Readmission and Length-of-Stay among Multi-Morbid Elderly Patients: A Controlled Interrupted Time Series Analysis.International journal of integrated careArticle
- Letter in response to the Article published by Reich O, Rapold R, Flatscher-Thöni M. An empirical investigation of the efficiency effects of integrated care models in Switzerland. Int J Integr Care 2012,12:1-12.International journal of integrated careArticle
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThis study investigates the efficiency gains of integrated care models in Switzerland, since these models are regarded as cost containment options in national social health insurance. These plans generate much lower average health care expenditure than the basic insurance plan. The question is, however, to what extent these total savings are due to the effects of selection and efficiency.
methodsThe empirical analysis is based on data from 399,274 Swiss residents that constantly had compulsory health insurance with the Helsana Group, the largest health insurer in Switzerland, covering the years 2006-2009. In order to evaluate the efficiency of the different integrated care models, we apply an econometric approach with a mixed-effects model.
resultsOur estimations indicate that the efficiency effects of integrated care models on health care expenditure are significant. However, the different insurance plans vary, revealing the following efficiency gains per model: contracted capitated model 21.2%, contracted non-capitated model 15.5% and telemedicine model 3.7%. The remaining 8.5%, 5.6% and 22.5%, respectively, of the variation in total health care expenditure can be attributed to the effects of selection.
conclusionsIntegrated care models have the potential to improve care for patients with chronic diseases and concurrently have a positive impact on health care expenditure. We suggest policy-makers improve the incentives for patients with chronic diseases within the existing regulations providing further potential for cost-efficiency of medical care.
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