ArticleInternational journal of integrated care2018
Preserving Care Delivery in Hard-to-Serve Regions: A Case Study of a Population Health System in the Swiss Lower Engadin.
Article in International journal of integrated care, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Video-Supported Remote Cognitive Assessment in General Practice-A Pilot Mixed-Method Study on Usability, Acceptability and Feasibility.Healthcare (Basel, Switzerland) · 2026Article
- Barriers and facilitators of implementing value-based care: The case of SwissDiabeter.Digital healthArticle
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Authors and funding
3 authors.
Funding
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Abstract
introductionMany countries report difficulties in preserving access to care in rural areas. This paper examines how hard-to-serve regions sustain care provision by transforming service delivery into population health systems. THEORY AND
methodsThe paper builds on theory on care delivery in hard-to-serve regions. It presents a qualitative case study from the Lower Engadin, a rural high mountain valley in the Swiss Alps. Data sources include semi-structured interviews, participant observations, and documents. Data are analysed using recent conceptual research on population health systems.
resultsThe case study illustrates how politicians and providers in the Lower Engadin resolved a care crisis and preserved access to care by forming a population health system. The system is organised around the Healthcare Centre Lower Engadin. Citizen-centred interventions target an aging population and include health promotion and prevention programs as well as case management based on an ambulatory-before-inpatient care strategy.
conclusionHard-to-serve regions like the Lower Engadin preserve access to care by reorganising service delivery towards population health systems. The paper contributes to research on population health systems and care provision in rural areas.
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