Evidence map›Paper›PMID 34754285›Full record

ArticleInternational journal of integrated care

Integrated Care in Switzerland: Strengths and Weaknesses of a Federal System.

Séverine Schusselé Filliettaz, Peter Berchtold, Ursula Koch, Isabelle Peytremann-Bridevaux

Open access · goldAbstract read
In one paragraph

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 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.8field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 17 citations in OpenAlex.

  1. Article
  2. Article
  3. Observational
  4. Review
  5. Pediatric trauma management in Switzerland: insights from a nationwide survey.Clinical and experimental emergency medicine · 2025
    Article
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  7. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 4 institutions in 1 country.

Séverine Schusselé FilliettazLa Source School of Nursing, HES-SO University of Applied Sciences and Arts Western Switzerland, Av. Vinet 30, 1004 Lausanne, Switzerland.ORCID https://orcid.org/0000-0001-7475-1120
Peter BerchtoldCollege M, Laupenstrasse 7, 3001 Bern, Switzerland.
Ursula KochForum Managed Care (FMC), Zugerstrasse 193, 6314 Neuägeri, Switzerland.
Isabelle Peytremann-BridevauxCentre for Primary Care and Public Health (Unisanté), University of Lausanne, Route de la Corniche 10, 1010 Lausanne, Switzerland.ORCID https://orcid.org/0000-0002-6514-8781
Centre universitaire de médecine générale et santé publique, Lausanne · CHHES-SO University of Applied Sciences and Arts Western Switzerland · CHUniversity of Bern · CHUniversity of Teacher Education Zug · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSwitzerland's fragmented healthcare system mirrors its federal structure and mix of cultures and languages. Although the Swiss have a higher life expectancy than most of their neighbours, their healthcare system faces similar challenges that call for more integrated care (IC). AIM/

methodThis article aims to provide insight into the specificities of and latest developments in Switzerland's healthcare system and how they may have influenced the development and implementation of IC there. DESCRIPTION/DISCUSSION: The number of local IC initiatives has been growing steadily for 20 years. With a certain lag, various policies supporting IC have been established. Among them, a recent democratic debate on the federal mandatory health insurance law could either induce a radical move towards centralised support for IC or continue to support scattered local IC initiatives.

conclusionIn the future, Switzerland's healthcare system will probably navigate between local IC initiatives and centralised, federal support for IC initiatives. This will be the reflection of a very Swiss way forward in a world without clear evidence on whether centralised or decentralised initiatives are more successful at developing IC.

Indexed as

healthcare systemshealth policiesintegrated delivery systemsMeSHpolitical systemsSwitzerland

Identifiers

PMID34754285
PMCPMC8555474
OpenAlexW3209392284

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.