Traduction en anglais : The Swiss gatekeeper system : A model to improve capacity and economic efficiency.
The German as will as the Swiss health care system are facing similiar problems.
However, in Switzerland different gatekeeper systems to improve the capacity and economic efficiency were successfully tried and tested.
The main structures of gatekeeping are the HMO health centres and different GP systems.
Central to this idea is the primary care physician functioning as a gatekeeper.
He has to control the demands of medical services according to the patient's needs to fulfil integral, comprehensive and economic criteria.
Although data processing has not yet been completed yet, first results show clear advantages of the gatekeeper system in respect of the costs and quality of health care compared with the customary Swiss health insurances.
Although in Switzerland there are still relatively few persons insured according to the gatekeeper system, it is expected that particularly the family physician systems will expand considerably in the future.
Reorganisation and rearrangements of the medical care providers are likely.
Mots-clés Pascal : Système santé, Organisation santé, Soin intégré, Economie santé, Contrôle coût, Assurance qualité, Evaluation, Efficacité, Homme, Suisse, Europe
Mots-clés Pascal anglais : Health system, Public health organization, Managed care, Health economy, Cost control, Quality assurance, Evaluation, Efficiency, Human, Switzerland, Europe
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0523595
Code Inist : 002B30A01B. Création : 13/02/1998.