Service-, needs-, and quality-based hospital capacity planning – The evolution of a revolution in Switzerland

Item Type Journal paper
Abstract Most developed countries spend a large amount of their health budget on hospital capacities and inpatient services. However, those capacities and services are often not comprehensively planned what leads to vague service delivery steering and non-need driven hospital facilities. Switzerland is different as the planning procedure was completely reformed in 2012 and is further refined in 2021/2022. The Canton of Zurich, the frontrunner in Switzerland, has made a comprehensive update of its hospital capacity planning model for acute, psychiatric, and rehabilitative care. The result of this model is the hospital list. This list includes all hospitals which fulfil predefined quality, efficiency, and need requirements. Hospitals on the list receive a mandate to provide inpatient treatments for specific and selected service groups (n=196), clustered in three areas (acute care, psychiatry, rehabilitation). The underlying health care policy process is transparent and is characterized by a high participation of all relevant actors. The building blocks of the planning model are a classification system of service groups, different quality and efficiency requirements attached to these groups, and an analysis of current and future need for health care. Hospitals which are willing to perform services must apply and demonstrate that the requirements are fulfilled. The Canton then decides needs-based which hospital can deliver which services.
Authors Bleibtreu, Elena; von Ahlen, Christine & Geissler, Alexander
Journal or Publication Title Health Policy
Language English
Keywords Health policy; Needs-based hospital planning; Hospital service classification system; Health care quality; Delivery of health care; Inpatient health care
Subjects health sciences
HSG Classification contribution to scientific community
Refereed Yes
Date 25 September 2022
Publisher Elsevier B.V.
Number 126
Page Range 1277-1282
Number of Pages 6
ISSN 0168-8510
Publisher DOI
Official URL
Contact Email Address
Depositing User Anita Koller
Date Deposited 04 Oct 2022 07:35
Last Modified 13 Dec 2022 08:52


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Bleibtreu, Elena; von Ahlen, Christine & Geissler, Alexander (2022) Service-, needs-, and quality-based hospital capacity planning – The evolution of a revolution in Switzerland. Health Policy, (126). 1277-1282. ISSN 0168-8510

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