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

Journal
Health Policy
ISSN
0168-8510
Type
journal article
Date Issued
2022-09-25
Author(s)
Bleibtreu, Elena
von Ahlen, Christine
Geissler, Alexander  
DOI
https://doi.org/10.1016/j.healthpol.2022.09.011
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.
Language
English
Keywords
Health policy
Needs-based hospital planning
Hospital service classification system
Health care quality
Delivery of health care
Inpatient health care
HSG Classification
contribution to scientific community
Refereed
Yes
Publisher
Elsevier B.V.
Number
126
Start page
1277
End page
1282
Pages
6
Official URL
https://www.sciencedirect.com/science/article/pii/S0168851022002561
URL
https://www.alexandria.unisg.ch/handle/20.500.14171/108215
Subject(s)

health sciences

Division(s)

SoM - School of Manag...

MED - School of Medic...

Contact Email Address
alexander.geissler@unisg.ch
Eprints ID
267513
File(s)
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open.access

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1-s2.0-S0168851022002561-main.pdf

Size

745.89 KB

Format

Adobe PDF

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