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33 Use of simulation modelling to improve care for patients with chronic conditions in Switzerland

 

How can health care in Switzerland be optimally tailored to meet the needs of patients with chronic conditions? The study models the consequences of health policy decisions and formulates recommendations for a reorientation of the health care system.

Project description (ongoing research project)

In the first phase of the project, a graphical representation of the current chronic care system will be created in collaboration with research partners and decision-makers. The graphical representation is a qualitative conceptual model that visualises important influencing factors and their relationships in a system. In the second phase, a quantitative simulation model based on the graphical representation will be developed that mathematically describes key factors and their relationships in the chronic care system. The main benefits of this type of simulation model are: (i) it can be used to anticipate future developments (trends) in the chronic care system, and (ii) it can be used to evaluate and design health policy reforms.

Background

Although more and more people are suffering from chronic conditions and need long-term care, the Swiss health care system is still strongly oriented towards acute care. In order to provide better care for this group of patients and to make more efficient use of limited health care resources, the health care system needs to be realigned to meet the actual needs.

Aim

The aim of the study is to develop recommendations on how the current health care system can be better adapted to the care of patients with chronic conditions. A model of the current care system for patients with chronic conditions will therefore be developed to test the impact of different health policy decisions on the quality and cost of care as well as on patient satisfaction.

Relevance

The study offers an optimal platform for continuous dialogue between relevant stakeholders on the care of patients with chronic conditions in Switzerland. The products are: (i) a well-grounded qualitative model of the current chronic care system; (ii) a simulation model whose purpose is to analyse the consequences of health policy decisions; (iii) a report on the decisions that have been analysed, and (iv) concrete recommendations for the future design of the health care system in Switzerland.

Original title

Projecting the impact of health policy changes for Swiss patients with chronic conditions using simulation modeling

Project leader(s)

Applicant:

  • Prof. Lukas Schönenberger, Departement Gesundheit, Institut für Gesundheitspolitik, Berner Fachhochschule

Co-applicants:

  • Prof. Sebastian Gurtner, Institut für Unternehmensentwicklung, Departement Wirtschaft, Berner Fachhochschule
  • Professor Rudolf Blankart, Kompetenzzentrum für Public Management, Universität Bern
  • Prof. Urs Brügger, Departement Gesundheit der Berner Fachhochschule

Project partners:

  • Mrs. Angela Burden, Mississauga Halton Local Health Integration, Mississauga, Canada
  • Professor David Matchar, Health Services and Systems Research Program, Duke-NUS Graduate Medical School, Singapore
  • Professor John Ansah, Health Services and Systems Research Program, Duke-NUS Graduate Medical School, Singapore
  • Herr Sebastian Becker, Inselspital, Universitätsspital, Bern
  • Dr. David Srivastava, Universitäres Notfallzentrum, Inselspital, Universitätsspital, Bern
  • Prof. Andreas Schönenberger, Geriatrische Universitätsklinik, Spital Tiefenau

 

 

Further information on this content

 Contact

Prof. Lukas Schönenberger Departement Gesundheit
Institut für Gesundheitspolitik
Berner Fachhochschule
Murtenstrasse 10 3008 Bern +41 79 299 02 43 lukas.schoenenberger@bfh.ch