32 How to improve care coordination for people with chronic conditions in Switzerland?


People with chronic conditions require coordinated care. This study analyses the potential for better care coordination in Switzerland and proposes new care models and financing mechanisms that are in line with the needs and preferences of the population.

Project description (ongoing research project)

The project will use several data sources to measure continuity of care in the 50+ population in Switzerland as well as the impact of multimorbidity on healthcare costs and coordination. These analyses will combine data from health insurance claims, cohort studies and population surveys. Then, preferences of the public for measures aimed at improving care coordination, such as the digitalisation of patient records or new payment mechanisms, will be investigated using experimental survey methods. The findings of the first phases complemented with structured discussions with key stakeholders will generate a set of innovative solutions. Finally, the long-term impact of these solutions, in particular on health care costs, will be assessed.


Federalism, the diverging interests of stakeholders in the health care system, fragmented information systems and the complexity of current funding mechanisms hinders the delivery of integrated, well-coordinated health care in Switzerland. People with chronic conditions are particularly affected, especially elderly multi-morbid patients whose conditions require complex treatments from many different care providers. This lack of care continuity can have a negative impact on the effectiveness, quality and efficiency of care.


The study aims to propose framework conditions for improving care coordination in Switzerland and to measure the value of new organisational and health care models. We will first determine the extent of the issue and gain a better understanding of the needs and preferences of the Swiss population with regard to health care coordination. We will then measure the potential impact of innovative models designed to improve coordination within the health care system.


The study will show the potential for improving health care coordination in Switzerland and will make specific recommendations for new funding and organisational models that are acceptable to the public and could contribute to better and more efficient care for people with chronic conditions in the country.

Original title

How to improve care integration, coordination and continuity? Designing policy from population needs and preferences

Project leader


  • Professeur Joachim Marti, Institut Universitaire de Médecine Sociale, et Préventive – IUMSP, CHUV et Université de Lausanne


  • Professeur Isabelle Peytremann Bridevaux, Healthcare Evaluation Unit, Institute of Social and Preventive Medicine, University of Lausanne
  • Professeur Joël Wagner, Département de sciences actuarielles, Faculté des Hautes Etudes Commerciales, Université de Lausanne
  • Professeur Olivier Bugnon, Centre de Pharmacie Communautaire, Policlinique Médicale Universitaire, Lausanne
  • Madame Clémence Perraudin, Policlinique Médicale Universitaire, Lausanne

Project partners:

  • Monsieur Nicolas Krucien, Health Economics Research Unit, University of Aberdeen, Great Britain



Further information on this content


Professeur Joachim Marti Institut Universitaire de Médecine Sociale et Préventive – IUMSP
CHUV et Université de Lausanne
Route de la Corniche 10 1010 Lausanne +41 21 314 72 72