TY - JOUR

T1 - Swiss experiment shows physicians, consumers want significant compensation to embrace coordinated care

AU - Zweifel, Peter

PY - 2011/3/1

Y1 - 2011/3/1

N2 - Policy makers in several industrial countries are seeking to limit the rise in health care cost growth by supporting coordinated or integrated care programs, which differ from most prevailing forms of medical organization in how physicians are paid and how they work in groups. However, as long as fee-for-service payment systems remain an option, general practitioners will be reluctant to embrace coordinated care because it would give them less autonomy in how they practice. A study in Switzerland indicates that general practitioners will require a pay increase of up to 40 percent before they are willing to accept coordinated care, and a similar study found that Swiss consumers wanted a substantial reduction in premiums to accept it. These findings suggest that provisions of US health care reform designed to encourage the growth of coordinated care-such as accountable care organizations and medical homes-may face a challenging future.

AB - Policy makers in several industrial countries are seeking to limit the rise in health care cost growth by supporting coordinated or integrated care programs, which differ from most prevailing forms of medical organization in how physicians are paid and how they work in groups. However, as long as fee-for-service payment systems remain an option, general practitioners will be reluctant to embrace coordinated care because it would give them less autonomy in how they practice. A study in Switzerland indicates that general practitioners will require a pay increase of up to 40 percent before they are willing to accept coordinated care, and a similar study found that Swiss consumers wanted a substantial reduction in premiums to accept it. These findings suggest that provisions of US health care reform designed to encourage the growth of coordinated care-such as accountable care organizations and medical homes-may face a challenging future.

KW - Choice Behavior

KW - Consumer Satisfaction

KW - Data Collection

KW - Delivery of Health Care, Integrated

KW - Diffusion of Innovation

KW - Female

KW - Health Care Reform

KW - Humans

KW - Male

KW - Middle Aged

KW - Physicians, Family

KW - Switzerland

KW - Management studies

UR - http://www.scopus.com/inward/record.url?scp=79955486257&partnerID=8YFLogxK

U2 - 10.1377/hlthaff.2010.0954

DO - 10.1377/hlthaff.2010.0954

M3 - Journal articles

C2 - 21383370

VL - 30

SP - 510

EP - 518

JO - Health Affairs

JF - Health Affairs

SN - 0278-2715

IS - 3

ER -