[Interprofessionality in primary care medicine : overview and challenges for Switzerland]

The Swiss health system is evolving due to the increasing complexity of medical cases, linked to the aging population and the shortage of health care providers, mainly located in urban areas. Given this context, new models of medical care are needed, notably in primary care, in which the role of nurses must be reconsidered. This article reviews nurse-doctor interactions in primary care medicine, in particular the development of advanced nursing (AD). While AD is well established in some countries, in Switzerland it remains in its infancy, mainly due to federal regulations limiting insurance coverage of AD services. In spite of this, academic curricula are developing, and innovative projects are emerging in the field. There is no doubt that for caregivers and patients, the train has left the station and policymakers should follow.