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[Acute and transitional care : comparative analysis between five cantons].

Natalie Aberer1, Philipp Trein1, Veronika Schoeb2

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Acute and transitional care, essential post-hospitalization services, are underutilized in Switzerland. This study examines why these services, mandated by law, vary in implementation across cantons.

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Area of Science:

  • Health Services Research
  • Public Health Policy
  • Geriatric Care

Background:

  • Acute and transitional care services were established in Switzerland in 2011.
  • These services are intended to provide necessary post-hospitalization care for up to 14 days.
  • An aging population and hospital overcrowding highlight the importance of these care services.

Purpose of the Study:

  • To investigate the low utilization of acute and transitional care services in Switzerland.
  • To compare the implementation of these services across five Swiss cantons.
  • To identify reasons for low utilization and variations in cantonal implementation.

Main Methods:

  • Comparative analysis of acute and transitional care implementation in five Swiss cantons.
  • Examination of cantonal regulations and policies.
  • Assessment of service utilization rates and provider institutions.

Main Results:

  • Significant differences in the implementation and utilization of acute and transitional care were observed among the studied cantons.
  • Cantonal autonomy and specific regulations appear to influence service availability and uptake.
  • Underutilization is a common issue, with some cantons showing minimal to no service provision.

Conclusions:

  • The effective implementation of acute and transitional care in Switzerland is hindered by cantonal variations and regulatory complexities.
  • Strategies are needed to improve the uptake and accessibility of these vital post-hospitalization services.
  • Addressing these disparities is crucial for maintaining population health amidst demographic shifts.