Ambulatory Health Care Centers: a Comparison Germany – Switzerland
DOI: 10.3238/zfa.2017.0064-0067german translation / full article
Background: Ambulatory health care centers have evidently become increasingly important in primary care, especially in Germany, but also in our neighboring countries. This survey shows the frequency and characteristics of ambulatory health centers in Switzerland and a corresponding comparison to German health centers.
Methods: Internet research from October to December 2015 in Google Scholar, Yahoo, PubMed Health, Trip Database and the Cochrane Library with the keywords “health center”, “ambulatory health center” and “partner practices”Characteristics were analyzed and compared with the German institutes.
Results: We found 59 ambulatory health care centers in Switzerland – a relative high share in relation to the population (Switzerland: 59 centers/8,24 million, Germany: 109 centers/81,9 million). The centers were established mostly by public investors and in city areas ( 20.000 inhabitants). The average number of family practitioners was 3,22/center (Germany 1,75), for specialists 3,86/center (Germany 8,1). The number of family practitioners was slightly higher in the Swiss centers, the number of specialist slightly lower compared to the German centers.
Conclusions: To assess and illustrate the obvious benefits of ambulatory health centers for the quality of ambulatory primary care, more research work in Europe is warranted.